Gestational Diabetes & Cake: Which One to Prefer and How to Enjoy It

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Gestational diabetes (GDM) doesn’t mean you have to give up your love for cake. In fact, with the right ingredients, you can still indulge in a slice (or two) without spiking your blood sugar. In this post, we’ll talk about which cakes are the best choices for managing GDM and how to enjoy them in a way that supports healthy blood sugar levels.

What Makes a Cake Gestational Diabetes-Friendly?

If you’re managing gestational diabetes, enjoying cake is still possible—it just takes a few smart swaps and a little planning. The key is focusing on blood sugar balance through thoughtful ingredients and mindful portions. Here’s what to look for when choosing or baking a cake:

Protein-Packed

Using protein-rich ingredients helps slow digestion and reduce blood sugar spikes. Look for recipes that include:

  • Greek yogurt

  • Cottage cheese

  • Eggs

  • Nut butters (like almond or peanut butter)


    These ingredients add creaminess and moisture while helping to keep you fuller longer.

Low in Carbohydrates

Traditional cakes made with white flour and sugar are high in fast-digesting carbs. Instead:

  • Swap regular flour for low-carb alternatives like almond flour or coconut flour.

  • Use low-carb sweeteners such as monk fruit and stevia

These swaps significantly lower the glycemic impact while still giving you a satisfying treat.

High in Fiber

Fiber slows the absorption of sugar and supports digestive health. To boost fiber:

  • Add ingredients like shredded zucchini or carrots

  • Include flaxseed meal or chia seeds

  • Choose nut-based flours, which are naturally fiber-rich

Includes Healthy Fats

Fat helps stabilize blood sugar by slowing digestion. Look for cakes that include:

  • Coconut oil or avocado oil

  • Nut butters or ground nuts

  • Full-fat dairy products like Greek yogurt or cream cheese

Minimal Added Sugar

Even with low-carb sweeteners, keep overall sweetness in check to avoid overstimulation of cravings and maintain better blood sugar balance. Taste-test as you go—many ingredients like vanilla, cinnamon, or nut butters add natural flavor.

Portion Control & Pairings

No matter how GD-friendly the cake, portion size matters. Stick to small servings and consider pairing your dessert with a source of protein or healthy fat—like a handful of nuts, hard-boiled egg, or plain Greek yogurt—to help blunt any blood sugar rise.

How to Enjoy Cake with Gestational Diabetes

While choosing the right cake is key, how you enjoy it can also make a big difference in managing your blood sugar. Here are some simple tips for enjoying cake while keeping your blood sugar in check:

1. Watch Your Portions

Portion control is crucial when managing gestational diabetes. A small slice (about 1/12 of a 9-inch cake) is usually manageable for most people. Avoid large portions or multiple servings, as this can lead to higher blood sugar spikes.

2. Pair with Protein and Fiber

To reduce the impact of cake on your blood sugar, always try to pair it with a protein-rich food (like Greek yogurt, cottage cheese, or a handful of nuts) and some fiber. Protein and fiber help slow the digestion of carbs, keeping blood sugar levels more stable.

3. Enjoy with a Balanced Meal

Instead of eating cake on an empty stomach, have it as part of a balanced meal. Include lean protein, healthy fats, and non-starchy vegetables in your meal to support steady blood sugar levels.

4. Test Your Blood Sugar

After eating cake, it’s a good idea to check your blood sugar to see how it affects you. Everyone’s body is different, and tracking your response will help you figure out what works best for you.

Sample GD-Friendly Cake Recipes

Crustless Pistachio Cheesecake

This creamy, decadent cheesecake skips the crust to keep it low in carbs — without compromising flavor.

Note: This was Julija’s, founder of HIgedi, #2 favorite dessert during her gestational diabetes journey!

Ingredients:

  • 6 oz pistachio butter (e.g., Nutural World Smooth, no sugar added)

  • 12 oz cream cheese

  • 1 cup natural yogurt

  • 4 eggs

  • 2 tbsp cornflour

  • 1 tsp vanilla extract

  • 3–4 tbsp monk fruit sweetener (adjust to taste)

Instructions:

  1. Preheat air fryer to 180°C (356°F).

  2. Blend all ingredients until smooth.

  3. Pour into a greased baking dish and cover with foil.

  4. Air fry for 45 minutes, then cool before serving.

Oven option: Bake at 350°F (175°C) for 50–55 minutes, covered with foil.

Why it works: No crust = fewer carbs. Plus, cream cheese, eggs, and yogurt add protein and fat to help maintain blood sugar balance.

Not a Pistachio Fan? Try This Classic Cheesecake Version!

