Food Library

Dairy and plant-based alternatives with gestational diabetes

In a gestational diabetes meal plan, plain milk and yogurt count as carbohydrate even with nothing added, while most cheese carries almost none. Flavoured and drinkable yogurts can hold far more carbohydrate than their plain versions, and plant-based drinks run from almost none to more than cow's milk, depending on what they are made from and whether they are sweetened. This guide is about telling those apart in a shop or at the fridge: what to read on the label, how the common options compare side by side, and which cheeses and milks need care in pregnancy for reasons that have nothing to do with blood sugar. It is general information to use alongside the plan your care team or dietitian has given you, not a replacement for it.

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150 foodsLast reviewed: September 11, 2026Sources

Dairy & Dairy Alternatives: foods and gestational diabetes

How these were chosen

Plain and unsweetened versions, because they show what the food contributes before anything is added. A spread of protein levels, since that is where dairy differs most. Cheeses that are fine in pregnancy as sold, plus one that needs cooking first. Flavoured products are in the full list below; compare them against these.

What to look for

  1. Plain milk and yogurt still count as carbohydrate

    The carbohydrate in plain milk and yogurt is lactose, milk's own sugar. USDA's reference values put plain whole milk and plain whole-milk yogurt at a little under 5 g per 100 g. The ADA's 2026 Standards note that both the amount and the type of carbohydrate affect glucose levels, so milk or yogurt belongs in a meal's carbohydrate, not outside it.[1] [2]

  2. Read the sugar line against the plain version

    Plain dairy already contains lactose, so a sugar figure alone doesn't show whether sugar was added. US labels list added sugar separately ("Includes X g Added Sugars"), and the FDA counts honey, syrups and fruit-juice concentrates as added sugar. UK and EU labels give total sugars per 100 g ("of which sugars"). Plain yogurt has about 4 to 5 g per 100 g from the milk itself, so a flavoured one well above that has added sugar; the ingredients list shows what kind.[1] [3] [4]

  3. Protein and fat don't move with carbohydrate

    The ADA's 2026 Standards set a minimum of 71 g of protein a day in pregnancy, and dairy options differ more in protein than in anything else: strained yogurts and cottage cheese carry two to three times the protein of regular yogurt or milk. "Low-fat" is not a carbohydrate claim either. USDA lists plain low-fat yogurt at about 7 g of carbohydrate per 100 g, more than plain whole-milk yogurt.[1] [2]

  4. Plant-based drinks: check the base, then the sweetening

    What a plant drink is made from sets its carbohydrate. In USDA's figures, unsweetened almond and soy drinks are under 2 g per 100 g, oat around 5 g (similar to cow's milk) and rice around 9 g. Only soy comes close to cow's milk for protein; almond, oat and rice carry under 1 g per 100 g. Sweetened versions add sugar on top, so look for "unsweetened" on the carton.[1] [5]

  5. "Pasteurised" is the label word that matters for safety

    Some dairy needs care in pregnancy because of listeria, not blood sugar. The NHS advises avoiding unpasteurised milk, cream and yogurt, and notes that most supermarket dairy is pasteurised; the pack will say. Soft mould-ripened and soft blue cheeses need cooking until steaming hot even when pasteurised. Foods in this library with a pregnancy food-safety condition carry a caution badge.[6]

Side by side

Plain, strained and flavoured yogurt

Per 100 g
FoodCarbsSugarsProteinBlood sugar impact
Plain Whole Milk Yogurt
4.7 g4.7 g3.5 glow
Plain Greek Yogurt
3.2 g3.2 g9 glow
Skyr (Icelandic Yogurt)
4.2 g4.1 g11.5 glow
Flavored Yogurt (Low Sugar)
6 g4 g8 glow
Drinkable Yogurt (Dairy)
12.5 g11.8 g3.1 gmedium

Strained yogurts carry less carbohydrate and more protein than regular plain yogurt. Drinkable yogurt carries more than twice the carbohydrate of plain, and even a "low sugar" flavoured one carries more than plain.

Cow's milk and plant-based drinks

Per 100 g
FoodCarbsSugarsProteinBlood sugar impact
Whole Milk (Cow)
4.7 g4.7 g3.3 glow
Soy Milk
1 g0.4 g3.3 glow
Pea milk
0.1 g0 g3.3 glow
Almond Milk
0.6 g0.1 g0.5 glow
Oat Milk
7 g3.5 g1 gmedium
Rice milk
Caution
9.2 g5.3 g0.3 ghigh

Soy and pea drinks come closest to cow's milk for protein; oat and rice carry more carbohydrate and little protein. Brands differ, especially sweetened versus unsweetened, so check the carton.

