
These diabetes-friendly Thanksgiving recipes cover the whole table, from appetizers and sides to a main dish and lower sugar pies. For my own recipes, I’ve listed the carbs per serving so you can plan your plate ahead of time.
Thanksgiving can be tricky to navigate when you have diabetes. As a dietitian living with type 1 diabetes, I’m sharing the tips that help me enjoy the meal and still feel good afterward, plus 32 recipes to add to your menu.
How to build a diabetes-friendly Thanksgiving plate
You don’t need a special menu for a blood sugar-friendly Thanksgiving. A little planning with the foods you already love goes a long way:
- Start with protein. Turkey, ham or pork chops help slow down how quickly the carbs on your plate raise your blood sugar.
- Add a non-starchy vegetable or two. Green beans, roasted Brussels sprouts or a salad add fiber.
- Pick your favorite starches. Choose the ones you look forward to all year, like stuffing, mashed potatoes or rolls, and skip the ones you don’t care about.
- Plan for dessert. If you know you want pie, count it into your plan for the day instead of trying to resist it.
If you take insulin, count the carbs in your sides and desserts the same way you would for any other meal. Talk with your healthcare team if you have questions about adjusting for a bigger meal.

3 tips for a healthy Thanksgiving with diabetes
So, how do you stay “healthy” during Thanksgiving, and the entire holiday season for that matter? Well, to start… let’s clarify what I mean by “healthy.” I’m not talking about super “clean eating” or all “healthy” recipes in the traditional sense. I’m talking about how do we navigate Thanksgiving so that we feel both emotionally and physically our best? (Hint: Keep reading, but the diabetes Thanksgiving recipes listed below can help!)
- First, remember that it’s one day. If you want that real-deal-straight-from-grandma’s-oven-piece-of-pecan-pie, GO FOR IT! The emotional joy you will feel is so much better for you than the stress and anxiety of restriction on a holiday (or any time of year).
- Second, don’t starve yourself the day before, day of, or day after to “save room” OR to “make up” for what you eat at Thanksgiving dinner. Again, it’s one meal. Just like one salad doesn’t instantly make you healthy, one dinner doesn’t instantly make you unhealthy.
- And finally, eat what you want and don’t eat what you don’t want to. Sure, someone might be shoving another piece of something at you or asking if you want something you don’t really want… but that doesn’t mean you have to say yes. Save that room in your stomach for what you really want to eat! And then use the rest for these diabetes Thanksgiving recipes!

You don’t have to stick to low carb Thanksgiving desserts
Allow yourself some freedom to enjoy what you feel comfortable with. Chat with your doctor about how you can enjoy traditional Thanksgiving treats while still managing your diabetes.
Keep the family classics and lighten up the rest
One thing to remember when you have diabetes is that high and low blood sugars have a direct impact on the way you feel physically. And it’s hard to be present with the people you care most about when you don’t feel well.
So, how do you navigate wanting to honor your cravings and the food you’ve looked forward to all year, but also wanting to feel physically your best so you can enjoy the day?
My primary tip, in addition to trying some of the diabetes Thanksgiving recipes listed below… is to NOT try to sub a new recipe for a family classic. You’ll just be disappointed.
Example A: I will never ever ever ever try to make a lower carb or healthier cornbread dressing recipe. I’ve been eating my grandma’s version since I was two, and I don’t plan to ever stop. But, things like green bean casserole and sweet potatoes? Sure, I have no problem making a tasty and somewhat healthier version that will make managing my blood sugars easier.

Diabetes-friendly Thanksgiving recipes by course
So, now… on to some of those diabetes-friendly Thanksgiving recipes. And remember, these are all delicious and great options. But if you try to sub one of them for a classic you’ve been looking forward to all year, you’ll probably be disappointed. Click on any recipe name to see more about it:
Appetizers
- Ultimate Fall Harvest Charcuterie Board
- Creamy Dijon Spinach Artichoke Dip
- Pumpkin Pie Hummus
- Lentil and Walnut Stuffed Zucchini Cups
- Grown Up Deviled Eggs
- Jalapeño Cranberry Dip
- Stuffed Endive Appetizer with blue cheese and apple
- Roasted Okra with Smoky Red Pepper Ricotta
Main dish
Sides
- Roasted Purple Sweet Potato and Beet Souffle
- Maple Walnut Sweet Potatoes
- Spiced Carrot Apple Slaw
- Maple Balsamic Sautéed Mushrooms
- Basic Mashed Butternut Squash
- Balsamic Roasted Brussels Sprouts and Carrots with Maple Cranberries
- Cajun Green Beans
- Mediterranean Green Beans with Cilantro and Garlic
- Harvest Kale Salad with Pumpkin Seed Oil Dressing
- Butternut Squash with Pomegranate Vinaigrette
- Healthy Protein Cornbread
- Gluten Free Cornbread Dressing
- Cheesy Au Gratin Potatoes
- Basic Balsamic Green Beans
Desserts
- Low Sugar Pecan Pie with Maple Syrup
- Gingersnap Pumpkin Pie
- Chocolate Greek Yogurt Pie with Hazelnut Crust
- Roasted Sweet Potato and Banana Casserole
- Low Sugar Apple Crisp with Almond Flour and Oats
- Homemade Peanut Butter Cups
- Mini Pecan Pies (Plant based)
- Healthy Low Sugar Pumpkin Bread
- Gluten Free Pumpkin Cheesecake Bars
Healthy Thanksgiving appetizers for people with diabetes
1. The Ultimate Fall Harvest Charcuterie Board
This fall themed charcuterie board is PERFECT for munching on Thanksgiving day while you prep the big meal! Ultimate Fall Harvest Charcuterie Board by Milk & Honey Nutrition

