Join the Defiants

Sign up to be the first to know about special offers and exciting Signos news.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
October 23, 2025
|
Nutrition
|
3 min read
|

Fermented Fall Foods: How Sauerkraut and Kimchi Support Gut and Blood Sugar Health

sauerkraut

Key Takeaways

  • Fermented fall foods like sauerkraut and kimchi provide beneficial bacteria and compounds that support gut and metabolic health.
  • A balanced gut microbiome can help regulate blood sugar, reduce inflammation, and improve metabolic health.
  • Adding small servings of fermented foods to meals (and tracking with Signos) can help personalize your approach to wellness.

that {{mid-cta}}

As the season shifts, vegetables like cabbage, radishes, and carrots are abundant. These veggies are more than a simple side dish; they’re also the foundation for flavorful fermented foods. Yes, they taste great alongside a burger or grain bowl, but they’re also living foods that offer significant health benefits.

Through fermentation, these vegetables develop beneficial bacteria and bioactive compounds that do more than enhance flavor. They interact with your gut microbiome, influencing how your body digests food, absorbs nutrients, and regulates blood sugar. Emerging research shows a close connection between your gut health and glucose levels.

Your gut microbes are working hard behind the scenes. Their beneficial effects extend to glucose control, supporting steadier energy and a healthier metabolism throughout the season.

The Gut-Glucose Connection

Your gut does much more than digest food; it plays an active role in your metabolism. The trillions of microbes in your intestines influence how efficiently you regulate blood glucose and store energy.

Research consistently links a healthy, diverse gut microbiome to better glucose regulation and insulin sensitivity. Certain bacteria, including Akkermansia muciniphila and Faecalibacterium prausnitzii, are associated with improved metabolic markers, while a loss of diversity has been tied to insulin resistance and type 2 diabetes. Changes in gut microbial composition and function may also raise the risk of developing diabetes.

Diet is one of the strongest drivers of gut microbial health, shaping which bacteria thrive and what compounds they produce. By delivering probiotics, prebiotics, and postbiotics, the foods you eat can directly influence your metabolism. 

Probiotics are beneficial microbes found in fermented foods like sauerkraut and kimchi. These microbes thrive when supported by prebiotic fibers and produce postbiotics, bioactive compounds such as short-chain fatty acids (SCFAs), that communicate directly with the body’s cells to influence metabolism. Research shows that probiotics and prebiotic fibers can work together to improve insulin sensitivity, reduce inflammation, and maintain balanced glucose levels.

SCFAs (acetate, propionate, and butyrate) help maintain the gut barrier, reduce inflammation, and stimulate hormones such as GLP-1, which improve insulin secretion and satiety. 

Newer research even suggests a direct gut–liver pathway, in which microorganism activity influences glucose regulation through liver signaling and insulin sensitivity. 

In other words, your microbiome can help keep your blood sugar levels steady, another reason to add fermented foods to your fall table.

Sauerkraut, Kimchi, and Beyond: Fall’s Fermented Staples

Fermentation changes your simple fall vegetables into gut-friendly foods that support digestion, nutrient absorption, and overall metabolic health. 

Sauerkraut

Made by fermenting cabbage with salt, sauerkraut contains lactic acid bacteria (lactobacillus) that help support your gut microbiome. Skip the canned versions, since they’re often pasteurized and lack live cultures. Instead, look for fresh, refrigerated sauerkraut and pair it with roasted fall vegetables, potatoes, or lean meats for a savory, probiotic boost.

Kimchi 

This spicy Korean staple can be made from fermented cabbage, radish, garlic, and chili. Kimchi’s fermentation process produces bacteria and other bioactive compounds, such as antioxidants, that may improve glucose metabolism and reduce inflammation. Add it to rice bowls, soups, or eggs for a metabolism-friendly meal addition.

Miso & Fermented Soy

Fermented soy products such as miso or tempeh contain beneficial bacteria and isoflavones that may support healthy glucose control.  A bowl of miso soup or a miso-based marinade offers warmth while supporting gut health.

Pickled Vegetables

Love pickles? You’re in luck. Quick-pickled or naturally fermented beets, carrots, and cabbage combine fiber with mild acidity that can help slow glucose absorption and support digestion. These colorful sides add crunch and balance to hearty fall dishes while feeding beneficial gut bacteria. 

