Can Diabetics Eat Pizza?

Nutrition
Whitney Winn
2 min read

Can Diabetics Eat Pizza? Yes! Here’s How to Enjoy It Smarter.

Pizza is one of the most common “Can I still eat this?” foods for people living with type 2 diabetes. The short answer: yes, you can eat pizza—but how your body responds depends on portion size, crust type, toppings, and your overall carb strategy.

Here’s how to enjoy pizza without sending your blood sugar off course.


1. Be Mindful of Crust Type

The crust is where most of the carbs come from.

Try these swaps:

  • Thin crust instead of deep dish

  • Cauliflower crust for a lower-carb option

  • Whole-grain crust, when available

Even with thin crust, slices can vary widely in carbs. When in doubt, stick to 1–2 slices and pair with something lower carb like a salad.


2. Balance Toppings Wisely

High-fat meats can slow digestion and may lead to delayed blood sugar spikes.

Better choices include:

  • Grilled chicken

  • Veggies (peppers, mushrooms, spinach, onions)

  • Light cheese

Adding more vegetables increases fiber, which can help soften the glucose rise after eating.


3. Watch the Timing of Your Carb Load

Pizza is a mixed meal: carbs, fat, and protein. This combo often leads to a late blood sugar spike, sometimes 3–4 hours after eating.

People using insulin may notice:

  • The need for a delayed bolus (if their pump allows)

  • A need to monitor for extended digestion

  • A higher post-meal glucose if dosing only once upfront

Talk with your provider about strategies that fit your regimen.


4. Consider Pairing Strategies

Pairing pizza with:

  • A side salad

  • A protein (grilled chicken, turkey meatballs)

  • A non-starchy vegetable

…this can help keep your meal become more balanced.


5. Portion Still Matters

Enjoying pizza doesn’t mean eating the whole box.
Start with one slice, check your glucose with Pip after, and adjust next time based on how your body responds.


The Bottom Line

You can eat pizza with type 1 and 2 diabetes. Just do it with intention! Choose smarter crusts, build balanced toppings, watch portions, and pay attention to your glucose patterns afterward.

As always check your blood sugar before and after eating and anytime you feel your Blood Sugar Levels may be high or low. Check with your Pip Kit easily!