Without treatment, an acute attack of gout will usually resolve in 5 to 7 days. 60% of people will have a second attack within one year. Those with gout are at increased risk of hypertension, diabetes mellitus, metabolic syndrome, and renal and cardiovascular disease and at increased risk of death. This may be partly due to its association with insulin resistance and obesity, but some of the increased risk appears to be simply due to having gout.