for men who also watch their A1C

Gout With High Blood Sugar Isn't Regular Gout. Here's the Half Most Men Never Hear.

A kitchen table in the morning: a lab sheet with the hemoglobin A1C line, 6.2 percent, circled in red, a glucose meter, an open seven-day pill organizer, a cup of coffee and reading glasses.

The A1C circled in red, a glucose meter, the morning pills. One is for gout.

If you have gout and watch your A1C too, there's a reason the two come as a pair and are very linked to eachother.

This report shows you, in plain English:

  • The two places sugar feeds gout, and why one of them starts where your A1C starts
  • Where your gout list and your sugar list disagree, and who settles it
  • Three questions that put both numbers on one plan with your doctor

Read it start to finish. You can buy me a coffee later.

Find Out How Sugar Ties Your Gout to Your A1C ↓

“I've looked at diets for gout and pre-diabetes and they seems to contradict themselves.”
— 66, HALO Customer Comment

.

Dear friend who watches two numbers,

Every three months the lab sheet comes back, and you read the A1C line first. Before you even find your own name.

A printed lab sheet. The hemoglobin A1C row, 6.2 percent, is highlighted, and a red hand-drawn line with a question mark runs down to the uric acid row, where a red pen covers the result.

Two numbers: A1C and uric acid. One lab sheet.

Then the morning pills: the gout pill, the one for your sugar, maybe one for blood pressure.

The soda went years ago. Sweet tea too. You read labels. You drink your water, and that's smart: water helps.

You did your part.

And gout came anyway.

“I do follow my diabetic diet as close as I can and take the pills the doctor has me take for diabetes.”
— 70, patient.info comment

.

Whoever wrote that didn't do anything wrong. Neither did you.

Before we made anything for gout, we read 239,712 public comments from people who have it.

Men with an A1C to watch turned up again and again. What we almost never saw was a plain explanation of how the two connect.

This report gives you one:

  • How sugar feeds gout TWICE.
  • Why one of those times starts where your A1C starts.
  • Where your gout list and your sugar list DISAGREE.
  • THREE questions that put both numbers on ONE plan.
  • One small cherry change you can make ALONGSIDE the pill.
A bottle of HALO Tart Cherry with fresh cherries beside it

Tart cherry.0 g sugar

About ten minutes. No lecture about your dinner plate.

Let's start with the company you keep.

Inside This Report

Made to sitnext to the pill

Five plain answers. They read best in order:

  1. You're not a rare case. About 1 in 4.
  2. Sugar feeds gout, twice. Start with the faucet.
  3. The drain. Where the second time starts.
  4. Two lists that don't agree. And who settles it.
  5. Three questions for the visit when both numbers come back.

And: the one glass in the middle →

Thing #1

You're Not a Rare Case. You're About One in Four.

A gout pill next to a pill for your sugar? That's ordinary.

Gout and sugar? You're not the odd guy who drew both.

In a national US health survey (2007 to 2008), about 1 in 4 adults with gout said a doctor had told them they had diabetes.

Zhu Y, Pandya BJ, Choi HK. Am J Med 2012;125(7):679-87.

Past 65 it's common anyway. CDC's latest numbers (2021 to 2023): more than half of Americans 65 and older have prediabetes, and more than 1 in 4 have diabetes.

CDC, National Diabetes Statistics Report, updated 2026.
A hand reaching for an open seven-day pill organizer with three or four pills in every box, next to a glass of water, a cup of coffee and a glucose meter on the kitchen counter

One organizer. Pills for more than one number.

One HALO Customer Review lists the gout pills, then this:

“…Metformin because my blood sugar was borderline and Crestor because so was my cholesterol.”
— HALO Customer Review

.

If cholesterol gets a line on your lab sheet too, you're in good company. It has its own pill and its own talk with your doctor.

So why do these two travel together? Start with something you already believe.

Thing #2

Sugar Feeds Gout. It Just Does It Twice.

You've heard it a hundred times: sugar feeds gout. You're right.

"The number" is the uric acid in your blood, what your blood test checks. For most people, the target is under 6.