If you're not a fan of pistachios or just want to try a classic cheesecake flavor, here’s a simple, low-carb alternative that’s equally delicious.

Ingredients:

  • 16 oz cream cheese, softened

  • 1/4 cup Greek yogurt

  • 1/4 cup low-carb sweetener

  • 1 tsp vanilla extract

  • Fresh berries (for topping)

Instructions:

  1. Preheat the oven to 325°F (163°C) and grease a small springform pan.

  2. Beat the cream cheese, Greek yogurt, eggs, sweetener, and vanilla extract until smooth.

  3. Pour the mixture into the prepared pan.

  4. Bake for 35-40 minutes, or until the edges are set but the center is slightly jiggly.

  5. Allow the cheesecake to cool to room temperature, then refrigerate for at least 2 hours.

  6. Top with fresh berries or your favorite fresh fruit and serve.

Serving suggestion: Berries are the perfect accompaniment to this cheesecake, adding natural sweetness and a burst of flavor.

Why it works: This version is simple and creamy, with no crust to keep the carbs in check. Greek yogurt adds a nice tang while boosting the protein content!

Chocolate Zucchini Cake

This cake is rich, moist, and secretly packed with vegetables—perfect for satisfying your sweet tooth without spiking your blood sugar.

Ingredients:

  • 1 cup grated zucchini (squeezed dry)

  • 1 cup almond flour

  • 1/4 cup unsweetened cocoa powder

  • 1/3 cup low-carb sweetener

  • 2 eggs

  • 1/4 cup Greek yogurt or full-fat cottage cheese

  • 1/4 cup melted coconut oil, avocado oil, or butter

  • 1 tsp vanilla extract

  • 1/2 tsp baking soda

  • 1/2 tsp cinnamon (optional)

  • Pinch of salt

  • Optional: 1/4 cup chocolate chips (to add sweetness and melty texture)

  • Optional: 1/4 cup chopped nuts or seeds (for extra protein)

Instructions:

  1. Preheat oven to 350°F (175°C). Grease or line a loaf pan or 8x8 baking dish.

  2. In a large bowl, whisk eggs, sweetener, oil, yogurt, and vanilla.

  3. Stir in almond flour, cocoa powder, baking soda, cinnamon, and salt.

  4. Fold in grated zucchini until evenly mixed. If desired, add chocolate chips or nuts/seeds for extra protein, sweetness, and/or crunch.

  5. Pour into pan and bake for 30–35 minutes, or until a toothpick comes out mostly clean.

  6. Let cool before slicing.

Optional: Top with a dollop of whipped cream.

Why it works:

  • Zucchini adds moisture and fiber, helping slow digestion and improve blood sugar stability.

  • Almond flour keeps carbs low and adds healthy fats and protein.

  • Cocoa powder gives deep chocolate flavor without added sugar.

  • Eggs and Greek yogurt or cottage cheese boost protein content, making this a more balanced treat.

This cake is gluten-free, making it suitable for those with gluten intolerance or celiac disease. (Notes: almond flour is naturally gluten-free; low-carb sweeteners (like erythritol, stevia, or monk fruit) are typically GF, but it’s good to check the label; chocolate chips and vanilla extract sometimes contain additives or flavorings that can have traces of gluten if not labeled GF.)

Greek Yogurt Lemon Cake

This cake is light, refreshing, and made with blood sugar-stable ingredients. Greek yogurt adds moisture and protein, while almond flour keeps carbs in check.

Low carb lemon cake

Ingredients:

  • 1 cup almond flour

  • 1/2 tsp baking powder

  • Pinch of salt

  • 2 large eggs

  • 1/2 cup full-fat Greek yogurt

  • 1/4 cup low-carb sweetener

  • Zest of 1 lemon

  • Juice of 1/2 lemon

  • 1 tsp vanilla extract

  • Optional: poppy seeds for texture

Instructions:

  1. Preheat oven to 350°F (175°C). Grease or line a loaf pan or muffin tin.

  2. In one bowl, mix almond flour, baking powder, and salt.

  3. In another, whisk eggs, yogurt, sweetener, lemon zest/juice, and vanilla.

  4. Combine wet and dry ingredients until smooth.

  5. Pour into pan and bake for 25–30 minutes (less for muffins), until golden and set.

  6. Let cool before slicing.

Optionally top with a low-carb lemon cream cheese frosting (see below) or a light glaze made from Greek yogurt and lemon juice.

Why it works:

  • Greek yogurt offers protein, calcium, and a creamy texture without added sugar.

  • Almond flour keeps it low carb and nutrient-dense.

  • Lemon zest and juice give it flavor without needing much sweetener.

  • Perfect as a snack, brunch treat, or baby shower dessert!

