Watermelon is a refreshing summer fruit packed with water, vitamins, and antioxidants. While it offers many health benefits, it’s not suitable for everyone. Certain individuals may need to avoid or limit watermelon due to its sugar content, nutrient profile, or potential allergic reactions. Below are five groups of people who should be cautious when consuming watermelon.

1. People with Diabetes
Reason:
Watermelon has a high glycemic index (GI), which means it can cause a rapid rise in blood sugar levels. Although it contains mostly water and has a moderate glycemic load (GL), eating large portions can still impact glucose control.
Advice:
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Consume small portions (e.g., 1 cup).
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Pair with foods high in fiber, protein, or healthy fat to slow sugar absorption.
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Monitor blood sugar after eating watermelon.

2. People with Kidney Problems
Reason:
Watermelon is rich in potassium. In people with chronic kidney disease (CKD), the kidneys may not be able to remove excess potassium efficiently, leading to hyperkalemia—a condition that can affect heart rhythm.
Advice:
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Limit intake if diagnosed with kidney issues.
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Consult a nephrologist or dietitian for personalized dietary recommendations.

3. People with Digestive Disorders (like IBS)
Reason:
Watermelon contains fructose, a type of FODMAP (Fermentable Oligo-, Di-, Mono-saccharides and Polyols) that can cause digestive symptoms such as gas, bloating, and diarrhea in people with irritable bowel syndrome (IBS) or fructose malabsorption.
Advice:
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Avoid watermelon during digestive flare-ups.
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Choose lower-FODMAP fruits such as strawberries or oranges instead.
4. People on Low-Carb or Ketogenic Diets
Reason:
Watermelon is relatively high in natural sugars. One cup of diced watermelon contains about 11 grams of carbohydrates, which can add up quickly and interfere with carb-restricted diets.
Advice:
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Eat small servings if allowed by your diet plan.
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Track total daily carb intake to stay within limits.

5. People with Allergies or Oral Allergy Syndrome (OAS)
Reason:
Some people experience allergic reactions to watermelon, especially those with pollen allergies (such as ragweed). This is known as Oral Allergy Syndrome (OAS), and symptoms may include itching, swelling of the lips, tongue, or throat.
Advice:
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Avoid watermelon if you experience symptoms after eating it.
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Be cautious with related foods like cantaloupe, cucumber, and zucchini.
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Seek medical evaluation if allergic reactions occur.
Conclusion
While watermelon is generally a healthy choice for most people, it may not be suitable for everyone. Individuals with diabetes, kidney disease, digestive disorders, allergies, or those on specialized diets should consume it mindfully or avoid it altogether. Always consult with a healthcare provider or registered dietitian for advice tailored to your personal health needs.