When it comes to spaghetti sauce, there are many different options. Some spaghetti sauces contain ingredients that make them not the best spaghetti sauce for diabetics such as sugar and high-fructose corn syrup. The spaghetti sauce you choose should be low-carb spaghetti sauce, low in fat, and high in fiber. This will help keep your blood sugar levels stable and reduce your risk of spiking blood sugar levels!

The #1 Best Pasta Sauce for Diabetics

Yo Mama's Foods Marinara Pasta Sauce

  • 60 calories
  • 4,5 g fat (0 g saturated fat)
  • 130 mg sodium
  • 5 g carbs
  • 1 g fiber
  • 2 g sugar

How Much Sugar Is There in Tomato Sauce?

Although canned tomatoes contain natural sugar from the tomato, tomato sauce is typically made with added sugar. The amount of sugar in spaghetti sauce would depend greatly on the type of spaghetti sauce you use as well as the flavor. In general, spaghetti sauces contain anywhere between 4-5 grams of added sugars per serving. That's on top of the already natural sugars from tomatoes.

Some brands have over 18 grams of sugar per serving. That is a lot! 

Here is a list of tomato sauces and products that could contain added sugar and should always be checked before buying. Always compare ingredients.

  • Marinara sauce
  • Sauce with ground beef
  • Tomato paste
  • Tomato puree
  • Peeled tomatoes
  • Alfredo sauce

Can Diabetics Eat Tomato Sauce?

Yes, but with moderation and close attention to what tomato sauce you choose.

Tomatoes are a good source of vitamins, minerals, antioxidants like lycopene which help your body function its best on a cellular level! Tomatoes have a low glycaemic index of less than 15, which is good for diabetics.

But, spaghetti sauce typically contains sugars that are not good for diabetics. It's recommended you eat homemade sauce or spaghetti sauce that has been made with less sugar. Those who like to add some sweet stuff may want to consider buying spaghetti sauce without added sugars and add your own natural sweetness such as fruits or veggies.

There are plenty of low-carb spaghetti sauces out there if you look hard enough! While the product isn't bad for diabetics, it's best not to eat too much in one serving size due to its high carb content from the pasta or noodles themselves. 

What Is The Healthiest Pasta Sauce?

Is it time to cook a low-sugar, low-carb pasta dinner? To begin, get a box of high-protein pasta to reduce carbs. There are many brands with good ingredients that won't spike blood sugar levels too much! I tried to rate based on taste but I made descicions based on how healthy sauces are.

1. Yo Mama's Foods Keto Marinara Pasta Sauce with No Added Sugar

Per serving: 60 calories, 4,5 g fat (0 g saturated fat), 130 mg sodium, 5 g carbs (1 g fiber, 2 g sugar), 1 g protein, 0 g added sugar

This is a great sauce that tastes authentic and wonderful! This pasta sauce is the perfect complement to your favorite food. Made from fresh tomatoes for a hearty flavor and without added sugars, it's almost sugar-free, you can feel good about giving this as a gift or having it on hand as an everyday necessity.

This healthy, low-carb pasta sauce doesn't sacrifice flavor! Made with all-natural ingredients for a guilt-free meal your whole family will enjoy. Enjoy a truly authentic Italian Pasta Sauce made with whole, fresh non-GMO tomatoes, fresh garlic, and basil seasoning, and organic chicken stock.


  • Great flavor
  • Fresh ingredients
  • Non-GMO Tomatoes
  • No Added Sugars


  • Some say it has a little bit too much garlic

2. Mina Shakshuka Tomato Sauce Crafted with Moroccan Herbs and Spices

Per serving: 80 calories, 5 g fat (1 g saturated fat), 310 mg sodium, 6 g carbs (2 g fiber, 3 g sugar), 1 g protein, 0 g added sugar

It makes any dish feel like it came from a street cart in the Middle East.

Presented with savory or sweet, Shakshuka sauce is 100% satisfying and tastes better than ever on your favorite dishes. It may seem impossible to replicate the taste of Morocco’s famous Egg Skillet using pasta, but Mina's thick and vibrant tomato sauce comes close.

Enticing aromas will arise when you add chopped tomatoes, leeks peeled off their strings, a little thyme for flavor touch-up—but that’s just where the magic begins! One splash of crystallized extra virgin olive oil transforms minced garlic into a captivating aroma you can practically see dancing through your kitchen island.


  • Authentic Moroccan Flavor
  • Fresh ingredients
  • Meets Whole30 Guidelines
  • No Added Sugars


  • A bit overpriced

3. Hoboken Farms Marinara Sauce with Whole Tomatoes and Pure Olive Oil

Per serving: 80 calories, 6 g fat (1 g saturated fat), 300 mg sodium, 6 g carbs (0 g fiber, 3 g sugar), 1 g protein, 0 g added sugar

A wholesome and indulgent marinara sauce made with organic tomatoes and long-cooked patiently in a time-honored tradition. The secret is a simple olive oil base, fresh garlic, sea salt, and umami spices; absolutely no added sugar or preservatives are used.