Most uric acid comes from your body's own wear and tear. Sugar is one thing that can turn it up.

Think of it as water in a kitchen sink. No plumber needed.

The faucet is your liver. It makes uric acid.

The drain is your kidneys. That's the main way out.

More in than out, and the number climbs.

Sugar has a hand on both.

Whiteboard drawing titled Sugar feeds gout twice: a sink full of uric acid. Number 1: faucet = liver, fructose turns it up. Number 2: drain = kidneys, high insulin slows it, with an A1C box marked same root. Along the bottom: the gout pill turns the faucet down.

First, the faucet.

Meet fructose: the sugar in high-fructose corn syrup and in half of table sugar.

When your liver gets a big load of fructose at once, it burns through its energy supply faster than it can refill it. The leftovers get turned into uric acid. In lab tests, a big dose raised uric acid within about two hours.

Maenpaa PH et al. Science 1968; Stirpe F et al. Lancet 1970 (cited in the ACR 2020 gout guideline).

Among the sugars, only fructose does that. Glucose doesn't turn the faucet up the same way.

In a 12-year study of more than 46,000 men, those who drank 2 or more sugary sodas a day got gout more often than men who almost never did. Diet soda showed no link.

Choi HK, Curhan G. BMJ 2008;336:309-12.
“Now 77 and I absolutely must avoid drinking anything that has high fructose corn syrup.”
— 77, HALO Customer Comment

.

And your daily gout pill? Allopurinol, the one most men take, works right at the faucet: it has your body make less uric acid. That's the pill's job, and it's the biggest hand on the sink.

That's the faucet. The drain is where your A1C story starts.

Thing #3

The Drain: Where Your A1C Starts

The part almost nobody draws for you.

Now the drain: your kidneys. Then there's insulin, the hormone that moves sugar out of your blood and into your cells.

When the body pushes back against its own insulin, it has to make extra to keep blood sugar in line. Doctors call that insulin resistance.

Your A1C measures sugar, not insulin. But in prediabetes and type 2, high insulin is usually where it starts.

And high insulin slows the drain.

In small studies, people whose bodies pushed back harder against insulin cleared less uric acid and had more in their blood. When insulin ran high, the kidneys let less uric acid out.

Small studies. But they point one way.

Facchini F et al. JAMA 1991;266:3008-11. Quinones Galvan A et al. Am J Physiol 1995;268:E1-5.
Whiteboard drawing titled Where gout and A1C meet: the liver makes uric acid, fructose = more. The kidneys let it out, high insulin = less out, with an A1C box marked same root. A red big toe: gout shows up here.

So the same thing that sits behind a rising A1C has a hand on your drain. That's why the two numbers travel together.

Sugar feeds gout twice: once at the faucet, once at the drain.

This is about how your body runs day in, day out. Not about one meal.

Did you cause this? No.

Nobody picks how his body handles insulin. It runs in families and changes with age. So does the way the body handles uric acid.

This is about the body's own insulin. It says nothing against any medicine you take. If you take insulin or any diabetes medicine, weighing all this is your doctor's job, not this report's. Never change a diabetes pill or shot on your own.

Which brings some good news.

The good news

On Sugar, Your Two Lists Agree

Both lists say no to

  • Soda.
  • Sweet tea.
  • Anything with high-fructose corn syrup.

The 2020 gout guideline suggests limiting high-fructose corn syrup. It's a "conditional" call, so you and your doctor decide. Your sugar list says the same thing.

American College of Rheumatology: FitzGerald JD et al. Arthritis Care Res 2020;72(6):744-760.
“My wife thinks that all of my maladies (gout, prediabetes and high cholesterol) are due to my insulin resistance. I’m sure there is a connection, but not sure that gout will disappear if I lower my A1c.”
— HALO Customer Review

.

He's right to wonder. Nobody can promise that. Food counts. So does the gout pill. Neither one does the other's job.

The pill turns the faucet down. Skipping soda and high-fructose corn syrup keeps big loads of fructose off the faucet. How your body handles insulin is a job for you and your doctor together.

