Quality CareFind out why Mayo Clinic is the right place for your health care. Make an appointment.
Meet the StaffFind a directory of doctors and departments at all Mayo Clinic campuses. Visit now.
Research and Clinical TrialsSee how Mayo Clinic research and clinical trials advance the science of medicine and improve patient care. Explore now.
Visit Our SchoolsEducators at Mayo Clinic train tomorrow’s leaders to deliver compassionate, high-value, safe patient care. Choose a degree.
Professional ServicesExplore Mayo Clinic’s many resources and see jobs available for medical professionals. Get updates.
Give to Mayo ClinicHelp set a new world standard in care for people everywhere. Give now.
Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.
Subscribe to Housecall
Our general interest e-newsletter keeps you up to date on a wide variety of health topics.
Subscribe to our Controlling Your Diabetes e-newsletter to stay up to date on diabetes topics.
For people who don't live with diabetes, eating pizza is usually a treat. The worst problem is you might eat too much.
My dietitian friends tell me pizza can be a healthy food (protein, vegetables and complex carbohydrates). "Can be" is the key. Those thick crusted, deep dish, meat lovers specials with extra cheese are probably not what my dietitian friends are talking about as far as a healthy meal.
Here are some interesting statistics from an industry Web site:
For people with diabetes, just thinking about pizza creates all kinds of emotional turmoil:
High fat foods such as pizza can cause a delay in the absorption of the carbohydrates for 2-3 hours after eating and can elevate the blood sugar for up to 8 hours.
So what's a person with diabetes to do? As you know, there are no hard fast rules in diabetes management; many times it's trial and error. You can do everything such as diet, activity and medication consistently and the blood sugar results will vary.
Is eating pizza worth it? I'll be anxious to hear from you this week.
Nancy Klobassa Davidson, R.N.
Peggy Moreland, R.N.
Selecting "Submit" signifies that you have read and agree to our posting guidelines.
I've been a diabetic for a couple of years now and whiiew I have watched what I can eat there is one food I am completely clueless as to "If" or "If Not" I should eat it it is a 8 piece deep dish pizza with extra cheese and onions from little ceasers. I have heard mixed reveues about it I was wondering if someone here could tell me if that kind of pizza is safe to eat. I haven't eaten it a lot but occasionally I have (mostly when friends are over).Like I said, I like this pizza but something inside of me is unsure if I should continue to enjoy this meal every now and then.
thanks, ive been trying to find some meals to cook for my mom but I cant find anything. She got type 2..
Pizza is a curse. A delicious delicious cure.
It's like drinking, I always regret it after I do it.
Pizza raises my blood sugar!
Yaz: You need not be afraid to eat. Meet with a dietician who can help you incorporate foods that you enjoy once in awhile. You did not say whether you have type 1 or type 2 diabetes or whether you are on oral medication or insulin. Regardless, a visit with a dietician can be very helpful.
I'm newly diagnosed. I am so scared to eat anything. I haven't eaten any real carbs since I found out about 3 weeks ago. I have been cooking lots of veggies and eating lots of salads. My husband has been very supportive, but I know he wants us to go have a pizza like we used to. I hate to deprive him :(
I hate thinking about the sugar that they pump into the dough, and the fat that is dumped on top. I hate seeing my sugar sky-rocket to three hundred and then suffer a major drop in my blood sugar after my shot, than I feel like crap the rest of the night. Also the protein in cheese as been reported as a carcinogen. Last but not least I don't like the taste of sugar on my pizza, it's a candy food made for children.