You can make an infinite number of dishes simply by picking up your jar not only for Marinara: sauces like Puttanesca (tomato wine anchovy) Bolognese (meatless), Arrabbiata (spicy tomato), Carbonara - but also soups, stews, pizza, and noodles dishes.


  • Keto Certified
  • Fresh ingredients
  • NON-GMO Verified Tomatoes
  • No Added Sugars


  • Was expecting a thicker sauce

4. 365 by Whole Foods Market Pasta Sauce with Organic Basil

Per serving: 60 calories, 2,5 g fat (1 g saturated fat), 410 mg sodium, 8 g carbs (2 g fiber, 4 g sugar), 2 g protein, 0 g added sugar

From the makers of 365 by Whole Foods Market pasta sauces with organic basil, the newest product is rich in flavor and big on taste. Not only do they cater to vegans but they offer a sauce that has no added sugar, is lower in fat than most traditional sweet tomato sauces, and contains less fat and more fibers than other leading brands.

What makes this product so special is its vegan-friendly ingredients list allowing consumers to save or splurge depending upon their preferences or diet type: dairy-free, gluten-free, and low-carb diets.


  • Vegan
  • Fresh & Organic ingredients
  • No Added Sugars
  • Cheap


  • A bit too chunky

5. Rao's Homemade Marinara Sauce

Per serving: 100 calories, 7 g fat (1 g saturated fat), 420 mg sodium, 6 g carbs (1 g fiber, 4 g sugar), 1 g protein, 0 g added sugar

Experience the rich flavors of Rao's Homemade Marinara Sauce that you'll only find here. They slow cook sweet, Italian plum tomatoes with fresh ingredients to create this classic sauce. It has a touch of sweetness from those plums and a little less acidity for a satisfying taste. All-natural, premium, homemade—you can really taste the difference in this small-batch cooking process. Don't wait! Get your jar today.


  • Rich Flavors
  • Small-batch Cooking Process
  • No Added Sugars
  • Amazing Taste


  • Can use a bit more spices

6. Cucina Antica Tomato Basil Pasta Sauce

Per serving: 45 calories, 1 g fat (0 g saturated fat), 230 mg sodium, 7 g carbs (2 g fiber, 6 g sugar), 2 g protein, 0 g added sugar

Tomato season is upon us and that means tomatoes (and their natural sugars) are ripe, affordable, and good for you. Cucina Antica tomato basil pasta sauce uses imported Southern Italian tomatoes, not paste, and it has no added sugar or artificial anything

The pasta sauce is made with fresh herbs and spices like thyme and garlic instead of salt (the key source of sodium). No one will know your family-favorite dish is healthier when they try this zesty pasta sauce alternative!

Save time when cooking tonight by quickly heating up our 100% plant-based tray for two...or enjoy many delicious dishes during the week.


  • No Artificial Preservative
  • GMO-Free and Gluten-Free
  • No Added Sugars
  • Made with imported Southern Italian tomatoes


  • Plastic Jars

7. Antonio Carlo Authentic Italian Handmade Vegan Gourmet Marinara Sauce

Per serving: 130 calories, 11 g fat (1,5 g saturated fat), 460 mg sodium, 7 g carbs (1 g fiber, 4 g sugar), 2 g protein, 0 g added sugar

If you’re looking for an amazing marinara sauce that isn’t full of preservatives, sugar, or other things that would take away from the healthy flavor this is it. They craft the homemade authentic Italian recipe one small batch at a time with olive oil harvested at the peak of its freshness and hand-crushed vine-ripened tomatoes, garlic, basil. No added sugars (the sauce tastes amazing without anything else). Plus it's vegan and gluten-free.


  • Vegan
  • All-Natural Ingredients
  • No Added Sugars
  • Fresh and Small-batch Process


  • I saw some reviews about being broken/spoiled on arrival
  • High in sodium

8. Primal Kitchen Marinara Sauce with Tomato & Basil

Per serving: 50 calories, 2 g fat (0 g saturated fat), 480 mg sodium, 8 g carbs (1 g fiber, 5 g sugar), 2 g protein, 0 g added sugar

From pasta to salads, to even pizza, this sauce always tastes so good. It's vine-ripened tomatoes cooked down with garlic and basil for a flavor that only time can bring out. But it's the infusion of creamy avocado oil that takes things over the top—smooth without being too heavy or cloying—and adds a creamy richness that balances nicely with the fiery zestiness of fresh tomatoes. This super flavorful sauce is perfect atop any spaghetti dish or sandwich toppings for creative spice combinations.


