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Water Kefir and Diabetes

✅ Evidence-based | By DMP Nutritionists | 21 Comments
Table of Contents[Hide][Show]
  • What is Water Kefir?
  • Water Kefir Nutrition Facts
  • Water Kefir Calorie and Carb Comparisons
  • Home Made - Water Kefir
  • Homemade - 2% Milk Kefir
  • Sam's Choice - Fruit Punch Soda
  • Myths and Truths about Water Kefir
  • Research on Water Kefir
  • So is Water Kefir Okay for Diabetics?

While I discussed the more common “milk kefir in a previous post, we’re here today to talk about water kefir and diabetes. Water kefir, also called “tibicos,” is a different type of probiotic beverage with a multitude of reported health benefits.

Let’s take a closer look…

What is Water Kefir?

Water kefir is cultured using sugar water, fruit juice or coconut water. Since the fermentation requires sugar, it isn’t possible to make a completely sugar free version.

“Grains” are placed in the sweetened solution and they work to ferment the sugar, changing it into lactic acid, alcohol (small amounts) and CO2 (carbonation). This process takes around 24-48 hours. The “grains” are not true grains, but a living matrix of bacteria and yeast, that’s what causes the fermentation and ‘culturing’ of the solution.

Water kefir

In comparison with milk kefir grains, water kefir grains are more translucent and crystal-appearing. As with the milk kefir grains, they can be used again and again so long as they’re handled properly, kept healthy and thriving.

Water kefir can also be flavored by adding low carb fruit, herbs or herbal tea bags to infuse it with unique essence.

Water Kefir Nutrition Facts

The nutrition of water kefir does vary because it will depend on the recipe used and the amount of sugars fermented.

The basic recipe is about 1 T sugar (12 grams) for every 1 cup kefir, which equates to 48 calories and 12 grams carbs. If made with juice, you’re looking at double the amount – 112 calories and 24 grams carbs. And 1 cup coconut water has 45 calories and 9 grams carbs.

Fermentation will gobble up some of that sugar. For instance, the longer it ferments, the more sour and less sweet it will taste and the fewer calories it will have. But it will still contain sugar regardless.

With the exception of coconut water, which has a trace amount of fat, the only macronutrient in water kefir is carbohydrate and that is in the form of sugar. Therefore, it is a sugar-filled beverage.

Water kefir can have anywhere from 0.02-2% alcohol depending on how long it ferments. And while water kefir has fewer probiotic strains than milk kefir, it generally has more than yogurt.

Water Kefir Calorie and Carb Comparisons

Let’s take a look at water kefir vs milk kefir vs soda.

Note that, while water kefir is lower in overall calories and carbs, it is also lower in protein, fat and many other nutrients compared to milk kefir. Additionally, not reflected in the nutrition facts, water kefir is lower in probiotics – meaning overall it doesn’t contain as many health properties.

As a slightly sweet carbonated beverage it obviously surpasses soda in terms of benefits per calorie. It only contains 1 gram sugar compared to the 46 grams you’ll find in soda. Even though water kefir does contain sugar, it is unlikely to cause any blood glucose problems, metabolic issues or weight gain. On the other hand, drinking soda has been linked to many health issues.

With that all said, let’s look at some numbers:

Home Made – Water Kefir

Servings:  1/2 cup (4 oz)

Calories

5

Sodium

0 mg

Total Fat

0 g

Potassium

0 mg

Saturated

0 g

Total Carbs

1 g

Polyunsaturated

0 g

Dietary Fiber

0 g

Monounsaturated

0 g

Sugars

0 g

Trans

0 g

Protein

0 g

Cholesterol

0 mg

  

Homemade – 2% Milk Kefir

Servings:  1 cup (8 oz)

Calories

120

Sodium

120 mg

Total Fat

5 g

Potassium

400 mg

Saturated

3 g

Total Carbs

12 g

Polyunsaturated

0 g

Dietary Fiber

0 g

Monounsaturated

0 g

Sugars

12 g

Trans

0 g

Protein

11 g

Cholesterol

10 mg

  

