ACV fizz (1 piece)

Check the ACV fizz label and choose an unsweetened version with no added sugar, juice concentrate, honey, or syrup.

Dilute it in plenty of water and avoid drinking more than the label-directed serving; concentrated or sweetened drinks can be harder to tolerate.

Have it with or after a balanced meal rather than on an empty stomach, pairing it with protein and fiber such as eggs with non-starchy vegetables, plain Greek yogurt with chia seeds, or lentils.

Avoid combining the drink with fast-absorbing carbohydrate foods or sweet beverages in the same sitting.

Take a 10–20 minute easy walk after drinking it or after the accompanying meal, if this is safe for you.

Track the specific product, serving size, meal timing, and your glucose response; if spikes continue or you use glucose-lowering medication, discuss it with your clinician.