Written by Mita Majumdar, M.Sc. | 
Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Jan 12, 2019

Apple Cider Vinegar and Blood Sugar and Lipids

Apple Cider Vinegar can stabilize blood sugar and lipid levels in diabetics and there is enough scientific evidence to substantiate this claim.

Several studies have found that vinegar helps lower blood glucose levels. But how does vinegar do it? Normally, disorders of blood sugar regulation are influenced by dietary changes and the term glycemic index (GI) is used to describe a food affecting the blood sugar. So, foods such as processed grains and flour, potatoes, sugar, etc have a high GI and they raise blood sugar levels more than foods with low GI such as whole grains and beans. Blood sugar remains more stable if high GI food intake is avoided.

Metabolically, vinegar in the daily diet helps lower the GI of foods, that is, vinegar (acetic acid) slows down the rate at which carbohydrates are converted to glucose. What it essentially does is ‘soak up’ the bicarbonate in the lower digestive system. Without the bicarbonate, the carbs are absorbed much more slowly. This is termed as ‘delayed gastric emptying’ and the rate at which the carbs are absorbed is called ‘gastric emptying rate’ or GER. So, if the sugars are absorbed more slowly, blood glucose levels will rise much less, and this will highly benefit people with type-II diabetes.

The point to note is, vinegar will affect blood sugar levels only if carbohydrates are consumed; if carbohydrates are not consumed, the rate of absorption is anyway slow. The type of carbohydrate consumed also affects blood sugar levels. To examine the effect of vinegar on the type of carbohydrates consumed in patients with type-II diabetes, researchers from Athens University Medical School, Greece, conducted a study with 16 type-II diabetic patients. They were divided into two groups. The first group was given a high GI meal on two different days, with and without added vinegar, respectively. The second group was given an iso-caloric low GI meal with the same nutrient composition. The results were interesting. The researchers found that the addition of vinegar reduced postprandial blood sugar levels in patients with type-II diabetes only when it was added to a high GI meal.

Vinegar reduces postprandial blood sugar (PPG) levels in healthy adults as well. Dr. Carol Johnston and colleagues in their study on anti-glycemic properties of vinegar in healthy adults concluded – ‘The anti-glycemic properties of vinegar are evident when small amounts of vinegar are ingested with meals composed of complex carbohydrates. In these situations, vinegar attenuated PPG by 20 percent compared to placebo’. They also found that acetate salts lack antiglycemic properties.

Scientists from the Department of Nutrition, Ahvaz Jundishapour University of Medical Sciences, Iran, found that diet containing ACV administered for 4 weeks significantly decreased LDL cholesterol and significantly increased HDL cholesterol levels in diabetic and non-diabetic experimental animals. ACV also reduced serum triglycerides levels in diabetic animals. Scientists concluded that ACV may be of great value in managing the diabetic conditions. Some believe that the same principle applies in case of weight loss. The debate is still on.


  1. Vinegar: Medicinal Uses and Antiglycemic Effect - (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1785201/)
  2. Ostman E, Granfeldt Y, Persson L, Björck I. Vinegar supplementation lowers glucose and insulin responses and increases satiety after a bread meal in healthy subjects. Eur J Clin Nutr. 2005 Sep;59(9):983-8. - (http://www.ncbi.nlm.nih.gov/pubmed/16015276)
  3. Kondo T, Kishi M, Fushimi T, Kaga T. Acetic acid upregulates the expression of genes for fatty acid oxidation enzymes in liver to suppress body fat accumulation. J Agric Food Chem. 2009 Jul 8;57(13):5982-6. - (http://www.ncbi.nlm.nih.gov/pubmed/19469536)
  4. Shishehbor F, Mansoori A, Sarkaki AR, Jalali MT, Latifi SM. Apple cider vinegar attenuates lipid profile in normal and diabetic rats. Pak J Biol Sci. 2008 Dec 1;11(23):2634-8. - (http://www.ncbi.nlm.nih.gov/pubmed/19630216)
  5. Liatis S, Grammatikou S, Poulia KA, Perrea D, Makrilakis K, Diakoumopoulou E, Katsilambros N. Vinegar reduces postprandial hyperglycaemia in patients with type II diabetes when added to a high, but not to a low, glycaemic index meal. Eur J Clin Nutr. 2010 Jul;64(7):727-32. Epub 2010 May 26. - (http://www.ncbi.nlm.nih.gov/pubmed/20502468)
  6. Johnston CS, Steplewska I, Long CA, Harris LN, Ryals RH. Examination of the antiglycemic properties of vinegar in healthy adults. Ann Nutr Metab. 2010;56(1):74-9. - (http://www.ncbi.nlm.nih.gov/pubmed/20068289)
  7. Kondo S, Tayama K, Tsukamoto Y, Ikeda K, Yamori Y. Antihypertensive effects of acetic acid and vinegar on spontaneously hypertensive rats. Biosci Biotechnol Biochem. 2001 Dec;65(12):2690-4. - (http://www.ncbi.nlm.nih.gov/pubmed/11826965)


Carolyn46 Thursday, October 31, 2013

How much vinegar and water should be used to lower blood sugar? Thanks!

Carolyn46 Thursday, October 31, 2013

What combination is best when taking vinegar for blood sugar and cholesterol?

tajraza74 Friday, June 28, 2013

whether the use of apple cider vinegar cause bladder cancere

einar Saturday, February 9, 2013

So, where are the links to those studies?

Most Popular on Medindia