 Consuming vinegar with a meal reduces the spike in blood sugar, insulin, and triglycerides, and it appears to work particularly well in those who are insulin resistant on their way to type 2 diabetes. No wonder the consumption of vinegar with meals was used as a folk medicine for the treatment of diabetes before diabetes drugs were invented. Many cultures have taken advantage of this fact, mixing vinegar with high glycemic foods like white rice in Japan, for example, to make sushi, dipping bread in balsamic in the Mediterranean, a variety of sourdough breads throughout Europe, which cause less blood sugar and insulin spikes. And you can do the same with boiled white potatoes by adding vinegar and cooling them down to make potato salad. Adding vinegar to white bread doesn't just lower blood sugar and insulin responses, but increases satiety, the feeling of being full after a meal. If you eat three slices of white bread, it may fill you up a little, but in less than two hours, not only are you as hungry as you started, but actually hungrier, less satiated than when you began. But if you eat the same amount of bread with some vinegar, you feel twice as full, and even two hours later, you're still feeling nearly just as full as if you just ate the three pieces of bread plain. But this remarkable increase in prolongation of satiety took nearly two tablespoons of vinegar, that's a lot of vinegar. Turns out even just small amounts of vinegar, two teaspoons with a meal, can significantly cut down on the blood sugar spike of a refined carb meal, bagel and juice in this case. So you could have a little side salad or even just adding it to some tea with lemon, and it's only two teaspoons. Or scrap the bagel with juice and just have some oatmeal with berries instead. What if you consume vinegar every day for months? Researchers at Arizona State randomized pre-diabetics drink a daily bottle of an apple cider vinegar drink, half bottle lunch, half bottle of supper, or take a apple cider vinegar tablet, which they pretty much considered a placebo control, since while the bottle contains two tablespoons of vinegar, two tablets would only add up to about a third of a teaspoon a day. So they were in effect comparing about 40 spoonfuls of vinegar a week to two for 12 weeks. This is what happened. On the vinegar drink, fasting blood sugars dropped within a week. How significant is a drop of 16 points? A simple dietary tweak, a tablespoon of vinegar twice a day, worked better than the leading drugs like lukavage and Evandia. This effect of vinegar is particularly noteworthy when the cost, access, and toxicities that are associated with pharmaceutical medications are considered. So safer, cheaper, and more effective. No wonder it's been used medicinally since antiquity. Interestingly, even the tiny amount of vinegar and pill form seemed to help a bit. That's astonishing. And no, the study was not funded by the vinegar company. What's about long-term vinegar use where it really counts in diabetics? They were randomized to one of three groups. Two tablespoons of vinegar twice a day with lunch and supper. Two dill pickles a day, which each contained a half tablespoons worth of sugar— I mean, not sugar, excuse me, vinegar— or an even smaller vinegar pill twice a day, each containing only one sixteenth of a teaspoon worth of vinegar. So I wasn't surprised the pill didn't work, but neither did the pickles. And maybe the tablespoon a day isn't enough for diabetics? Regardless, the vinegar did work, all the more impressive, because the diabetics were mostly well controlled on medication, and still saw an additional benefit from the vinegar.