Managing gestational diabetes (GD) doesn’t mean giving up your favorite foods—it’s about making smart, healthy swaps that help keep blood sugar levels stable while still satisfying cravings.
A healthy diet plays a crucial role in controlling blood sugar, supporting your baby’s development, and reducing the risk of complications. By choosing the right alternatives, you can enjoy delicious meals while maintaining stable glucose levels.
Help prevent blood sugar spikes
Support healthy weight gain during pregnancy
Provide essential nutrients for both mom and baby
Reduce the risk of developing type 2 diabetes after pregnancy
Managing carbohydrate intake is crucial for maintaining blood glucose levels and supporting fetal growth, especially for women with gestational diabetes mellitus (GDM).
Ready to transform your meals with simple, nutritious swaps? Let’s dive in!
Why? White rice is high in fast-digesting carbs, which can spike blood sugar. Instead:
Cauliflower rice is low-carb, high in fiber, and packed with nutrients.
Opt for low-glycemic rice like parboiled rice, basmati rice, or black rice, which impact blood sugar less than white rice.
Smart Hack: Cook, cool, and reheat rice before eating—it creates resistant starch, which slows digestion and reduces blood sugar spikes.
Why? Almond and coconut flours are lower in carbs and higher in fiber and protein, helping to prevent sugar spikes.
Smart Hack: Add chia seeds or flaxseeds to increase fiber and healthy fats for better blood sugar control.
For more low-carb pancake recipes and ideas, check out our Gestational Diabetes Pancakes and Waffles: 10+ Low-Carb Recipes.
Why? Most cereals contain hidden sugars that cause blood sugar spikes. Instead:
Chia pudding (with unsweetened almond milk) is rich in fiber and protein to stabilize blood sugar.
Plain full-fat Greek yogurt is a great source of protein and much lower in sugar than flavored yogurts.
Smart Hack: Add cinnamon, crushed nuts, or a few berries for natural sweetness without the sugar rush.
Why? Cauliflower crust is a lower-carb alternative to traditional pizza dough, making it a great option for managing blood sugar levels.
Smart Hack: Many store-bought cauliflower crusts contain just as many carbs as regular pizza crust due to added starches and fillers—always check food labels! For better control over ingredients and carbs, make your own cauliflower crust at home using simple, whole ingredients like cauliflower, eggs, and cheese.
Why? Many dips contain added sugars and unhealthy fats. Instead, opt for healthy foods like:
Guacamole, which is loaded with healthy fats and fiber.
Fresh salsa, which is low-carb and packed with vitamin C.
Smart Hack: Mix Greek yogurt into guacamole for extra protein and creaminess.
Why? Flavored yogurts contain as much sugar as candy! Instead:
Opt for full-fat or 2% plain Greek yogurt for a protein boost with no hidden sugars.
Smart Hack: Add vanilla extract, nuts, or cinnamon for flavor without sugar.
Why? Sweet potatoes have more fiber and a lower glycemic impact compared to white potatoes.
Smart Hack: Pair sweet potatoes with butter, avocado, or cheese to slow sugar absorption.
Why? Most pasta sauces contain hidden sugars. Checking food labels can help you identify these hidden sugars and make healthier choices. Instead, use:
No added sugar sauce, for example Rao’s Homemade Marinara or Yo Mama’s Keto Marinara.
Homemade tomato sauce using fresh tomatoes and herbs.
Smart Hack: Add ground beef or turkey for extra protein and satiety.
Why? Cauliflower is lower in carbs while maintaining a creamy texture.
Smart Hack: Mix in Parmesan cheese and butter for extra flavor and richness.
Why? Use sliced bell peppers or zucchini instead of tortilla chips for a lower-carb, crunchy alternative. Limiting saturated fat intake is crucial, especially for women with gestational diabetes mellitus (GDM), to maintain a nutritionally adequate diet during pregnancy.
Smart Hack: Top with cheese and Greek yogurt-based sour cream for extra protein.
Why? Both kale chips are low-carb and packed with nutrients while cheese crisps are packed with protein.
Why? Dark chocolate has less sugar and more antioxidants than regular chocolate.
Smart Hack: Pair with almonds or walnuts for balanced fat and protein intake.
Why? Regular ice cream is high in sugar and carbs. Sugar-free alternatives, while marketed as healthier options, may still contain sugar alcohols or artificial sweeteners that can impact blood glucose levels and digestive health. Instead:
Try low-carb / high-protein ice creams, for example Yasso Frozen Greek Yogurt Bars.
Smart Hack: Blend Greek yogurt or cottage cheese with frozen berries for an easy homemade version.
Why? Zoodles (zucchini noodles) are low-carb, while legume-based pasta (like Banza Chickpea Pasta) is high in fiber and protein.
Smart Hack: Mix half zoodles with half legume pasta for a better texture.
Why? Lower-carb and grain-free, with more fiber and protein.
Smart Hack: Use natural low-carb sweeteners such as stevia or monk fruit.
For low-carb muffin recipes, check out our 6 Low-Carb Muffin Recipes.
Why? Roasted chickpeas provide fiber and crunch, while pork rinds are zero-carb and high in protein.
Smart Hack: Flavor chickpeas with smoked paprika or other spices such as cinnamon for an extra punch of flavors.
