Sugar and Diabetes: What’s Safe to Eat and What to Limit

By Andrea Cohen
Published 3/5/2026
Dietitian Reviewed: Jane Schwartz, RDN, CLT
Sugar and Diabetes: What’s Safe to Eat and What to Limit
Photo Credit: Adobe Stock

Hearing the words “you have diabetes” can instantly change how you look at food. Suddenly, meals may seem more like a math problem you need to solve, rather than being something carefree and enjoyable, with sugar often feeling like the first thing you have to factor into those equations. Desserts, treats, and even simple pleasures like fruit can start to feel off-limits.

But here’s something many people are relieved to learn—having diabetes doesn’t mean you have to swear off sugar forever. Managing blood sugar is more about understanding how different foods affect your body than about cutting out entire food groups. With the right approach, sugar can still fit into your life.

Not All Sugar Affects Blood Glucose the Same Way

One of the biggest misunderstandings about diabetes is the idea that all sugar is equally harmful. In reality, where sugar comes from, and what it’s eaten with, plays a major role in how it impacts blood glucose. Our dietitians share some insight into different types of sugar and how they may affect your body.

Natural sugars from whole foods

Natural sugars are found in foods like fruit, milk, and plain yogurt. These foods don’t just contain sugar — they also provide fiber, protein, or fat, which slow digestion. This slower breakdown helps prevent sharp rises in blood sugar.

For example, eating a whole apple tends to raise blood sugar more gradually than drinking apple juice. The fiber in the apple makes a difference. That’s why whole fruits are often included in diabetes-friendly meals.

Added sugars

Added sugars are mixed into foods during processing or preparation. Soda, candy, cookies, and many packaged snacks fall into this category. These foods are digested quickly and don’t offer much nutritional value, which can cause blood sugar to spike.

This doesn’t mean you can never enjoy them, but they’re best limited and enjoyed mindfully rather than eaten often or in large amounts.

Refined carbohydrates

Refined carbohydrates don’t always taste sweet, but they can still have a big impact on blood sugar. Foods like white bread, white rice, regular pasta, pretzels, and many breakfast cereals break down rapidly in the body and can raise blood glucose just as quickly as added sugar.

Whole grains such as oatmeal, quinoa, brown rice, and farro digest more slowly because they contain fiber. This steadier digestion supports more stable blood sugar levels. Many diabetes-friendly recipes and meals are built around these smarter carbohydrate choices.

How Sugar Can Fit into a Diabetes-Friendly Eating Plan

For many people with diabetes, sugar can still be part of a healthy eating pattern when it’s eaten in moderation and paired with other foods. Combining sweet foods with protein, fiber, or healthy fats helps slow how quickly sugar enters the bloodstream.

Portion size also matters. A few bites of dessert after a balanced meal is very different from eating something sugary on its own or eating a large portion. The overall balance of your plate often matters more than whether a single ingredient contains sugar.

Smarter Ways to Satisfy a Sweet Tooth (and Recipes)

Cravings happen and ignoring them completely can make healthy eating feel unsustainable. But the good news is there are ways to enjoy something sweet without sending blood sugar soaring.

If you’re craving something sweet, here are some diabetes-friendly options:

Heart Healthy Peanut Butter and Apple Wedges
Photo Credit: Baldwin Publishing Staff Photographer
15 mins
Heart Healthy Raspberry Yogurt Parfait
Photo Credit: Baldwin Publishing Staff Photographer
15 mins
Heart Healthy Chocolate Covered Strawberries
Photo Credit: Getty Images
20 mins
  • Balanced dessert recipes made with fiber-rich and protein-containing ingredients, such as you’ll find in these satisfying Sweet Potato Protein Bites
Sweet Potato Protein Bites
Photo Credit: Baldwin Publishing Staff Photographer
90 mins

You’ll also find a variety of diabetic desserts and diabetic snack recipes on our site that are designed to be satisfying while still supporting healthy blood sugar levels.

Learn What Works Best for Your Body

No two people respond to food in exactly the same way. Checking your blood sugar after meals and snacks can help you understand which foods are okay for you to eat and which ones may need to be limited or avoided. A registered dietitian can also be a valuable resource. He or she can help you plan meals, balance carbohydrates, and enjoy a wider variety of foods, including those with sugar, while keeping blood sugar in a healthy range.

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