Bread Fructose Ranking: Lowest to Highest

Lowest Fructose Bread

Highest Fructose Bread

#11frybread, made with lard (navajo)0.0 g

#10udi's, gluten free, classic french dinner rolls0.3 g

#9udi's, gluten free, whole grain dinner rolls0.7 g

#8udi's, gluten free, soft & delicious white sandwich bread1.5 g

#7andrea's, gluten free soft dinner roll1.6 g

#6bread, whole-wheat, commercially prepared2.2 g

#5bread, white, commercially prepared2.3 g

#4bread, multi-grain (includes whole-grain)2.5 g

#3bread, white wheat2.7 g

#2bread, pan dulce, sweet yeast bread4.0 g

Category Average: 1.6 g/100g

The average across 11 Bread foods with lab-measured data. Foods below this average are better-than-typical choices within this category.

How to Use This Ranking

The purine ranking is sorted from lowest to highest. Rank #1 is the lowest-purine food in the category. Foods in the top half (above median) should be consumed with more awareness of portion and frequency. The difference between adjacent ranks varies: in some categories, rank #5 and #10 might be only 10 mg apart; in others, the gap can be 100+ mg. Always check the actual milligram value, not just the position. Rankings do not account for fructose or alcohol — use individual food pages for a complete risk assessment.

ACR 2020 Guideline Context

The American College of Rheumatology recommends that gout patients focus on purine awareness rather than complete food group elimination. Within any category, there is a wide purine range. The goal is to shift toward lower-purine choices within categories you already eat, rather than eliminating entire food groups. This ranking helps you identify which specific items to prioritize and which to limit.

Japanese guidelines recommend under 400 mg of total dietary purines per day. Using this ranking, you can estimate how much of budget each food uses per typical serving.

How This Comparison Is Built

This comparison scores every food on three independent axes — purine content, fructose, and alcohol. Purine figures rely on the USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025) and Kaneko et al. (Biol Pharm Bull 37(5):709-721, 2014, PMID: 24553148); fructose data comes from USDA SR28. Ratings follow ACR 2020: Safe when purine is under 50 mg and fructose under 2 g with no alcohol, Moderate between these, Avoid beyond, or whenever alcohol appears. Per-food data quality is flagged T1 (lab-measured), T2 (measured plus consensus), or T3 (category estimate).

This comparison is provided for informational purposes only and does not constitute medical advice. Individual tolerance to purines and fructose varies. Consult a healthcare professional for personalized dietary guidance. Last reviewed: 2026-09-03.

Frequently Asked Questions

Is bread good for gout?

Bread is low in purines — plain bread does not meaningfully raise uric acid through purines. The gout-relevant variables are added sugar (which adds fructose) and the refined-versus-whole-grain choice, which matters for the metabolic conditions that often accompany gout. Whole-grain bread is the better default.

Which bread is lowest in fructose?

Among the breads in our database with measured values, the lowest-fructose options include frybread, made with lard (navajo) at 0.0 g/100g and frybread, made with lard (apache) at 0.0 g/100g. Plain and savory breads run low in fructose, while sweet breads, pastries, and breakfast breads add sugar.

Is white bread or whole wheat better for gout?

Both are low in purines, so the choice is not about purines. Whole-grain bread is generally the better option for gout because it has more fiber and a lower glycemic impact, which supports the weight and insulin management that gout often depends on. White bread is not harmful for gout — it is just the less helpful choice.

Bread Ranked by Fructose Content