Why? Avocados are packed with healthy fats and offer a creamy texture, making them a perfect base for a rich, sugar-free pudding.
For this and more delicious GD-friendly dessert recipes, check out our Gestational Diabetes Dessert Guide.
Why? Protein smoothies keep you full longer and help stabilize blood sugar.
Smart Hack: Instead of buying expensive ready-made protein drinks, opt for high-quality protein powder to create your own at home. Or, skip the powder altogether and use naturally protein-rich ingredients like cottage cheese, Greek yogurt, nut butters, and seeds for a creamy, blood sugar-friendly smoothie.
For some festive inspiration, check out 14 Holiday-Inspired Protein Shake Recipes.
Why? Oatmeal can be high in carbs, but chia pudding is a lower-carb alternative.
Why? Lettuce wraps cut carbs while Mission Carb Balance tortillas keep things traditional.
Why? Roasted chickpeas are savory, crunchy, and high in fiber.
Why? Nut-based bars like KIND Zero Sugar keep things high in protein and fiber.
Why? Many bars are packed with sugar—read food labels.
Why? Almond flour or coconut flour cookies are lower in carbs.
For low-carb cookie recipes, check out our 6 low-carb cookie recipes.
When you need quick and easy snacks, look for low-carb, high-protein options:
✔ Roasted Edamame – High in protein and fiber
✔ Pork Rinds with Guacamole – Zero carbs, crunchy, and satisfying
✔ Mixed Nuts – Rich in healthy fats and protein; choose unsalted and unprocessed options
✔ Cheese Sticks or String Cheese – A great protein-packed snack with minimal carbs
✔ Nut Butter with Celery or Cucumber Slices – Healthy fats keep you full and satisfied
✔ Greek Yogurt (Plain, Unsweetened) with Nut Butter or Nuts– High in protein, low in sugar
✔ Avocado with a Pinch of Salt – Full of healthy fats and fiber
✔ Seaweed Snacks – Low-calorie, low-carb, and rich in minerals
1. What are the best low-carb alternatives to bread for gestational diabetes?
Instead of white bread, try these better-for-you options that have a lower impact on blood glucose:
Sourdough bread – The natural fermentation process lowers its glycemic index, making it easier to digest and better for blood glucose control.
Sprouted grain bread (like Ezekiel bread) – Higher in fiber and protein than regular bread, helping slow blood glucose spikes.
Seeded bread – Options with chia, flax, or sunflower seeds provide healthy fats and fiber, which help with better glucose management.
Cottage cheese flatbread – A high-protein, low-carb option that keeps blood glucose stable while adding extra nutrients.
Low-carb tortillas (like Mission Carb Balance) – A great alternative for wraps and sandwiches with fewer carbs.
Cloud bread – Made from eggs and cream cheese, it’s virtually carb-free while being fluffy and bread-like—a great substitute for sandwiches!
Lettuce wraps – A zero-carb way to enjoy wraps without affecting blood glucose.
2. Can I still eat pasta if I have gestational diabetes?
Yes! Instead of regular white pasta, which can be problematic for those with gestational diabetes mellitus, try:
Legume-based pasta (like Banza Chickpea Pasta) – Packed with protein and fiber, which helps slow digestion and prevents blood sugar spikes.
Protein-enriched pasta (like Barilla Protein+ Pasta) – Contains added protein and fiber, making it a better choice than traditional pasta.
Hearts of palm pasta (like Palmini or Natural Heaven) – A low-carb, high-fiber alternative that has minimal impact on blood sugar. Just rinse it well before use!
Zucchini noodles (zoodles) – A vegetable-based alternative that’s fresh, light, and won’t spike blood sugar.
Shirataki (konjac) noodles (like YUHO Shirataki Konjac) – These are almost carb-free and extremely low in calories, making them a great GD-friendly swap.
3. How can I enjoy desserts with artificial sweeteners while managing gestational diabetes?
You don’t have to give up desserts to manage gestational diabetes! Instead of high-sugar treats, try:
Dark chocolate (at least 70% cocoa) instead of milk chocolate – Contains less sugar and is packed with antioxidants.
Dark chocolate avocado mousse instead of traditional chocolate mousse – A rich, creamy dessert that’s low in carbs but high in healthy fats, helping maintain stable blood sugar.
Chia seed pudding with almond milk – A naturally sweet and filling option.
Greek yogurt with nuts and berries – A protein-rich treat that satisfies cravings without spiking blood sugar.
Check out our full list of GD-friendly dessert ideas here!
4. Can I eat fruit with gestational diabetes?
Yes, but stick to low-glycemic fruits that don’t spike blood sugar quickly, and remember to watch out for the portion sizes:
✅ Best fruits for GD:
Berries (strawberries, blueberries, raspberries) – High in fiber and low in sugar.
Green apples – Lower in sugar than red apples.
Pears – A fiber-rich, slow-digesting fruit.
Kiwi – A vitamin-packed, lower-GI option.
⚠ Fruits to limit:
Bananas, grapes, mangoes, pineapple – Higher in natural sugars.
Read our full guide on the best (and worst) fruits for gestational diabetes!
Managing gestational diabetes isn’t about deprivation—it’s about making informed food choices that keep both you and your baby's health in check. With these 24 smart food swaps, you can still enjoy delicious meals without worrying about blood sugar spikes.
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