  • Organic Ingredients
  • No Olive Oil (good for allergies)
  • No Added Sugars
  • Not watery but good thick sauce


  • High in sodium

9. Barilla Premium Pasta Sauce With No Added Sugar
166 Reviews
$39.99 Buy on Amazon

9. BARILLA Premium Pasta Sauce with No Added Sugar

Per serving: 45 calories, 0 g fat (0 g saturated fat), 430 mg sodium, 11 g carbs (3 g fiber, 5 g sugar), 2 g protein, 0 g added sugar

Who says you can't indulge in decadent flavors without feeling guilty? The BARILLA Premium Pasta Sauce is made with 100% extra virgin olive oil and vine-ripened tomatoes, which means their delicious pasta dishes are naturally sweet.

This sauce contains no artificial colors or flavors, preservatives, or added sugar, making it the perfect addition to your daily diet. Whether you're looking for a rich tomato flavor that's light on the spice scale or if you want something more robust to satisfy real craving tastes, this BARILLA Premium Pasta Sauce should be at the top of your list!


  • No Artificial Flavors and Colors
  • Kosher Certified
  • No Added Sugars
  • 100% Extra Virgin Olive Oil


  • High in sodium

10. Prego Traditional Pasta Sauce

Per serving: 60 calories, 1,5 g fat (0 g saturated fat), 460 mg sodium, 9 g carbs (3 g fiber, 6 g sugar), 2 g protein, 0 g added sugar

Prego Traditional Pasta Sauce delivers the delicious tastes of real tomatoes, garlic, and onion using no high fructose corn syrup or artificial sweeteners. Full of flavor without the guilt! It's a tomato-based sauce with a perfect balance of sweetness and tanginess. This traditional pasta sauce is naturally low in fat, which makes it a heart-healthy choice for any meal. The naturally sweet flavor from tomatoes, onions, and fresh garlic adds a wonderful dimension to this traditionally thick pasta sauce.


  • All Organic Ingredients
  • No Added Sugars
  • Perfect balance between watery and thickness


  • High in sodium
  • Not much flavor

How To Find the Best Low-Carb Spaghetti Sauce

There are a few important things you need to check before buying spaghetti sauce to make sure it's low-carb and healthy for diabetics.

Illustration Of How To Find The Best Low-Carb Spaghetti Sauce

No Added Sugar

First, check the label for added sugars or any other sweeteners you can't pronounce! In most tomato sauces, you'll see a high amount of sugar added. Not good for spaghetti sauce!

High-fructose corn syrup, cane juice crystals, rice syrup, and maltodextrin are added sweeteners that aren't healthy for diabetics at all! Even though spaghetti sauces are low in these ingredients, they can still be found if not checked carefully enough.

High Fiber Content

A spaghetti sauce with some natural sweetness from fruit such as applesauce but without any added sugars will have a higher fiber content which is what you want when picking spaghetti sauce for your pasta dishes! The more fiber the better for balancing blood sugar levels throughout the day and keeping the body in a better state overall.

Low In Fat

Spaghetti sauce can contain high amounts of saturated fat from meats and cheeses, so you'll want spaghetti sauce with low levels of these ingredients. Opt for spaghetti sauces without meat if possible or at least less than one gram per serving! Low saturated fat spaghetti sauce will be healthier when it comes to managing your weight as well as keeping blood sugars within healthy limits.

When a pasta sauce contains olive oil that is all fine. Just make sure it doesn't contain any fatty oils or additives like saturated fat.

Limited And Clean Ingredients

The fewer ingredients, the better when it comes to spaghetti sauce. If there are 15+ ingredients in spaghetti sauce, keep looking because that's too many additives and preservatives that will hurt your health rather than help it. Stick with low-carb spaghetti sauces made of real food with limited ingredients for healthier pasta dishes without compromising flavor or taste! Tomatoes, garlic, onions, and a few spices are all you need.

Nutritional Factors

Watch for any sodium content in spaghetti sauces. Some spaghetti sauces have high sodium levels which can be bad for you if you're not careful!

Frequently Asked Questions

Is Canned Tomato Sauce Good for Diabetics?

There are many spaghetti sauces that are considered good spaghetti sauces for diabetics. One of these is making spaghetti sauce from canned tomatoes. The reason for this is because this spaghetti sauce and especially homemade pasta sauce is low in sugar and high in fiber compared to premade spaghetti sauce with added sugars.


If you are trying to eat pasta sauce for diabetics, the spaghetti sauce should be low-carb spaghetti sauce, low in fat, and high in fiber. The best spaghetti sauces for diabetics typically have less than 5g of sugar per serving. Sometimes, canned tomato sauce or homemade pasta sauce from canned tomatoes is considered a good spaghetti sauce because it has lower carbs compared to premade spaghetti sauces that contain added sugars. 

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About the Author

Inez Briand

Inez Briand is the partner of a type 1 diabetic (Ely). She has always been interested in traveling and cooking, and now that she has a partner with diabetes, her interest in cooking even more healthily has skyrocketed. She loves finding new recipes for her partner and family and sharing any food and nutrition-related articles on Diabetic & Me.

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