I have Type 2 and ADORE pizza, particularly the frozen pepperoni pizza cooked at home. I read labels, and find that I can enjoy pizza simply by cooking 1/6, 1/3, or 1/4 of a pizza (depending on brand and toppings). When I get a pizza home from the store, I remove it from the package, use a sharp butcher knife to cut it into the proper size wedges, wrap each wedge in plastic wrap, put the wedges into a zip-top plastic bag along with the label showing the nutritional data and cooking directions, and stow it all in the freezer. When I really want some pizza, I heat the oven, grab a wedge of pizza from the freezer, cook it up, and enjoy it! A 1/4 wedge of my favorite Tombstone pizza happens to be 38 carbs, and the other nutrition data is pretty good, too, so I tend to treat myself about once a week and am a VERY happy lady. PS: I am also a cheapskate, so I wad the used plastic wrap into balls and stick them back into the zip-top bag to use for the next pizza
Since being diagnosed 32 years ago with Type 2 diabetes, I have experimented with recipes for foods I like that raise BS. For pizza, I discovered a tasty treat. I toast a slice of whole wheat bread, spread on it part-skim mozzarella cheese, thin slices of pepperoni (sometimes turkey pepperoni) , sugar-free pizza sauce, and microwave it to heat it to have a treat that tastes very close to pepperoni pizza without raising my BS level so much. I also sometimes add thin slices of tomato, olives, small pieces of ground beef, turkey beef, and other foods in small quantities to experiment. It's fun and appetizing.
I have found a way to enjoy pizza! We buy the thin wraps that are whole wheat & low carb- I then put whatever I like on it - I can eat the entire wrap with all the veggies I want & I use turkey pepperoni on it - - does not make my blood sugar spike at all - - if you are a pizza lover this sure works great for me.
Thanks, I appreciate the insight.
I have had a few patient that wake up with higher blood glucose readings and have a long fasting time between bedtime and am (10-12 hours). These patients noticed when they have a bedtime snack (usually not pizza) they will wake up with a lower am blood glucose reading. My personal theory is the liver does not kick out any extra glucose early morning because the body is not hungry.
This is common medical advice but in my case it is sheer nonsense. I've had type II diabetes for four years with my blood sugar stabilizing at between 150 and 120, the higher numbers always in the morning. But a few months ago I had a craving for late night frozen pizza, the next morning my blood sugar fell to 110-the lowest it has ever been. Since then I have tried with repeated with the similar results. I can count on my blood sugar being 20-30 points lower than expected by eating a 12 - inch thin crust pepperoni pizza at night. (By the way, I do not have a weight problem, my diabetes was diagnosed after a sudden weight loss and even with a pizza diet my weight has held strong). Can anyone explain this?
I was diagnosed with type 2 diabetes about 2 years ago. Pizza was and still is my favorite food. Since being diagnosed I have lowers my numbers to the prediabetic range. I lost 18% of my body weight by using simple rules. I added exercise the second year.
1. Never eat pizza until you feel completely full. Stop one peace short of stuffed.
2.Order thin crust and don't eat the crust at all. The top is the best part anyway.
3.Eat an amount of salad (lettuce and Tomatoe are fine)equal in size to the crust you would have eaten, before you eat the pizza. I prefer to use a small amount of regular salad dressing over the real low calory stuff.
4.Drink a lot of diet soda, unsweetened iced tea, or water with the pizza. Several glasses. Most pizza places have free refills.
Let me know your thoughts.
First, thanks to all who took the time to post, I am a newly diagnosed type II and I appreciate the knowledge being passed on.. even the jerk comments, because it reminds me of how cranking and irritable we can get when our blood sugar spikes. I found a place that makes thin crust and whole wheat crusts, I alternate, get a personal pizza and usually eat 3/4 of it. I get garlic and anchovies on it (I have weird taste and ate that before I was diagnosed) I also do extra time on the treadmill after - always. I see a small spike but no noticeable difference between the thin crust and the whole wheat.
I cook for my brother who is diabetic. We find that making pizza crust from croissant dough does not affect(raise) his blood sugar like regular pizza dough does. Just parbake then load with toppings, to make it crispier.
Generally my pizza is thin crust and toppings consist of extra sauce, garlic, mushrooms, and any assortment of veggis (spinach and broc mostly)and, when in the mood, some anchovies. Never any meat but that's not a health decision, just a preference. To avoid too many carbs I just double up. I take the toppings from a second slice and just put them on top of the one slice. That way I can eat the toppings from 3 or 4 pizza's but only eat the thin crust slice from one or two.
