The point of this pickle is using vinegar rather than drinking it.
Vinegar's pH is typically 2 to 3, around or below cola. Drinking it neat every day for blood sugar means passing that acidity over your tooth enamel every day, and acid erosion of teeth is irreversible.
As a pickle the situation is different.
- The 100 ml of vinegar is diluted by 100 ml of water and the vegetable
- It is absorbed into the radish, so contact time in the mouth is short
- It arrives with food
That is why the vinegar page says using it in cooking is the safest form.
Two reasons not to boil it. First, acetic acid is volatile — boiling drives it off and weakens the sourness. Second, the aroma goes with it. Warm only enough to dissolve the sugar, take the pan off the heat, then add the vinegar.
Cooling the brine before pouring is about crispness. Hot brine collapses the radish's cell walls and leaves it soft.
Salting first is osmosis. Radish is over 94% water. Without drawing that water out beforehand, it comes out into the brine and dilutes it.
Choose the section. The radish is sweetest at the top and most pungent at the tail, because the pungent compounds (isothiocyanates) concentrate at the root tip. Pickling wants the middle.
The vitamin C survives. Raw radish holds 22 mg per 100 g, and it is heat-sensitive. Twenty-five minutes in a soup loses much of it, but this pickle is never boiled, so a good share remains. 400 g of radish starts from 88 mg.
Count the sugar. Three tablespoons is about 36 g; divided into eight servings that is 4.5 g each, and less again if you do not drink the brine. For less sweetness, drop to 2 tbsp and give it an extra day — time softens the sourness.
Serve it with meat or fried food. The acid cuts through richness. But this site did not identify evidence that vinegar aids digestion — feeling refreshed and digesting better are different claims.
With reflux, the acid can worsen symptoms. Do not eat a lot of it on an empty stomach.