Water heavily for the first week or so, but cutback once it begins to vine. Once again - be sure the soil is WELL DRAINED.
Pruning is not absolutely necessary but is helpful to maintain a more manageable height, and reduce non-productive sucker growth that drains the plants energy from fruit production. When and if you decide to prune be aware that all pruned branches and twigs are capable of taking root and generating another plant.
Space ivy gourd as you would cucumbers but be aware that for whatever reason these plants seem to seek each other out and generally become intertwined.
Ivy gourd, due to its prolific reproduction habits is considered an invasive weed in many areas. Hawaii, Texas, Australia - the smallest fragment of the vine is capable of producing another plant under the correct conditions.
Ivy Gourd juice from both the roots and leaves is considered useful against diabetes. Research indicates that plant contains compounds that inhibit glucose-6-phosphatase, a liver enzyme that promotes sugar metabolism, use of ivy gourd and extract are believed helpful for diabetic persons . It is also an anti-oxidant.