I tried whole wheat crust using pesto or olive oil, vegetables, chicken,palm full of pizza cheese and sprinkle parmesan over the pie. It seems to keep me within my numbers.
Did you reply to me properly with your large mesasge? Because I only received the btw comment. Just read your comment about ketones, that sounds right (not that I'm an endocrinologist), but I'm still wondering how you can justify not' calling it a byproduct when most (if not all) of the literature I can find does? I'm not having a go at you, you just didn't give your definition of byproduct', so it's still hard to tell what your problem is. So, what's Med School like in Serbia?
Papa Johns has offered a whole wheat crust.
When i eat pizza I give my insulin bolis half way thru the meal and it works great. I. Was advised by my nutritinaliest.
Pizza dos not have to be a bomb. I have a eleven year old with diabetes type 1, and it s not easy to avoid pizza.So I made a compromise.I make a whole wheat dough, very thin and a lot of vegetables like artichokes,peppers,fresh tomatoes,a little bit of ham and a low fat cheese.My teen is happy and his blood sugar does not rise too much.And of course one jar of coca cola zero.
I'm a Type 22. I''ve had good luck with Kashi's Margherita pizza. It's a thin, mulitgrain crust, lots of fiber. I add veggies & lean Italian sausage, some low-fat cheese. I can eat 3 slices. Another very low carb solution for a great pizza taste is to broil a large portobello mushroom, add toppings & heat until cheese melts. Super!
I found out my blood sugar is 127. I haven't done a lot about it, I have never had to worry about what I eat before. Sometimes I get sick to my stomach after I eat, plus irritable, depressed and tired. I am now keeping a record of what I eat and going to keejp it to protein and vegs. Also I was wondering if I can drink organic decaf coffee. Any suggestions please. I have a lot to do and am 76 yrs old. Looking for a job. thanks
Pre-diabetic, still learning. But wonder about making my own pizza from Trader Joe whole wheat dough. Use tomatoe bruschetta and vegies then sprinkle with parmesan only. Wondering if that is possible.
I am a lucky one: one good slice, meaning not the tiny runt one, (thin crust, regular cheese, any veg) NY style from our local shop, for dinner and my morning blood glucose is always perfect. Can't always say that for more 'regulation' type dinner choices w/ portion control in place. Go figure.
Eating pizza is so worth it. I was diagnosed with type 2 three weeks ago; I'm having fun cooking for myself and discovering new diabetic friendly recipes. I will admit, though, that I am sick and tired of grilled chicken and/or salad. So, I'm planning on baking a homemade pizza this weekend using a whole wheat crust recipe, some good low fat cheese, and some lean meats (Canadian bacon, ground turkey, etc).
Susie, I think your initial response to the new diagnosis is typical. There is a "fear" component because of a knowledge deficient related to learning about this new chronic disease you now have. I would recommend you see a diabetes educator and dietitian to learn all you can about diabetes care/diet and how to manage it. Remember food is fuel for our bodies and essential to survival. You just need to learn how to eat healthier. "Mayo Clinic Diet Book" is an excellent resource for learning to eat healthier. Regards, Nancy
I found out this week that I have type 2 diabetes. Suddenly I am afraid to eat. I have barely eaten all day. My husband, who is also type 2 ordered us a pizza with cheese and vegetables. Is this ok? How many pieces can I eat (dominos). Where can i find an exchange lis? Help!
We know that large slugs of concentrated simple carbohydrates are not good for our metabolic system. In pizza, these slugs come mainly from the crust, not the topping. If I'm right, then the less crust the better.
(I'm convinced that concentrated simple carbohydrates - such as sucrose and white flour - are addictive, especially when combined with salt and fat. This, rather than the toppings might be the major source of our love for pizza, and many other foods that are not good for us.)