“Type 2 guy here with gout. I’m on allo and metformin. I haven’t had a real flare up in a year or two.”
— HALO Customer Review

.

So why does it feel like your two lists are at war?

Thing #4

Two Lists in One Kitchen, and They Don't Agree

On sugar they agree. Almost everywhere else, they pull apart.

The gout list says go easy on shellfish and organ meats. Bread, pasta and rice are fine.

The sugar list says count every slice of bread and every forkful of pasta. The shellfish is fine.

Shrimp night, the gout list frowns. Spaghetti night, the sugar list does. Lean on one list, and you lose on the other.

Whiteboard table titled Which list does he break? Gout list and sugar list both say no to soda, sweet tea and corn syrup, marked both agree. Bread and pasta: OK on the gout list, count it on the sugar list. Shellfish: cut back on the gout list, fine on the sugar list. Two lists. One kitchen.

Men live this every day:

“I have three Thou Shalt Nots going for me; gout diet, stage 3 kidney diet, and diabetic diet. Cottage cheese, plain spaghetti, a few lettuce leaves and water/tea, anything more and one of the three, sometimes all, gets me.”
— 85, HALO Customer Review

One 78-year-old went strict low-purine, exactly as the gout list says:

“My a1c and lipid panel went berserk. ... I've followed the T2 diet I know keeps my labs good.”
— 78, HALO Customer Review
“I’m getting really frustrated trying to thread the needle of gout and pre-diabetes nutrition.”
— HALO Customer Review

.

Nobody gave bad advice here.

Each list was written for one condition, as if it were the only one you have. Both are right about their own number. They just never met.

So who settles it? The person who sees both numbers.

Thing #5

Three Questions for the Visit When Both Numbers Come Back

A man of about 60 sitting on the exam table while his doctor holds his lab sheet

Your doctor is on your side, and probably sees both numbers. Your doctor also has about fifteen minutes.

So walk in with three questions, and ask them first.

✂ Take this to your doctor

1. “Is my uric acid where you want it?”

For most people, the target is under 6.

2. “Could any of my other pills nudge my uric acid up or down?”

“My diabetes medicine, my blood pressure or water pill, my cholesterol pill?” Some do a little, some don't. Never change one on your own.

3. “My gout list and my sugar list disagree. Can we make one plan, or can I see a dietitian who handles both?”

American College of Rheumatology, 2020 gout guideline.

If you have diabetes and Medicare Part B, a doctor's referral gets you medical nutrition therapy with a dietitian, and you pay nothing if you qualify: 3 hours the first year, up to 2 hours a year after. Medicare covers it for the diabetes. Ask the dietitian to look at your gout list too.

If a doctor has told you that you have prediabetes, and you've never been diagnosed with diabetes, ask about the Medicare Diabetes Prevention Program. It's free if you qualify.

medicare.gov: medical nutrition therapy; Medicare Diabetes Prevention Program.

One plan. You and your doctor pulling the same way.

That's the doctor's part. It settles most of the kitchen. Except one glass.

Where the lists collide

The Gout Tip That Forgot About Your A1C

Mention gout to anybody over 60 and somebody says it: tart cherry juice.

An elderly woman's hands pitting cherries at an old farmhouse table

Some habits get handed down.

A lot of men with gout swear by their cherries. We won't argue with them, and we won't make promises for them either.

Turn the jug around.

One 8-ounce glass of 100% tart cherry juice: about 30 grams of sugar.

All of it comes from the cherries, so No Sugar Added on the front is true. The 30 grams are still there.

Hands holding a bottle of tart cherry juice, the Nutrition Facts showing 30 g total sugars with 0 g added sugars circled in red, a glucose meter on the counter

One 8 oz glass: about 30 g sugar, 0 g of it added.

USDA FoodData Central, tart cherry juice (FDC 167807).

One glass is nowhere near the big load of fructose from Thing #2. The reason to count it is your A1C.

“I'm watching my blood sugar and I can't take too much of the cherry juice at once.”
— HALO Customer Review
“I miss cherry juice and I will test the amount I take against my sugar response, but not until after the a1c.”
— HALO Customer Comment
“I bought organic tart cherry juice for the gout with no added sugar but omg it's high in carbs and natural sugar.”
— HALO Customer Comment

Cut it out too, and here's the menu:

“All thats left to consume is diet water and despair.”
— HALO Customer Comment, 6 likes

.