Hard, soft and fresh cheese

Per 100 g
FoodCarbsProteinCaloriesBlood sugar impact
Cheddar
1.3 g24.9 g404 kcallow
Parmesan
0.1 g36 g420 kcallow
Mozzarella
2.2 g22.2 g280 kcallow
Feta (pasteurized)
4.1 g14.2 g264 kcallow
Cottage Cheese
3.4 g11.1 g98 kcallow
Brie
Caution
0.5 g20.8 g334 kcallow

Cheese carries little carbohydrate; energy and protein are what vary. Brie's caution badge is about preparation in pregnancy, not blood sugar.

Figures from each food's entry in this library. Open a food for its full profile and portion notes.

All foods in Dairy & Dairy Alternatives

150 foods in this category, each rated for glycemic impact and blood sugar effect.

Milk and Yogurt

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Plant-Based Dairy Alternatives

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Common questions

Is milk okay with gestational diabetes?

Milk isn't off-limits, but it isn't a free drink either. Its lactose counts as carbohydrate: roughly 12 g in a 250 ml glass of whole milk, by USDA's figures, so it belongs in the meal's carbohydrate total. How much fits depends on your own plan; your care team or dietitian can tell you.[1]

Is unsweetened almond milk a better choice than sweetened almond milk?

For carbohydrate, clearly. USDA lists unsweetened almond milk at under 1 g per 100 g and a sweetened vanilla version at about 6.6 g, nearly all sugar, which is more than cow's milk. Either way almond milk carries very little protein, so it doesn't replace milk or yogurt as a protein source.[1] [5]

Does Greek yogurt have fewer carbs than regular yogurt?

Usually, and more protein too. USDA's reference values put plain whole-milk Greek yogurt at slightly less carbohydrate and more than twice the protein of regular plain yogurt per 100 g, and the comparison above shows the same pattern. Flavoured Greek yogurts differ, so compare their sugar line with the plain version.[1]

Which cheeses should I avoid in pregnancy?

The rule is about listeria, not blood sugar. The NHS advises against unpasteurised dairy and says soft white-rinded cheeses (brie, camembert, chèvre) and soft blue cheeses (gorgonzola, roquefort) should be cooked until steaming hot. Hard cheeses like cheddar and parmesan, and pasteurised soft cheeses like cottage cheese, mozzarella, feta, paneer, ricotta and halloumi, are on its list of cheeses that are fine. Other countries draw the line differently, so follow your own health service's list.[6]

Should I cut out dairy to keep my blood sugar down?

Not as a rule. The ADA's 2026 Standards advise against restrictive eating patterns in pregnancy with diabetes, and name the paleo pattern specifically because it restricts dairy. If you don't eat dairy, the NHS notes that milk and dairy products are a source of iodine and that some soya and oat drinks are fortified with it; the label will say.[2] [7]

Keep reading

Important Safety Information

Every pregnancy is different, and gestational diabetes is managed differently depending on your readings, your medication and how far along you are. The ratings and portions on this page are general information — not a diagnosis, a treatment plan or a medical device — and they cannot see your results.

Low blood sugar:
If you take insulin or diabetes medication, eating less carbohydrate than your team planned for can push your blood sugar too low. Treat a reading below 70 mg/dL (3.9 mmol/L), or symptoms such as shaking, sweating, confusion or a racing heart, with fast-acting carbohydrate immediately and retest after 15 minutes. Never use this page as a reason to skip or shrink a meal you were told to eat.
Carbohydrate and ketones:
Cutting carbohydrate hard to force a number down is not safe in pregnancy — it can produce ketones. Published guidance sets a minimum of 175 g of carbohydrate per day in pregnancy. Readings that stay above target for several days need your care team, not a smaller portion.
Medication and insulin:
The portions here are generic and know nothing about your insulin doses, your metformin, or the steroids given to mature your baby's lungs — all of which change how a meal affects you. Never adjust a dose or a mealtime based on this page.
Food safety in pregnancy:
Blood sugar is not the only thing that makes a food suitable while you are pregnant. Some foods with excellent glycemic numbers still carry mercury, vitamin A, listeria or alcohol risks, and those are judged separately from the ratings shown here. Check your national pregnancy food-safety guidance before adding an unfamiliar food.
What these ratings can and cannot tell you:
Glycemic index values, impact ratings and maximum servings are population averages taken from published tables. Two people eating the same food can get very different readings, so your own meter is the only measurement that describes you. Nutrition figures are indicative per 100 g and vary with brand, ripeness and preparation.

Contact your care team the same day if: your readings stay above target for several days; you have a reading below 54 mg/dL (3.0 mmol/L) or needed someone else's help to treat a low; you test positive for ketones; or your baby is moving less than usual. Seek emergency care for confusion, fainting, repeated vomiting, or a low you cannot bring back up.

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