It's an interesting thought: what would it take to make a pizza low in simple sugars and starches?
Pizza - Generally, what has been said in the pizza article is true but, as always, not for all diabetics, of course.
I can enjoy two medium pieces of thin crust pizza with out too much of a BG rise. Do I want more than two pieces? Of course, but 2 is better than none! I enjoy a huge green and veggies salad with it and either 1 glass of beer or wine. The pizza has not ever shown to bother my next morning BG level.
I choose 1 to 1.5 bolus units more for a pizza meal or any pasta dish for years using MDI (injection) and now on a pump; do not use the Square or Dual wave; just add a bit more to my bolus pre meal.
I have found that to watch the type and amount of carbs has been very helpful for me. I suspect that for any of us not all carbs are equal
HINT: we do not always have to eat the entire crust! :0))
Type 1 for 53.5 years; doing OK most of the time.
Oooh...as much as I LOVE pizza, I can't touch 'em. My numbers shoot waaay too high for me to be able to eat them comfortably.
Diabetics rejoice - Papa Murphy's has an ultra-thin crust pizza called the "De Lite." It eliminates one of the major evils of pizza, the high carbs from the crust. They also offer several healthy topping combinations, including one with only vegetables. Give it a try - it might be your ticket back to enjoying America's favorite food! P.S. - Papa Murphy's also has delicious salads ready to go, which can help you balance your meal.
My son was recently diagnosed with type 1 diabetes. He didn't care about anything but giving up pizza. We found a brand, stuck with it & eventually figured out exactly how many units of insulin he needs to cover it, some baby carrots and a drink. He is SO happy & has his favorite meal once a week. Good luck!
For Canadians who would like to convert readings to US measurements there is a great website
200 US reading is 11.11 Canadian reading
There can be a danger when eating pizza from an unknown pizza shop. There have been instances when granulated sugar is added to the pizza sauce to make it sweeter.
I make my own pizza at home. Thin wheat crust. If I do desire a tomato sauce I use canned San Marzano tomatoes with a little salt and pepper, some fresh mozzarella, and some fresh basil. I also make a couple of varieties of white pies. The first is a shrimp scampi pie, and the second is made with fresh goat cheese, caramelized onions, and portobello mushrooms. I always start the meal with a large salad, and limit my quantities, and I never seem to have issues.
I'm a newly diagnosed T2. We have a pie shop, Pizza Luce', that makes their pies with whole grain flour(unbleached). I can have 3 slices and my BS levels stay in my target area. Using Metformin and exercise/diet to manage. I have pizza 3 times a month with no problems.
Pizza is highly NOT recommended for type II diabetics - at least if you want tight blood sugar control.
I have almost completely eliminated pizza from my diet. The reason: I had ONE slice a year ago and it made me very sick - my sugars went sky-high, super-blurry vision, the whole works.
So fight the pizza temptation, folks. It will save you a lot of grief later on.
My family has pizza once per week and I too love it. I realized it spike my sugar level so I asked about whole wheat pizza. That worked. Being lactose intolerant meant no cheese either. Now I have whole wheat pizza, veggies, pepperoni, pineapple no chees pizza and I love it. You just have to see what suits you, check your blood sugars and work with it. Don't eat too many slices either.
You better believe pizza is worth it. I'm a brand new type 2 insulin dependent diabetic. I can only eat one piece of this pizza, but I just make sure that I have a salad with a large varity of veggies in it to make it fulfilling and worthy of filling the void of not eating to many bad carbs. I've found that you can and never will get away with cheating anytime when it comes to your diet. So bottomline put the quality of life above anything that can effect your health in the immediate future or long-term. As far as I'm concerned pasta and rice have a more significate effect on my blood sugar than anything so far. So good luck all you diabetics and just believe you can do whats best for you now and in the future . Realize you are not only gaining strength, but you are leaving a postive impact on the people that are involved in your life.