Optional: Lemon Cream Cheese Frosting (Low-Carb)

This creamy frosting is the perfect match for the tangy Greek Yogurt Lemon Cake. It’s made with cream cheese and Greek yogurt for a smooth, decadent topping that’s still low in sugar.

Ingredients:

  • 4 oz cream cheese, softened

  • 1/4 cup full-fat Greek yogurt

  • 2–3 tbsp low-carb sweetener (adjust to taste)

  • 1 tsp lemon juice

  • Zest of 1/2 lemon

  • 1/2 tsp vanilla extract

Instructions:

  1. In a bowl, beat the cream cheese and Greek yogurt until smooth and creamy.

  2. Add the sweetener, lemon juice, lemon zest, and vanilla extract.

  3. Continue mixing until fluffy and fully combined.

  4. Frost the cooled Greek Yogurt Lemon Cake generously.

  5. Garnish with additional lemon zest or a few fresh berries for extra color and flavor.

Final Thoughts

You don’t have to skip cake altogether while managing gestational diabetes. By choosing the right ingredients and enjoying it in moderation, you can enjoy desserts that are satisfying and blood-sugar-friendly. Remember, it’s all about balance—small portions, protein pairings, and testing your response. Enjoy your cake without feeling guilty and celebrate in a healthy way!

FAQ: Cake and Gestational Diabetes

1. Can I eat cake if I have gestational diabetes?

Yes, you can enjoy cake with gestational diabetes! The key is to choose recipes made with low-carb, high-protein, and nutrient-dense ingredients. Opt for alternatives like almond flour instead of regular flour, and include protein-rich ingredients such as Greek yogurt, eggs, or cottage cheese to help stabilize blood sugar levels. You can also use natural sweeteners or a sugar substitute, but remember that natural sugars found in fruits, ripe bananas, and dried fruit can still impact blood sugar, so use them in moderation.

2. Can I ever eat traditional cake with gestational diabetes?
While traditional cakes made with sugar and white flour aren’t the best choice, you can enjoy them in moderation if you manage your portion size. It’s important to pair the cake with a protein-rich meal to help stabilize your blood sugar. Additionally, after enjoying cake, test your tolerance to see how it affects your blood sugar levels. Adding light exercise after eating, like a short walk, can also help reduce the possibility of a blood sugar spike.

3. Are there any cakes I should avoid with gestational diabetes?

Avoid cakes made with refined sugar, white flour, and high-carb ingredients. Traditional cakes that are high in sugar and low in fiber can lead to blood sugar spikes. Instead, stick with low-carb and high-protein options, such as those made with almond flour or coconut flour, and include protein-rich ingredients like eggs, Greek yogurt, or cottage cheese to help stabilize blood sugar levels. Additionally, incorporate healthy fats like coconut oil or butter for added nutrition and to further balance the dessert.

4. What is the best frosting for a low-carb cake?

For a low-carb frosting, you can use cream cheese, Greek yogurt, or whipped coconut cream as a base. These options are rich in protein and healthy fats, which can help slow the digestion of sugars and keep blood sugar levels stable. You can sweeten them with low-carb sweeteners like monk fruit or stevia.

Here are some frosting ideas to consider:

  • Cream Cheese Frosting: A classic choice, simply blend cream cheese, a low-carb sweetener, and vanilla extract for a smooth, tangy frosting.

  • Greek Yogurt Frosting: Combine Greek yogurt with a little sweetener and lemon zest for a fresh and creamy topping.

  • Whipped Coconut Cream Frosting: For a dairy-free option, whip coconut cream with a bit of sweetener and vanilla extract.

  • Almond Butter Frosting: Blend almond butter, a bit of sweetener, and some coconut oil for a rich, nutty frosting.

  • Avocado Chocolate Frosting: For a chocolatey twist, blend ripe avocado with cocoa powder, a low-carb sweetener, and a touch of vanilla.

5. Can I make a cake for gestational diabetes at home?

Absolutely! In fact, making your own cake is the best way to ensure it’s made with safe ingredients that won’t spike your blood sugar. Focus on using low-carb flours and protein-packed ingredients. Plus, you can customize the cake to fit your preferences and dietary needs.

6. Is it okay to have cake on special occasions?
Yes! You can enjoy cake on special occasions, but it’s important to be mindful of portion sizes and pair it with protein or healthy fats to help stabilize your blood sugar. Consider enjoying a small portion and follow it with light exercise, like a walk, to help your body process the sugar more effectively and reduce the risk of blood sugar spikes. It’s all about balance!

More Resources

For more gestational diabetes-friendly dessert ideas, check out these helpful resources: