At Natural Health, we explore the growing interest in apple cider vinegar for diabetes. Studies suggest it may help improve insulin sensitivity and lower blood sugar levels after meals. This article explains how apple cider vinegar works, how to use it safely, and what people with diabetes need to know before adding it to their routine.
Apple cider vinegar for diabetes: Is it good?

Apple cider vinegar for diabetes: Is it good? Yes, apple cider vinegar for diabetes when used in moderation. Some studies suggest that it can improve insulin sensitivity and help lower blood sugar levels after meals.[1]
However, it’s not a substitute for medication or a balanced diet. It’s best to consume 1–2 tablespoons diluted in water before meals, and only after consulting a healthcare provider.[2] Especially for those taking blood sugar-lowering medications.
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Apple Cider Vinegar Can Help Diabetics

Apple cider vinegar (ACV) has been studied for its potential role in supporting blood sugar control, particularly in individuals with type 2 diabetes. As interest in apple cider vinegar for diabetes continues to grow, research highlights several possible benefits, suggesting that it may:
- Improve insulin sensitivity, particularly after high-carb meals[3]
- Lower fasting and post-meal blood glucose levels[4]
- Slow digestion of starches, leading to steadier blood sugar responses[5]
“Apple cider vinegar should be used in moderation, typically 1 to 2 tablespoons diluted in water before meals, and should not replace diabetes medications.[2] Individuals on insulin or glucose-lowering drugs should consult their doctor, as ACV may enhance their effects.”
Tips to use Apple cider vinegar for diabetes
People interested in apple cider vinegar for diabetes can use it by either drinking it in diluted form or adding it to meals as part of their daily routine. A common method is to mix 1 tablespoon of apple cider vinegar with 8 ounces of water, tea, or another beverage.[6]
Another option is to use apple cider vinegar in cooking, for example, as part of salad dressings, marinades, or sauces.[7]
“It’s not recommended to drink apple cider vinegar undiluted, as it may irritate the stomach lining or erode tooth enamel due to its acidity.”[8]
Frequently asked questions
Is it true that apple cider vinegar can stop blood sugar spikes?
Not entirely. Apple cider vinegar can help reduce the size of blood sugar spikes, especially after high-carb meals, by improving insulin sensitivity and slowing digestion.
However, it does not completely stop blood sugar from rising. The effect is moderate and varies between individuals, so it should be seen as a supporting tool, not a cure or substitute for medical treatment.
How many apple cider vinegar tablets should diabetics patients take a day?
There’s no official dosage, but most apple cider vinegar tablets contain around 300 mg per tablet.[9] For people with diabetes, studies typically reference the effect of 1–2 tablespoons (15–30 ml) of liquid apple cider vinegar per day, which may translate to 2–4 tablets, depending on the brand.
Is it better to drink apple cider vinegar in the morning or at night?
Yes, drinking apple cider vinegar at night may be more effective, especially for people with diabetes or insulin resistance.[10]
Some small studies suggest that taking 1–2 tablespoons of diluted apple cider vinegar before bed can help lower fasting blood sugar levels by morning.[11] However, results may vary depending on the individual, and it’s important to dilute it properly to avoid stomach irritation or enamel damage.
Current research shows that apple cider vinegar for diabetes may support better blood sugar control when used properly. While not a replacement for medical treatment, it can be a helpful addition to a balanced diet. Natural Health presents the facts to help you understand its potential role in diabetes management.
Last medically reviewed on
How we reviewed this article:
References
[1] The Impact of Apple Cider Vinegar on Insulin Resistance and Related Conditions: Benefits, Mechanisms, and Potential Risks – Literature Review; KADŁUBEK, Sabina, MĄKA, Magdalena, KALINOWSKI, Szymon, WOŹNIAK, Julia, KAPTURSKA, Natalia, CYMERYS, Kinga, KARDASZEWSKI, Piotr, KAMIŃSKI, Jakub, SIKORA, Dominik and ZIELNIK, Martyna. The Impact of Apple Cider Vinegar on Insulin Resistance and Related Conditions: Benefits, Mechanisms, and Potential Risks ; 2024
[2] Apple Cider Vinegar Miracle Health System; Paul Chappuis Bragg, Patricia Bragg, N.D., Ph.D., Paul C Bragg, N.D., PH.D.
[3] Apple Cider Vinegar vs Green Tea For Weight Loss; TrimHabit
[4] Acute Modulatory Effects of Apple Cider Vinegar, Garlic, Ginger, Lemon and Honey Mixture, with and Without Exercise on Postprandial Glycemia in Non-Diabetic Females; ISMAruLyuSDA ISHAK, PENNy GEOrGE, FArAH WAHIDA IBrAHIM, HANIS MASTurA yAHyA & NOr FArAH; 2018
[5] Effect of apple cider vinegar on delayed gastric emptying in patients with type 1 diabetes mellitus: a pilot study; Joanna Hlebowicz, Gassan Darwiche, Ola Björgell & Lars-Olof Almér ; 2007
[6] What are the health benefits of apple cider vinegar?; Medically Reviewed; 2024
[7] What can apple cider vinegar really do for your health?; Laura Williamson; 2024
[8] The onset of dental erosions caused by acidic foods and drinks and its prevention; Schneider, Sina; 2023
[9] Esophageal Injury by Apple Cider Vinegar Tablets and Subsequent Evaluation of Products; Laura L. Hill MS, RD, Logan H. Woodruff, Jerald C. Foote PhD, RD, Morela Barreto-Alcoba; 2005
[10] Apple Cider Vinegar Miracle Health System; Paul Chappuis Bragg, Patricia Bragg, N.D., Ph.D., Paul C Bragg, N.D., PH.D.
[11] The improvement effect of apple cider vinegar as a functional food on anthropometric indices, blood glucose and lipid profile in diabetic patients: a randomized controlled clinical trial; Sima Jafarirad, Mohammad-Reza Elahi, Anahita Mansoori, Abdollah Khanzadeh, Mohammad-Hossein Haghighizadeh; 2023
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