Vitamin A

10%

Calcium

30%

Vitamin C

0%

Iron

0%

Sam’s Choice – Fruit Punch Soda

Servings:  1 can

Calories

170

Sodium

35 mg

Total Fat

0 g

Potassium

0 mg

Saturated

0 g

Total Carbs

46 g

Polyunsaturated

0 g

Dietary Fiber

0 g

Monounsaturated

0 g

Sugars

46 g

Trans

0 g

Protein

0 g

Cholesterol

0 mg

  

Vitamin A

0%

Calcium

0%

Vitamin C

0%

Iron

0%

Myths and Truths about Water Kefir

Like snowflakes, no two water kefir cultures are exactly the same, which is why it is impossible to describe their exact properties or guarantee the effects or health benefits.

While water kefir and milk kefir grains appear somewhat similar and play the same general role, they are not completely interchangeable. The grains in milk kefir are nourished by lactose while those in water kefir require sucrose.

And just a word of warning: Water kefir CAN explode!

No, this is not a challenge 😉 …unless you want to clean up a big mess.

Any fermented product (that produces CO2) that is enclosed has the potential to build up enough gas to explode the container. Therefore, they need to be ‘burped’ on occasion to reduce gas buildup – this can be achieved by lifting the lid and letting a little air out.

Water kefir can be made with alternative sugars like honey, brown sugar, molasses, maple syrup and so forth, but because the grains need sugar to feed on, it cannot be made sugar free or with artificial sweeteners or stevia.

Water kefir and diabetes

Research on Water Kefir

While there is much less research than other products, water kefir may reduce insulin resistance and inflammation in type 2 diabetes and the microbial make up may help prevent or alleviate  digestive problems.

So is Water Kefir Okay for Diabetics?

In short, water kefir might be a fun lower calorie alternative to soda or diet soda, providing a unique carbonated beverage that has some probiotic health benefits, especially for those who are unable to tolerate dairy.

However, remember this IS still a sweetened beverage and something to be used with caution in diabetes. Since the impact on glucose levels is less predictable than other foods, if you choose to include it in your diet, be sure to check your sugar levels regularly to monitor the effect it has. Just because it has ‘health benefits’ doesn’t mean you should drink a lot of it. A half to one cup a day is likely a reasonable amount.

It’s important to use spring or filtered water when preparing water kefir as fluoride and other components in tap water may damage the culture.

And just be aware that some people may feel worse after drinking kefir due to the strength of the probiotics. Because good probiotics kill bad bacteria, this can result in a herxheimer reaction, which can produce symptoms like headache, diarrhea or flu-like symptoms.

Whenever trying something new, it’s important to take it slow and keep a close on on how it affects you.

Have you tried water kefir?

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💬 21 Comments - Join the conversation, leave yours below

Reader Interactions

Comments

  1. Leesa imler

    03/04/2023 at 9:10 pm

    Following as I have recently started making and drinking kefir water.

    Reply
  2. Kat

    10/18/2022 at 11:32 am

    I have been drinking water kefir since I was diagnose with diabetes 2 five years ago and to me it has been a great help lowering my A1C from 8 to 6.3. Not to be confuse with kambucha as I see some of the comments are about kambucha. I have taken to like it well fermented, no trace of sweetness on it. The water kefir lower my blood sugar every time. I do have to be careful, I use to drink it first thing in the morning, now I have to take it after breakfast.

    Reply
    • Suzanne

      11/06/2022 at 1:15 pm

      How many rations would you say 1 cup of water kefir would be?

      Thanks a million!

      Suzanne

      Reply
      • Dr Jedha - Nutritionist (PhD)

        11/10/2022 at 6:35 pm

        Not sure what you mean by rations Suzanne. As per the info, a half to one cup a day is likely a reasonable amount and the nutrition facts are provided above.

        Reply
  3. Dominique Nonnon

    03/13/2022 at 4:22 pm

    I have been drinking water kefir for years now, about 1.5 cups every 2 days. I am borderline diabetic from before starting it, but the kefir does not seem to affect it. The most evident effect for me is the disapearance of white hairs. I am well over 50 with very few strands still. When I convinced my husband to start it, his white hair count decreased noticeably. Not sure what this is due to but I figured it could only be a good sign. I have very low thirst drive and this have increased my liquid intake, so added bonus.

    Reply
  4. Margie Parrish

    11/30/2019 at 10:52 pm

    I began using Water Kefir over a year ago. I am a type 2 diabetic, and it has lowered my A1-C from 6.8 to 6.3. I love it! After reading the article, I think I am drinking more than your recommended amount, but I love this drink! I drink four pints of regular water, and my beverage is Kefir Water the rest of the day. I drink a total of between 80-112 ounces of fluid a day depending on the weather..

    Reply
    • Margie Parrish

      11/10/2022 at 10:30 pm

      This is a follow up on my previous comment. I am still drinking Kefir water diluted with water. I use I/2 gallon of Kefir a week. My only beverage is water and Kefir water. My latest A1-C was 5.9.

      Reply
  5. Jacqui Summers

    06/06/2018 at 5:38 pm

    I am taking Kefir water as it was recommended to me for repeated urinary tract infection. Since taking I have not had an infection. My only concern is that I only have a 1/2 of one kidney having lost the others by repeated infection. I am drinking approx a litre a day of Kefir water and wonder is this not good for me. Jacqui Summers.

    Reply
    • Emily - Dietitian (MS, RD)

      06/06/2018 at 9:35 pm

      A liter of kefit water daily may be excessive from a sugar standpoint (remember that nutrition info varies greatly depending on recipe), consuming between half to one cup of kefir water will provide adequate probiotics and health benefits! Check with your doctor regarding total daily fluid recommendations if you are concerned about overwhelming your kidney.

      Reply
    • Portland

      04/09/2022 at 2:33 pm

      Do the water kefir grains contain sugar and probiotics? I’m wondering if by eating the grains you could get the benefit of probiotics without the downside if consuming the sugar)

      Reply
      • Emily - Dietitian (MS, RD)

        04/12/2022 at 3:50 pm

        The kefir grains contain probiotics, and would have less (if any) sugar so yes this would be an alternative way to consume probiotics. I’ve never tried them personally, but I’ve heard the taste is okay, but the texture is not desirable for some.

        Reply
  6. Anna Betz

    10/29/2017 at 1:30 pm

    I am asking because my husband who has diabetes type 2 drank 1/2 glass of water based kefir today and his blood sugar shot up within 1 hour.

    Reply
    • Jedha

      10/29/2017 at 4:00 pm

      Sorry, I answered the other question before seeing this. Sounds like for your husband kefir is best avoided as that rise is not a good result.

      Reply
  7. Alice

    09/20/2017 at 12:58 pm

    Am I use coco sugar for water kefir. It has low glecemic index

    Reply
    • Jedha: Nutritionist (MNutr)

      09/21/2017 at 5:34 pm

      We don’t encourage the use of coconut sugar. Even though it is lower GI than some other sugars, it is still high in overall carbs, which doesn’t help majority of people manage their blood sugar and A1c levels.

      Reply
      • Anna Betz

        10/29/2017 at 1:27 pm

        Hi Jedha, you say you dont encourage the use of coconut sugar. Do you suggest Diabetics should avoid Kefir?

        Reply
        • Jedha

          10/29/2017 at 4:00 pm

          It’s one of those foods that has benefits but can also be disadvantageous to some. The best course of action is to test to see how it influences your blood sugar levels.

          Reply
  8. gabriel

    06/20/2017 at 7:05 pm

    Hi; I was concern about drinking this beverage, not diabetic but paleo style open mind eater. I can’t tolerate dairy, and still working in fermented vegetables.
    Thanks for the info.

    Reply
  9. Kandy

    02/26/2017 at 8:43 am

    Tks for info kefir water is something I make and I was happy to find the info tks.

    Reply
  10. Tiffany

    02/20/2017 at 5:05 pm

    Hi, there are Kevita brands that I have purchased. I drink the ones with the lowest amount of sugar, like the lemon cayenne (1 gram of sugar per serving) or the mojita lime coconut (4 grams of sugar per serving). I don’t drink often though, only when they are on sale!

    Reply
    • Elizabeth

      02/20/2017 at 5:20 pm

      Sounds like a great find–one to 4 grams sugar per serving is not much at all. Glad you found a brand you enjoy!

      Reply

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