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Triggers, tested
not assumed

collected for you, compared with your own days

Every gout leaflet carries the same list: beer, red meat, shellfish, sugary drinks. For some people one of them matters a great deal and the rest not at all. GoutMe treats each one as a test for you. What a phone, a wearable or the weather can see is collected in the background and checked against your own normal; the things only you know, two pints, a prawn curry, a day with not enough water, the allopurinol you forgot, you add in one tap. Then the app compares your flare days with your clear ones and says which, if any, matter for you. It never tells you to give anything up.

why test, not assume?

Of 550 people with gout asked what set off their flares, only 37.5% could name a trigger at all: alcohol for 14%, red meat or seafood for 6%, dehydration, injury and weather for about 5% each.

Abhishek et al., PLoS One 2017

How a collected trigger fires

For each collected factor the app keeps a daily value, from your wearable, your phone, your food app or the weather for your city. Once an hour it checks that value against two lines: a fixed threshold, and two standard deviations from your own 14-day baseline. If either is crossed, the trigger is noted for that day, once, marked as automatic. It is an hourly check of daily values, not a live feed, so it appears within the hour.

Active triggers

Home has an Active triggers card: the top three things pushing on your risk right now, with how much each adds and for how many days. It is a list of what the app is comparing, not a verdict. Whether any of it matters for your flares is what Insights works out over time. Active triggers is part of Premium.

The ones you add yourself

No sensor knows you had a steak or forgot a tablet. Those are manual: the food and drink above, the body ones, the medicine ones, plus hot weather, cold weather, short sleep, sleep apnea, stress, feeling low, menstruation and menopause. Add one from Quick Log on the day it happens, with or without a flare, or on the triggers page of the log. The app does not count purines and does not measure your uric acid; it compares the days you tapped with the days you did not.

During setup you tick the things your flares tend to follow; those become one-tap favourites, and if you say you miss doses, the missed-dose test is switched on for you. Things you only note now and then are shown as a share of your flares, because there is no fair day-by-day comparison for them. Collected factors get the stronger comparison: your days around a flare against your other days.

Switch off what you do not want

Every collected factor has its own switch in Data, and Manage Items holds the full trigger list. Anything you switch off, or never grant a permission for, simply stays empty while the rest carries on.

Where it lives in the app

Active triggers on Home lists what is pushing on your risk now. The triggers page of the flare log and the Trigger tile in Quick Log hold the manual ones. Manage Items holds the full trigger list, Data holds a switch for every collected factor, and Monitor holds the graphs they come from.

What it needs from you

A few optional permissions, each with a reason: location for weather and altitude, at city level only; on Android, usage access for screen time and sleep timing. The manual triggers are yours to add when they happen. Anything you skip simply stays empty, and Active triggers is part of Premium.

Questions

Which triggers are collected for me?

The ones with a daily value: sleep (bedtime, wake time, duration, stages, disturbances), body (stress, recovery, steps, heart rate zones, blood pressure, blood glucose), water, sugar, caffeine and the other nutrients from a food app or what you log, screen time on Android, and weather (pressure, temperature, humidity, UV, altitude, plus pollen and air quality if you switch them on). Beer, wine and spirits are one tap; the app has no way to see a pint on its own.

Will it tell me to give something up?

No. There is no rule that fits everyone. The app shows whether a factor went with your flare days, and when a pattern shows up, Insights suggests one thing worth testing for a week so the app can compare your days. Diet and medicine decisions stay with you and your GP or rheumatologist.

Does it use my location all the time?

Location is used at city level only, for weather and altitude, never your exact address.

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