Interesting to read. I am Type II 11 years. A1c was >11 when diagnosed. Diet and exercise for 8 years - A1c <6. Now use Byetta. I do low carb and exercise. Therefore with pizza its not the toppings (including fat!) that is the problem for blood sugars. Its the crust that affects blood sugars. Each has to decide for him or herself if it is better to cover carbs with meds or exercise or just avoid the carbs. I don't want to scare you but I avoid bread, pasta, rice, potatoes, and milk and high carb veggies (Beans, corn, peas lentils, etc.) I identify with those on this blog who eat the toppings and avoid the curst. Right on for me.
For Type 1 pump users - all you need to do is bolus for the initial spike b/c of the crust then set the square wave bolus at the same time to activate for about 2 or 3 hrs - after a while you eat the same brand of pizza a couple times, you see a pattern so you can up to dosage of the square wave bolus - works like a charm though pizza tends to make me fat & quick!
Eat pizza once a week. Type II. I eat Two slices. 1/4 of a twelve inch pizza. I exercise (Bike) 1 1/2-2 hours a day and piza doesn't seem to bother me. I don't take any meds. Diet management alone
I see that NO ONE bothered to mention exercise after eating. You can't eat and sit on your lazy butts. This causes blood sugars to spike. After eating, go for a 30 minute walk, longer if you can. You will be amazed how much you can eat and still keep your blood sugars from getting too high.
This past thanksgiving day after I ate about 50G of carbs or so, I spiked to 204. I immediately got on a treadmill and walked for 30 min. My BS dropped a whopping 100 points! I am not on any meds either. I am a type 2.
I can have my pizza, all I want, IF I want to walk 1/2 hour for each slice I eat.
Not a fair exchange though. 3 slices = 1 1/2 hours of walking.
I am a carnivore basically. I detest Veggies, always have and won't put them in my mouth.
i'm writing this for my 10 year old son . We have it figured out there is 60 carbs in a personal pan pizza hut pizza he put that into his pump and does fine with it .His blood sugar seems to be alittle higher but he is very out of control it doesn't seem to matter what he eats.
I am Type 2 Diabetes. I eat pizza that I make myself.
I prefer whole wheat dough, but not available at all grocery stores. I use l don't always use cheese. I most use veggies, like spinach, cauliflower; lemons slices;bacon bits;tomatoes;cabbage. I explore a lot. I very rarely use meats with a lot of fat.
Papa Murphy's has a Dee-Lite (sp?) pizza that we get with veggies and ham. Nutrition is posted on their site. I also make my own brownbag lunch pizzas with low-carb tortillas. You have to brown both sides of the tortilla first, or it will be soggy. They're easy to make, though, and I keep some in the freezer.
P.S. the 20g of carbs mentioned in my previous post are NET carbs, not total. Sorry for any confusion.
Cici's Pizza, a rapidly expanding chain, used to offer what they called an "Atkins Pizza:" tomato sauce, cheese and toppings layered in a pan (no crust!) and baked in the pizza oven. It's no longer on the menu officially, but we have found that most managers know of the Atkins Pizza and will gladly prepare them for us. By my calculations, my usual (hamburger/mushrooms/onions/green peppers) is about 269 calories, 20g carbs and 9.3g of fat. An Atkins Pizza plus all the salad you care to eat makes a very satisfying meal.
No matter what kind of pizza I eat I get a spike in blood sugar levels. I have tried all kinds even one piece will do it. I am on glyburide was taken off metformin because of problems. I just gave up eating pizza.
Eating Pizza is always worth it for me. I always get white pizza (oil and garlic) instead of pizza sauce. I usually get a protein such as chicken with a veggie like spinach. How many slices I eat depends on the size of the slice or how thick the crust. You can enjoy Pizza as a diabetic so long as you are making the proper choices according to your specific needs.
Ihave eaten pizza all my life, homemade and pizzarea (spelling). I have type 2 diabetes and have had for thirty years. I only order ham and pineapple most times with a thin crust. I only eat 2 slices, which is the recommended amount from the Canadian Diabetes Association. I don't understand your blood glucose levels in the U.S.A. but mine after eating two slices only rises 3 levels or 10-13. If anyone could inform me what this would be on the U.S. scale of the index I would be greatful.