So you drink it and count every glass. Or you drop cherries and keep nothing of your own next to the gout pill.

Before you pick, the honest part about cherries.

The honest part

What the One Real Test Found, and What It Didn't

One study put tart cherry to a real test in people with gout. 50 people, about half of them on allopurinol, took tart cherry concentrate or a dummy, twice a day for four weeks.

Uric acid didn't change. Attacks didn't change.

Four weeks is short, but that's the honest result.

Stamp LK et al. Rheumatology (Oxford) 2020;59(9):2374-80.
Fresh deep red cherries in a weathered palm

The 2020 gout guideline doesn't recommend cherries either way.

Researchers studying cherries and gout are looking at the deep red. They call it anthocyanins. You can call it the red. That research is early.

So we won't tell you cherry does anything for your gout or your sugar. A lot of men keep a cherry habit next to the gout pill anyway.

If that's you, the only question left is the sugar.

One HALO Customer Review, in a dozen words:

“and of course cherry juice (too many calories) I found cherry extract”
— 55, HALO Customer Review

.

So we made the cherry habit with 0 g sugar.

Meet HALO Tart Cherry

Keep the Cherries. Leave the 30 Grams Behind.

The cherry habit, in one small capsule you take with the pills you already take.

A bottle of HALO Tart Cherry on a sunny kitchen counter with cherries, one capsule and a glass of water

Sugar per capsule:0 g

One glass of the juice: about 30 grams of sugar. So we kept the cherries and left the 30 grams behind.

It's called HALO Tart Cherry: tart cherry extract, in one capsule. 0 g sugar. And it's the same amount every day.

What's an "extract"? Tart cherries, dried down into a powder. One capsule holds a small scoop of it, so the 30 grams in a glass don't come along. It isn't a glass of juice in a pill.

The cherry habit, side by side.

Tart cherry juice
one 8 oz glass
HALO Tart Cherry
one capsule

Sugarabout 30 g0 g

Same amount every daydepends on the pourone capsule, measured

Where it livesthe fridge, once it's openthe cabinet, the truck, a pocket

Runs outwhenever the jug's empty30 days a bottle, you see it coming

Taste"like cough syrup," one HALO Customer Review saidyou just swallow it

A breakfast table with coffee, a glass of water, a pill organizer and one deep red capsule

Take it with your morning pills.Coffee, water, one capsule. Done.

What it is, what it isn't

  • It IS the cherry habit, with 0 g sugar.
  • It IS made to sit next to your pills.
  • It is NOT a uric acid pill. The number is the gout pill's job.
  • It is NOT a replacement for anything your doctors prescribed.
  • We make no claim about attacks, uric acid or blood sugar.

Show the bottle to your doctor or pharmacist first, especially if you take diabetes medicine or a blood thinner, or have kidney disease.

Supplement Facts

Serving size 1 capsule

Servings per bottle30

Amount per capsule

Total sugars0 g

Tart cherry extract (Prunus cerasus) (fruit)see bottle

See the Options and Prices →

A capsule is the small part. So what else can you do this month?

Sold online only · 100-day money-back guaranteeSee the options →

For the fridge door

5 Things to Do This Month (4 Simple Habits + Your Cherry Routine)

  1. Keep taking every pill your doctors prescribed. The gout pill too, even through an attack, unless your doctor tells you otherwise.
  2. Take the three questions to the visit. Write them on the appointment card.
  3. Ask for one plan for both lists. A dietitian can help. See the Medicare box under the three questions. And keep drinking your water.
  4. Keep the daily log and bring it to lab day.
  5. Make HALO Tart Cherry part of your morning. One capsule a day with your morning pills, once your doctor or pharmacist is fine with it. It's the cherry habit with 0 g sugar. It doesn't replace any prescription, and we make no claim about attacks, blood sugar or uric acid.

The steps that run through your doctor come first. Your optional fifth step is the daily cherry capsule.

MY DAILY GOUT + CHERRY LOG (copy it onto the calendar)

  • Date: ______
  • Gout pill taken today? Yes / No
  • Other morning pills taken? Yes / No
  • HALO Tart Cherry capsule taken today? Yes / No
  • Attack? Date it started: ______
  • What I ate and drank the day before: ______

The log takes a pen and ten seconds a day. On lab day, it beats trying to remember what you ate three Tuesdays ago.

A fridge calendar with one date circled in red, pill bottles on the counter below

Lab day, circled.Bring the log.

Easy to write down. Harder to explain to anyone who only has one number to watch.

In their own words

Two Numbers. One Life.

Three comments from people who watch their sugar and live with gout.

A laundry basket tenting the quilt over one foot in bed
The night it came anyway

On the pill for years

“I was finally put on Allopurinol 100 mg/day 12 years ago and still had a gout attack. I'm now on 300 mg/day of Allopurinol. I'm a controlled type 2 with cardiovascular disease.”
— 75, HALO Customer Comment
A glucose meter with a test strip, a lancing pen and a notebook of handwritten numbers at dawn
A1C below 6.0

Doing everything right

“I’m diabetic, manage to keep my A1C below 6.0, and abstain from using alcohol.”
— HALO Customer Comment
A red, swollen big toe next to a foot in a wool sock
Do not touch

And still

“I've worked so hard to change things around. Getting in my steps per day, fasting and keto, lowering my liver enzymes and controlling my glucose spikes (I'm diabetic). This is so discouraging.”
— HALO Customer Review

. Photos are illustrations.

Comments like these are why this report exists.

Why We Made HALO Tart Cherry

Short answer: because of what you wrote.

Remember those comments? Three things stood out.

  1. Men doing everything right for their sugar and their gout, and getting hit anyway.
  2. Two lists pulling different ways, and nobody explaining why the two numbers travel together.
  3. Cherry juice at about 30 grams of sugar a glass.

Sold onlineONLY

For the third one, we made one simple thing: tart cherry extract, one capsule, 0 g sugar, to take alongside the pills. For the first two, we wrote this report, because the explanation matters as much as the capsule.

What we won't tell you

  • It won't lower your uric acid. That's the pill's job.
  • We make no claim about blood sugar or your A1C.
  • We don't claim it does anything for attacks.
  • It doesn't replace any pill. Nothing on this page does.

What a lot of men want back is plain old normal.

“I'm 62 and have no intentions of living the rest of my life in fear”
— 62, HALO Customer Review

.

We can't promise you normal. We can explain what's going on, and take the sugar out of the cherry part. The rest, you and your doctor work out together.

The HALO founder

See the Options and Prices →

So, the practical question: what does it cost?

All of it on one page

Here's the Deal.

The pill for the number. Three questions for your doctor. And the part that's yours: the cherry habit, with 0 g sugar.

Three bottles of HALO Tart Cherry

NOT soldin stores

One capsule a day, next to the morning pill. Thirty capsules in a bottle, so one bottle is one month.

Here's what it costs:

  • 1 bottle: $39.99. 30 days.
  • 3 bottles: $79.99 $119.97. 1 bottle FREE, FREE shipping. 90 days.
  • 5 bottles: $119.99 $199.95. 2 bottles FREE, FREE shipping. 150 days.

Where I'd start: 3 bottles. That's 90 days of capsules, and the guarantee runs 100, so you can use every one before you decide. Under 90¢ a day.

Every option comes with my 100-day money-back guarantee, even on empty bottles. You pay once. No subscription.

See Your Options →

Fair question: what happens if it turns out it's not for you?

One payment · No subscriptionOrder online →

100 Days. Every Cent Back.

Even if the bottles are empty.

Your 100-Day, Empty-Bottle Guarantee:

A bottle of HALO Tart Cherry with fresh cherries

Money back for100 days

“I won't promise you a result…

…so you shouldn't have to risk a cent to find out if it's for you.”

Take your time with it: one capsule a day, next to your pill. Here's what you get in return.

Promise: you get 100 days.