2. Creamy Dijon Spinach Artichoke Dip
This delicious and creamy dip may have a few summer flavors happening but it’s perfect for family gatherings! Creamy Dijon Spinach Artichoke Dip by Milk & Honey Nutrition

3. Pumpkin Pie Hummus
This pumpkin dip is packed with fiber and protein, which can keep blood sugar stable by slowing the absorption of carbohydrates. Pumpkin Pie Hummus by A Grateful Meal
4. Lentil and Walnut Stuffed Zucchini Cups
These light bites are a savory and tasty start to your holiday meals! Tasty Lentil and Walnut Stuffed Zucchini Cups by Melissa Traub
5. Grown Up Deviled Eggs
Each bite of these grown up deviled eggs packs protein and healthy fats as well as a punch of flavor from horseradish and whole grain mustard. Grown Up Deviled Eggs from The Gourmet RD
6. Jalapeno Cranberry Dip
Jalapeño Cranberry dip is festive and nutritionally balanced (contains protein, carbohydrates and fat). It would be a great addition to a Thanksgiving spread! Jalapeño Cranberry Dip by Leanne Ray

7. Stuffed Endive Appetizer with blue cheese and apple
These stuffed endive leaves offer the same crunch as chips and dip, but with more fiber and fewer carbs. They make a great appetizer for Thanksgiving! Stuffed Endive Appetizer with blue cheese and apple by It’s a Veg World After All
8. Roasted Okra with Smoky Red Pepper Ricotta
This simple, but fancy looking, side is a good source of fiber thanks to roasted okra and a whole red pepper whipped into the ricotta. Ricotta provides some protein too to help moderate blood sugar response. Roasted Okra with Smoky Red Pepper Ricotta by Make Healthy Easy
Diabetes-friendly Thanksgiving main dish
1. Sheet Pan Cranberry Pork Chops
Not cooking a whole turkey this year? These pork chops roast with cranberries on one sheet pan, and each serving has 44g protein and 25g carbs. They’re a great fit for a smaller Thanksgiving or a Friendsgiving. Sheet Pan Cranberry Pork Chops by Milk & Honey Nutrition
Thanksgiving side dishes for people with diabetes
1. Roasted Purple Sweet Potato and Beet Souffle
This roasted purple sweet potato and Beet Souffle is equally delicious and nutritious… and beautiful to look at! Roasted Purple Sweet Potato and Beet Souffle by Milk & Honey Nutrition

2. Maple Walnut Sweet Potatoes
You NEED these Maple Walnut Sweet Potatoes in your life! The flavor and texture combine for the perfect holiday side dish. Maple Walnut Sweet Potatoes by Milk & Honey Nutrition For carbs and tips, read Can People with Diabetes Eat Sweet Potatoes?

3. Spiced Carrot Apple Slaw
This recipe is so versatile, serve hot or cold, by itself or with a tangy yogurt sauce, with chicken or over rice… the possibilities are endless! Spiced Carrot Apple Slaw by Milk & Honey Nutrition
4. Maple Balsamic Sauteed Mushrooms
These maple balsamic mushrooms have just a hint of sweetness from maple syrup and pair wonderfully with any main course! Maple Balsamic Sautéed Mushrooms from Kiss in the Kitchen
5. Basic Mashed Butternut Squash
This simple mashed squash is easy to make & requires just a few ingredients to make. It is full of fiber too to help keep blood sugar levels more stable. Basic Mashed Butternut Squash from Sinful Nutrition
6. Balsamic Roasted Brussels Sprouts and Carrots with Maple Cranberries
Maple balsamic roasted veggies are a great side dish for any holiday gathering, full of fiber and antioxidants. Balsamic Roasted Brussels Sprouts and Carrots with Maple Cranberries from Bucket List Tummy
7. Cajun Green Beans
Here’s a heart healthy, high fiber side dish that’s good to you and for you! Cajun Green Beans by The Millers Kitchen
8. Mediterranean Green Beans with Cilantro and Garlic
a delicious twist on green beans and a great way to add extra veggies to balance out a meal for blood sugar control. Mediterranean Green Beans with Cilantro and Garlic by Olive Tree Nutrition

