Can gout sometimes be cured permanently and if so which cases typically do? i think i had it a few months due to fasting mainly on bread & water for a month & a half. can such fasting trigger it? i also suffer from insomnia. i hope its not permanent?

Fasting and insomnia do not trigger gout attack and your diet seems not consistent as risk factor for gout. You should see a doctor for the correct diagnosis. If gout is truly present, changing diet alone can prevent the recurrence in mild case. In moderate to severe case, you need medication besides the diet for preventing the recurrence or attack. Good luck.