Use the bottles up. Take your time deciding.

Promise: your money back if it's not for you.

Tell us within 100 days and you get your money back, even if every bottle is empty. Same deal on 1, 3 or 5 bottles.

Promise: you pay once.

No subscription. No auto-ship. Nothing that keeps charging your card next month.

The HALO founder

Pick Your Bottles, Risk-Free →

Zero-Risk Trial Certificate

FREE shipping on 3 and 5 bottles • 100-day money-back guarantee • One payment, no subscription

A bottle of HALO Tart Cherry

Zero sugar.1 a day

YES! I want the cherry habit without the sugar: one capsule of HALO Tart Cherry with my morning pill, and my money back within 100 days if it's not for me.

Special low price! The recommended 3-bottle supply is just $119.97 $79.99, under 90¢ a day.

NOT sold in stores. OnlyHERE!

  • HALO Tart Cherry: one capsule a day, 30 capsules per bottle
  • Zero sugar
  • FREE shipping on 3 and 5 bottles
  • 100-day money-back guarantee, even on empty bottles
  • One-time payment. Not a subscription.

Maximum 5 bottles per order. HALO Tart Cherry is sold online only. Show the bottle to your doctor or pharmacist before you start, and keep taking the medication your doctor prescribed.

Straight Talk

Fair Questions. Straight Answers.

Does it lower my uric acid?

No. That's the pill's job.

Will it change my blood sugar or my A1C?

We make no claim about blood sugar or A1C. Keep checking your numbers the way your doctor tells you, and show the bottle to your doctor or pharmacist first.

Can I stop my pill if I take this?

No. Never stop or change a prescription on your own. HALO Tart Cherry sits next to the pill, not in its place.

Can I take it with allopurinol, metformin or my other pills?

Show the bottle to your doctor or pharmacist first. Once they're fine with it, one capsule with your morning pills.

I have kidney disease, take a blood thinner, diabetes medicine or a water pill. Now what?

Talk to your doctor before you start, and bring the bottle.

How much sugar is in it? Why not just drink the juice?

0 g per capsule, per the label. One 8 oz glass of tart cherry juice has about 30 grams, even when the label says no sugar added.

Why not just eat cherries?

You can, and they taste better than a capsule. But fresh tart cherries show up a few weeks a year, and a real serving is a good handful every day.

Will I notice something?

We don't claim you'll notice anything in your joint or on your blood test. What you will notice: no jug, no sugar, one capsule with the morning pill. If it's not for you, you have 100 days to get your money back.

Is this a subscription?

No. You pay once for the bottles you pick. Want more later? Order again.

What if it's not for me?

Tell us within 100 days and you get your money back, even if every bottle is empty. No hard feelings.

Ready? Try It for 100 Days →

Sources mentioned in this report

Gout and diabetes: Zhu Y, Pandya BJ, Choi HK. Am J Med 2012;125(7):679-87. Diabetes at 65 and older: CDC, National Diabetes Statistics Report, updated 2026 (data 2021-2023). Soda: Choi HK, Curhan G. BMJ 2008;336:309-12. Fructose: Maenpaa PH et al. Science 1968;161(3847):1253-4. Stirpe F et al. Lancet 1970. Insulin: Facchini F et al. JAMA 1991;266(21):3008-11. Quinones Galvan A et al. Am J Physiol 1995;268:E1-5. Gout guideline: FitzGerald JD et al. Arthritis Care Res 2020;72(6):744-60. Cherry trial: Stamp LK et al. Rheumatology (Oxford) 2020;59(9):2374-80. Juice sugar: USDA FoodData Central, tart cherry juice (FDC 167807). Medicare: medicare.gov, medical nutrition therapy; Medicare Diabetes Prevention Program.

Real public comments, word for word, typos and all. None are HALO customer reviews. Photos are illustrations.

We make no claim about blood sugar, A1C or uric acid.

Keep taking the medication your doctor prescribed. Show the bottle to your doctor or pharmacist before you start. Individual experiences vary.

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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HALO Tart Cherry0 g sugar · 100-day money-back guaranteeTry It Risk-Free →