I love pizza and not long before I found out I was diabetic I started having pains in my stomach the day after pizza, bowel issues and it felt like a stick was stuck in my intestines for a day, to stand or sit or bend over was very uncomfortable till the pains went away. Still happens even though I am on metformin now. I have tried two pieces one day and two the next and still causes me problems so no more of that, just not worth it to me for two tiny little pieces that will still get me in the end
I was in shock when I had a l/2 piece of pizza (because I was out) and when I came home, checked my blood sugar it was 270. I love pizza, is one my favorite, but I believe should be out from now on.
I order thin crust cheese/sausage. I scrape the toppings off, eating only the cheese and sausage. Most of the sauce stays behind along with the carb crust.
Love Pizza but it effects my blood sugar bad. It is good to get some info on what other people are doing. i am going to try Marvin M. idea i think that would work better for me.
I love pizza and am controlling my diabetes through diet alone. I found that by having a large salad and eating my one piece of thin crust pizza with a knife and fork, I can "have my pizza and eat it too"!
I have found that many pizzerias now are making whole wheat pizza, not only does it taste better than regular pizza but my sugar levels stay within my target.
I take Metformin for Type 2.And four to five times a month I eat two slices of a large,thin crust veggie pizza along with a medium sized apple without boosting my usual , controlled glucose level.
I adore pizza. I find that if I get a veggie type pizza --small size, and thin crust, that I am fine. However, I limit myself to it just a couple of times a month. Since I am not on meds, I have a Mich Ultra with it, which helps keep my readings in check. I want to tell you that the Papa John's wheat crust raised my glucose more than anything , because it has extra sweeteners
( molasses), etc. I won't touch it again. I wish they would manufacture a thin low carb healthy crust, so I could make my own. :) If so, please post it.
I also take Metformin and found that a small thin crust does not hurt me much. If I try to eat too much, my BG does spike to around 225. Conversly, a lady I know orders her pizza with no crust. Sounds awful, but she says it does no affect her glucose level abnormally. She just enjoys eating her pizza with a fork. Good luck to the rest of you.
I have type II and take Metformin. Wheneve I eat pizza I try to have a good sized salad with low/0 carb dressing before hand, otherwise I will eat too much. I also read the labels for frozen pizza and try to make the proper size ieces. I still am not totally comfortable around pizza because of the temptation to overeat. (over learned lifestyle pattern-pizza and breadsticks). I also find that by using my favorite pizza sauce as a veggy dip it takes some of the craving away.
I generally eat tomato pie... Pizza without the cheeze.
I've seen people avoid the crust by flattening chicken breasts or pork chops into a thin layer and cooking that separately. After it's cooked put your toppings on and you've got a nice filling 'crust' substitute that won't spike your insulin.
You could make low-carb pizza at home.
I scrape the toppings off the shell, and leave it.
Also, Papa Johns has a whole wheat crust, you can eat one shell wedge of it.
Usually I inject 10 units of Humalog at the start of a meal. One or two slices of thin crust pizza four inches wide do not pose a problem. It is when I eat more than two slices a problem is created. I add three units of Humalog for each extra four inch slice I eat and when I test for glucose 2 hrs later it is usually below 120 mg/dl.
I have insulin pump and used the extended delivery and did not have good success. I am sure that was caused by incorrect estimation af carbs. My BG was very high for me! I like one that has small amount of chicken and veggies with garlic sauce. I bake one and cut in portion size and wrap individualy for freezer. Of anyone knows how to calculate carbs please let me know. It is a real treat for me!
Mayo Clinic is a not-for-profit organization. Proceeds from website advertising help support our mission. Mayo Clinic does not endorse non-Mayo products and services.
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.
We comply with the HONcode standard for trustworthy health information: verify here.