Custard apple (1 piece)

Reduce the portion of custard apple; start with a small serving and avoid eating it on an empty stomach.

Have it after a balanced meal rather than by itself, and include protein such as eggs, plain Greek yogurt, tofu, or paneer.

Pair a small serving with fiber- and fat-rich foods such as almonds, walnuts, chia seeds, or ground flaxseed.

Avoid combining custard apple with juice, sweetened drinks, desserts, or other high-sugar foods in the same meal.

Take a 10–20 minute easy walk after eating, if this is safe for you.

Check your glucose response at consistent times after different portion sizes; if large spikes continue, discuss fruit portions and medication timing with your clinician.