A fall twist on a comfort-food classic, low-carb Pumpkin Alfredo is amazing over spaghetti squash, zucchini noodles, or pasta. Serve it as a side or add some protein to make it a meal.

Nutritional Information

Serves: 6

Serving Size: 1/6th of recipe (sauce only)

  • Calories: 222
  • Fiber: 1g
  • Total Fat: 19g
  • Protein: 2g
  • Total Carbohydrate: 11.5g


  • 6 cloves garlic, minced
  • 5 fresh sage leaves, minced
  • 2 tablespoons ghee (or butter)
  • 1 can full-fat coconut milk (13.5 oz.)
  • 1 cup pumpkin puree
  • ½ cup dairy-free grated parmesan
  • ½ teaspoon salt
  • ¼ teaspoon pepper
  • ⅛ teaspoon nutmeg
  • ½ teaspoon pumpkin pie spice

How to Make It

  1. Sauté garlic, sage, and ghee (or butter) in a saucepan over medium heat until fragrant (about 3 to 4 minutes).
  2. Add remaining ingredients to the pan and simmer for 10 minutes.
  3. Remove from heat and pour sauce over your choice of spaghetti squash, pasta, or zucchini noodles.
  4. Top with additional parmesan cheese or sage (optional).

The experiences and suggestions recounted in these articles are not intended as medical advice, and they are not necessarily the "typical" experiences of families with a child who has type 1 diabetes. These situations are unique to the families depicted. Families should check with their healthcare professionals regarding the treatment of type 1 diabetes and the frequency of blood glucose monitoring.