9. Harvest Kale Salad with Pumpkin Seed Oil Dressing
A harvest kale salad packed with seasonal ingredients and topped off with a pumpkin seed oil dressing. Perfect for a weekday lunch or as a special appetizer for your Thanksgiving menu. Packed with fiber and healthy fats, this Harvest salad is also appropriate for someone with diabetes! Harvest Kale Salad with Pumpkin Seed Oil Dressing by Kara Lydon
10. Butternut Squash with Pomegranate Vinaigrette
What’s better than butternut squash that’s sweet with no added sugar? Butternut Squash with Pomegranate Vinaigrette by Amy Gorin
11. Healthy Protein Cornbread
This cornbread is made with almond flour and oats, so each piece has 5g protein and 17g carbs. It’s great next to a bowl of chili the rest of the season too. Healthy Protein Cornbread with Almond Flour and Oats by Milk & Honey Nutrition
12. Gluten Free Cornbread Dressing
This is my grandma’s cornbread dressing, the one I mentioned above that I’ll never change. It’s gluten free, and a serving has 39g carbs and 11g protein, so plan for it as one of the starches on your plate. Gluten Free Cornbread Dressing by Milk & Honey Nutrition
13. Cheesy Au Gratin Potatoes
These gluten free au gratin potatoes are creamy and cheesy, with 19g carbs and 9g protein per serving. Gluten Free Cheesy Au Gratin Potatoes by Milk & Honey Nutrition
14. Basic Balsamic Green Beans
Want a lighter swap for green bean casserole? These balsamic green beans have 10g carbs and 3g fiber per cup, and they’re an easy way to add a non-starchy vegetable to your plate. Basic Balsamic Green Beans by Milk & Honey Nutrition
Diabetes-friendly Thanksgiving desserts
1. Low Sugar Pecan Pie with Maple Syrup
Pecan pie was always a family favorite growing up, so I was determined to figure out a way to make a lower sugar pecan pie that was equally as tasty and delicious. This one has a hint of coconut and creaminess that I think make it the perfect after meal treat during the holidays… you’d never know it was “lower sugar.” Lower Sugar Pecan Pie by Milk & Honey Nutrition

2. Gingersnap Pumpkin Pie
This pumpkin pie has reduced sugar from a traditional version and uses honey yogurt in place of the whipped cream dollop. It’s been deemed a keeper! Gingersnap Pumpkin Pie from Live Best
3. Chocolate Greek Yogurt Pie with Hazelnut Crust
The best part of this beautiful Chocolate Greek Yogurt Pie dessert recipe is that it was crafted to be low sugar and high protein, with 9 grams of protein and 3 grams of fiber per serving. How did we manage that? Welcome to the mystical, magical world of cooking with Greek yogurt! Chocolate Greek Yogurt Pie with Hazelnut Crust by Rebecca Bitzer
4. Roasted Sweet Potato and Banana Casserole
We love this roasted sweet potato banana casserole! It has far less sugar and more fiber than traditional sweet potato marshmallow casserole! Roasted Sweet Potato and Banana Casserole by To Taste
5. Low Sugar Apple Crisp with Almond Flour and Oats
Fall is here and I’m pretty sure there’s nothing more satisfying and cozy than a warm bowl of apple crisp! And, if you need a low sugar or gluten free apple crisp recipe, this is the one for you! Low Sugar Apple Crisp with Almond Flour and Oats by Milk & Honey Nutrition

6. Homemade Peanut Butter Cups
These homemade peanut cups couldn’t be easier to make and are the perfect single serving dessert! Indulgent yet balanced with healthy fats and protein, they are ideal for anyone being mindful of desserts and potential blood sugar spikes! Homemade Peanut Butter Cups by Kiss in the Kitchen
7. Mini Pecan Pies (Plant-Based)
The simple homemade crust is made of almond flour, coconut oil, and Medjool dates. The gooey filling is made from almond butter, almond milk, and plump Medjool dates. Each mini pie is topped with a pecan half and an optional dollop of coconut ice cream. Mini Pecan Pies (Plant based) by Patricia Bannon

8. Healthy Low Sugar Pumpkin Bread
If pie isn’t your thing, this gluten free pumpkin bread has 23g carbs and 3g fiber per slice. Bake it a day or two ahead and serve it with coffee after dinner. Healthy Low Sugar Pumpkin Bread by Milk & Honey Nutrition
9. Gluten Free Pumpkin Cheesecake Bars
These pumpkin cheesecake bars sit on an oatmeal crust and are easy to slice and serve for a crowd. Gluten-Free Pumpkin Cheesecake Bars with Oatmeal Crust by Milk & Honey Nutrition
Save this list for Thanksgiving week, or come back to it any time you want a diabetes-friendly dish you know your family will love.