How Fermented Foods Influence Metabolism

Fermented foods help blunt glucose spikes by combining fiber and acidity, support insulin sensitivity through greater microbiome diversity, and reduce inflammation: three pathways that work together for metabolic health.

When you eat fermentable fiber along with acidic fermentations, the acid slows digestion, and the fiber gives gut microbes a substrate to ferment. That synergy delays glucose absorption to slow post-meal glucose spikes.

Regular intake of fermented foods is linked to increased microbial diversity and improved metabolic markers. In one meta-analysis, fermented food consumption significantly reduced fasting blood glucose and insulin resistance (HOMA-IR) in people with diabetes or prediabetes. 

Fermented foods may also support healthy inflammation levels. In a 10-week human trial, participants consuming a diet rich in fermented foods showed decreases in inflammatory markers along with increased gut microbiome diversity. Since inflammation is closely tied to insulin resistance and metabolic syndrome, lowering it is essential.

Practical Tips for Adding Fermented Foods This Fall

Fermented foods are easy to incorporate into your fall meals and can complement the Signos approach to blood sugar awareness. A few small additions can have a noticeable impact on your gut and metabolic health.

1. Build Balanced Meals

Pair fermented foods with protein and high fiber carbohydrates to keep glucose levels steady. For example, add sauerkraut to a quinoa bowl with salmon or mix kimchi into a tofu stir-fry. 

2. Be a Smart Shopper

If buying fermented foods, look for “live and active cultures” on the label and minimal added sugars or preservatives. For salt-sensitive individuals, choose low-sodium versions or rinse before eating. 

3. Try DIY Ferments

Store-bought is convenient, but making your own fermented vegetables at home is simpler than it sounds. 

Basic Sauerkraut

Ingredients:

  • 1 medium head of green or red cabbage (about 2 pounds)
  • 2 to 4 teaspoons of sea salt (about 1 to 2 teaspoons per pound of cabbage)

Instructions:

  1. Remove any damaged outer leaves and thinly slice the cabbage.
  2. In a large bowl, sprinkle salt over the cabbage and massage it with clean hands for 5 to 10 minutes until it softens and begins to release liquid.
  3. Pack the cabbage tightly into a clean glass jar, pressing down firmly so that the brine (the liquid you created) covers all the cabbage. Leave about an inch of space at the top.
  4. If needed, place a small piece of cabbage leaf or a fermentation weight on top to keep everything submerged.
  5. Cover loosely with a lid or cloth and let it ferment at room temperature for 1 to 3 weeks.
  6. Taste after the first week; when it tastes the way you like, transfer it to the refrigerator.

Sauerkraut continues to develop flavor in the fridge and keeps for several months.

4. Start Small with Servings

If you are new to fermented foods, start small (around 2 tablespoons a day) and increase gradually to avoid bloating or discomfort as your gut adjusts. Don’t forget about other options like fermented dairy (yogurt or kefir) or kombucha, too.

5. Track Your Response with Signos

Fermented foods affect everyone differently. Use Signos’ feedback to see how adding sauerkraut to a meal or enjoying a cup of miso soup changes your glucose curve. You may notice smaller post-meal spikes when you combine fermented foods with balanced, high-fiber meals.

The Bottom Line

Fermented fall foods are more than a side dish; they’re metabolic tools to support steadier glucose levels and a healthier gut. Adding small amounts of sauerkraut, kimchi, or miso to your daily routine may help with digestion, inflammation, and energy throughout the season. With Signos, you can see how these foods impact your glucose in real time and personalize your meals for better metabolic health.

Learn More With Signos’ Expert Advice

Learn how Signos can help you improve your health through a deeper understanding of your body’s glucose patterns. You can also explore more science-backed tips about glucose levels and metabolic health on the Signos blog. These resources make it easier to understand how your food and lifestyle choices shape your overall health.

Topics discussed in this article:

References

  1. Palmnäs-Bédard, M. S. A., Costabile, G., Vetrani, C., Åberg, S., Hjalmarsson, Y., Dicksved, J., Riccardi, G., & Landberg, R. (2022). The human gut microbiota and glucose metabolism: a scoping review of key bacteria and the potential role of SCFAs. The American journal of clinical nutrition, 116(4), 862–874. https://doi.org/10.1093/ajcn/nqac217
  2. Utzschneider, K. M., Kratz, M., Damman, C. J., & Hullar, M. (2016). Mechanisms Linking the Gut Microbiome and Glucose Metabolism. The Journal of clinical endocrinology and metabolism, 101(4), 1445–1454. https://doi.org/10.1210/jc.2015-4251
  3. Palmnäs-Bédard, M. S. A., Costabile, G., Vetrani, C., Åberg, S., Hjalmarsson, Y., Dicksved, J., Riccardi, G., & Landberg, R. (2022). The human gut microbiota and glucose metabolism: a scoping review of key bacteria and the potential role of SCFAs. The American journal of clinical nutrition, 116(4), 862–874. https://doi.org/10.1093/ajcn/nqac217
  4. Mei, Z., Wang, F., Bhosle, A., Dong, D., Mehta, R., Ghazi, A., Zhang, Y., Liu, Y., Rinott, E., Ma, S., Rimm, E. B., Daviglus, M., Willett, W. C., Knight, R., Hu, F. B., Qi, Q., Chan, A. T., Burk, R. D., Stampfer, M. J., Shai, I., … Wang, D. D. (2024). Strain-specific gut microbial signatures in type 2 diabetes identified in a cross-cohort analysis of 8,117 metagenomes. Nature medicine, 30(8), 2265–2276. https://doi.org/10.1038/s41591-024-03067-7
  5. Sadagopan, A., Mahmoud, A., Begg, M., Tarhuni, M., Fotso, M., Gonzalez, N. A., Sanivarapu, R. R., Osman, U., Latha Kumar, A., & Mohammed, L. (2023). Understanding the Role of the Gut Microbiome in Diabetes and Therapeutics Targeting Leaky Gut: A Systematic Review. Cureus, 15(7), e41559. https://doi.org/10.7759/cureus.41559
  6. Fu, J., Zheng, Y., Gao, Y., & Xu, W. (2022). Dietary Fiber Intake and Gut Microbiota in Human Health. Microorganisms, 10(12), 2507. https://doi.org/10.3390/microorganisms10122507
  7. Gérard, C., & Vidal, H. (2019). Impact of Gut Microbiota on Host Glycemic Control. Frontiers in endocrinology, 10, 29. https://doi.org/10.3389/fendo.2019.00029
  8. Castells-Nobau, A., Moreno-Navarrete, J. M., de la Vega-Correa, L., Puig, I., Federici, M., Sun, J., Burcelin, R., Guzylack-Piriou, L., Gourdy, P., Cazals, L., Arnoriaga-Rodríguez, M., Frühbeck, G., Seoane, L. M., López-Miranda, J., Tinahones, F. J., Dieguez, C., Dumas, M. E., Pérez-Brocal, V., Moya, A., Perakakis, N., … Mayneris-Perxachs, J. (2025). Multiomics of the intestine-liver-adipose axis in multiple studies unveils a consistent link of the gut microbiota and the antiviral response with systemic glucose metabolism. Gut, 74(2), 229–245. https://doi.org/10.1136/gutjnl-2024-332602
  9. Schropp, N., Bauer, A., Stanislas, V., Huang, K. D., Lesker, T. R., Bielecka, A. A., Strowig, T., & Michels, K. B. (2025). The impact of regular sauerkraut consumption on the human gut microbiota: a crossover intervention trial. Microbiome, 13(1), 52. https://doi.org/10.1186/s40168-024-02016-3
  10. Patra, J. K., Das, G., Paramithiotis, S., & Shin, H. S. (2016). Kimchi and Other Widely Consumed Traditional Fermented Foods of Korea: A Review. Frontiers in microbiology, 7, 1493. https://doi.org/10.3389/fmicb.2016.01493
  11. Cha, J., Kim, Y. B., Park, S. E., Lee, S. H., Roh, S. W., Son, H. S., & Whon, T. W. (2024). Does kimchi deserve the status of a probiotic food?. Critical reviews in food science and nutrition, 64(19), 6512–6525. https://doi.org/10.1080/10408398.2023.2170319
  12. Saeed, F., Afzaal, M., Shah, Y. A., Khan, M. H., Hussain, M., Ikram, A., Ateeq, H., Noman, M., Saewan, S. A., & Khashroum, A. O. (2022). Miso: A traditional nutritious & health-endorsing fermented product. Food science & nutrition, 10(12), 4103–4111. https://doi.org/10.1002/fsn3.3029
  13. Takahashi, F., Hashimoto, Y., Kaji, A., Sakai, R., Miki, A., Okamura, T., Kitagawa, N., Okada, H., Nakanishi, N., Majima, S., Senmaru, T., Ushigome, E., Hamaguchi, M., Asano, M., Yamazaki, M., & Fukui, M. (2021). Habitual Miso (Fermented Soybean Paste) Consumption Is Associated with Glycemic Variability in Patients with Type 2 Diabetes: A Cross-Sectional Study. Nutrients, 13(5), 1488. https://doi.org/10.3390/nu13051488
  14. Shishehbor, F., Mansoori, A., & Shirani, F. (2017). Vinegar consumption can attenuate postprandial glucose and insulin responses; a systematic review and meta-analysis of clinical trials. Diabetes research and clinical practice, 127, 1–9. https://doi.org/10.1016/j.diabres.2017.01.021
  15. Santos, H. O., de Moraes, W. M. A. M., da Silva, G. A. R., Prestes, J., & Schoenfeld, B. J. (2019). Vinegar (acetic acid) intake on glucose metabolism: A narrative review. Clinical nutrition ESPEN, 32, 1–7. https://doi.org/10.1016/j.clnesp.2019.05.008
  16. Zhang, X. F., Qi, Y., Zhang, Y. P., Deng, J. L., Chen, X. L., Li, R. N., Zhou, Q. L., & Fan, J. M. (2024). Fermented foods and metabolic outcomes in diabetes and prediabetes: A systematic review and meta-analysis of randomized controlled trials. Critical reviews in food science and nutrition, 64(26), 9514–9531. https://doi.org/10.1080/10408398.2023.2213770
  17. Wastyk, H. C., Fragiadakis, G. K., Perelman, D., Dahan, D., Merrill, B. D., Yu, F. B., Topf, M., Gonzalez, C. G., Van Treuren, W., Han, S., Robinson, J. L., Elias, J. E., Sonnenburg, E. D., Gardner, C. D., & Sonnenburg, J. L. (2021). Gut-microbiota-targeted diets modulate human immune status. Cell, 184(16), 4137–4153.e14. https://doi.org/10.1016/j.cell.2021.06.019
Caitlin Beale, MS, RDN

Caitlin Beale, MS, RDN

Caitlin Beale is a registered dietitian and nutrition writer with a master’s degree in nutrition. She has a background in acute care, integrative wellness, and clinical nutrition.

Table Of Contents

Your body runs on glucose. Harness it with Signos.

Terms and ConditionsPrivacy Policy

SIGNOS INDICATIONS: The Signos Glucose Monitoring System is an over-the-counter (OTC) mobile device application that receives data from an integrated Continuous Glucose Monitor (iCGM) sensor and is intended to continuously measure, record, analyze, and display glucose values in people 18 years and older not on insulin. The Signos Glucose Monitoring System helps to detect normal (euglycemic) and low or high (dysglycemic) glucose levels. The Signos Glucose Monitoring System may also help the user better understand how lifestyle and behavior modification, including diet and exercise, impact glucose excursions. This information may be useful in helping users to maintain a healthy weight.
The user is not intended to take medical action based on the device output without consultation with a qualified healthcare professional.
See user guide for important warnings and precautions.
STELO IMPORTANT INFORMATION: Consult your healthcare provider before making any medication adjustments based on your sensor readings and do not take any other medical action based on your sensor readings without consulting your healthcare provider. Do not use if you have problematic hypoglycemia. Failure to use Stelo and its components according to the instructions for use provided and to properly consider all indications, contraindications, warnings, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence. If your sensor readings are not consistent with your symptoms, a blood glucose meter may be an option as needed and consult your healthcare provider. Seek medical advice and attention when appropriate, including before making any medication adjustments and/or for any medical emergency.
STELO INDICATIONS FOR USE: The Stelo Glucose Biosensor System is an over-the-counter (OTC) integrated Continuous Glucose Monitor (iCGM) intended to continuously measure, record, analyze, and display glucose values in people 18 years and older not on insulin. The Stelo Glucose Biosensor System helps to detect normal (euglycemic) and low or high (dysglycemic) glucose levels. The Stelo Glucose Biosensor System may also help the user better understand how lifestyle and behavior modification, including diet and exercise,impact glucose excursion. The user is not intended to take medical action based on the device output without consultation with a qualified healthcare professional.