diabetic low carb pizza casserole recipe

Easy Diabetic Low Carb Pizza Casserole Recipe (with noodles)

This website may contain affiliate links. When a purchase is made through our links, The Naked Diabetic may receive a commission, at no cost to you.

picture of Tracey from The naked Diabetic - recipe creator and founder. Recipe created by Tracey of The Naked Diabetic

If you love pizza, you will love this. This easy to make Low Carb Pizza Casserole is super tasty contains noodles and is diabetic friendly! Just when you thought you couldn’t enjoy noodles!

Low Carb Pizza casserole for diabetics
East Low Carb Pizza Casserole

Subscribe, stay connected and get our printable flour guide for diabetics, diabetic-friendly recipes and tips for diabetic living in your inbox

* indicates required
follow the naked diabetic on pinterest
Follow The Naked Diabetic on Pinterest

Shopping List of Ingredients

Need Diabetic Friendly Ingredients? Check out our list and links for diabetic-friendly ingredients.

About the ingredients

low carb pizza casserole recipe for diabetics
Low Carb Pizza Casserole Recipe Ingredients

Shirataki (Konjac) Penne Noodles

These Low-carb Shirataki Penne noodles are made from the root of the Konjac plant. These are a great diabetic-friendly low-carb substitute for regular noodles. They must be prepared properly or they will have a rubbery texture. The prep is the key to enjoying these noodles.


Shirataki Noodles can cause mild digestive issues in some people. They are made from the Koinjac plant root, a type of insoluble fibre that can cause gas and bloating.

Ground Beef

One of the main ingredients that provide the protein to this recipe. The American Heart Association has certified extra lean ground beef as a part of a healthy diet. Choose low-fat or extra-lean ground beef, for a more heart-healthy option. Check out substitution recommendations for dietary restrictions.


A popular pizza topping that gives it a pizza taste and added protein. Pepperoni is made from pork or a beef and pork mixture, similar to sausage

Tomato Sauce

Adds flavour and moisture to the casserole. Shirataki noodles and ground beef can sometimes absorb liquid. Adding the tomato sauce can help to keep the casserole moist and tasty.

Pizza Sauce

We use our low-carb pizza sauce so that we can keep the carbs low. This adds the necessary classic pizza taste.


A popular pizza topping, that is healthy, low-carb and adds flavour.


Salt is a necessary flavour enhancer in most recipes and our low-carb pizza casserole is no exception. The salt enhances flavour, colour and texture.

Ground Black Pepper

The ground black pepper adds flavour and a dash of heat. The pepper compliments the salt in adding flavour.


Garlic is another flavour ingredient. It is a traditional ingredient in Italian recipes, including pizza. You can use jarred minced garlic, but the best flavour comes from fresh minced garlic. Garlic can also help to mask other less desirable flavours and bitterness in some recipes. There are about a dozen types of garlic available. We are using the most common white garlic bulbs that you find in your local supermarket.


Onions provide extra flavour and enhance texture. There are many types of onions. In this recipe, we are using a standard cooking onion, which is also usually the cheapest. It is added to the ground beef, which helps to compliment the flavours of the beef.

Mozzarella Cheese

This is a must-have in our low carb pizza casserole recipe. The cheese provides flavour, but more than that, it gives us that traditionally gooey stringy cheese that pizza is known for,

Helpful Tips and FAQs

Preparing Shitaki Noodles

Shirataki noodles are a low-calorie and low-carb noodle, which is perfect for our diabetic low carb pizza casserole. Having said that, they are not exactly like real pasta noodles that are flour-based, but they can be tasty if you take the time to prepare them.

As I mentioned above, it is best to take the time to prepare this type of noodle. If you don’t prepare it properly it will end up rubbery and may not be the noodle texture you desire. It will still be quite safe to eat, but the texture and taste may put you off. If you skip any steps in our recipe, don’t skip this one, for me this step is a make-it-or-break-it one!

Remove from packaging – Yes they stink! they can have a fishy smell., but we are going to fix that.

Rinse – Rince the noodles WELL, by running them for a few minutes under cold water. Dump them into a colander or sieve and make sure that they are all fully rinsed.

Boil – Bring water to a boil in a saucepan large enough to hold your noodles. Add a pinch of salt and your noodles. Boil them for about 3 to 5 minutes. Strain and rinse them again in a colander or sieve.

They are now ready to be used.

Substituting the Shirataki Noodles

There are no other comparable substitutions., If you wish to remove this ingredient, you could replace it with zucchini noodles or cauliflower chunks, but the end result will be totally different. It will be tasty, but different.

Substituting the ground beef or pepperoni

Feel free to substitute with the ground meat of your choice. Ground Chicken, Pork or Sausage work well. For vegetarians or vegans, use a ground meat product of your choice. Keep in mind that any substitutions will alter the final nutritional value.

For the pepperoni, substitute it with a topping of your choice. Ham, Bacon or chicken are excellent options.

Substituting the Mushrooms

Our low carb pizza casserole recipe can easily be made without the mushrooms. Just like a pizza, add the topping ingredients or take away the topping ingredients of your choice. Always keep in mind the carb counts when making substitutions.

Adding other ingredients

If you have a favourite topping that you like on your pizza, by all means, add it. Keep in mind that adding toppings such as pineapple can significantly increase the net carbs per serving.

me Suggested Low carb Pizza Toppings

  • Green pepper – chopped
  • Olives – sliced Green or black
  • spinach
  • Cauliflower
  • Hot peppers
  • jalapenos
  • anchovies

Storing and freezing instructions.

This casserole freezes exceptionally well. Store it, after baking, in the freezer in an airtight container for up to 3 weeks.

For storing in the refrigerator, keep it in an airtight container for up to one week.

Using Canned Pizza Sauce

If you choose to use a canned pizza sauce instead of making our Sugar Free Pizza Sauce Recipe, opt for one that is sugar-free if possible. Be aware of changes to the final nutritional value.

more diabetic recipes

How to Make the Low Carb Pizza Casserole

low carb pizza casserole - making shirataki noodles
diabetic low carb pizza casserole
diabetic pizza casserole recipe
low carb pizza casserole recipe
low carb pizza casserole recipe
low carb pizza casserole recipe

The Low Carb Pizza Casserole Recipe

low carb pizza casserole recipe for diabetics

Diabetic Friendly Low Carb Pizza Casserole

An easy weeknight meal for the whole family that is low in carbs and high in flavour.
Print Pin
Course: Main Course
Cuisine: American
Keyword: diabetic friendly pizza casserole, low carb pizza casserole
Prep Time: 20 minutes
Cook Time: 45 minutes
Servings: 10


  • 1 pound lean ground beef
  • 1 large Onion – Chopped
  • 3 cloves Garlic – minced
  • 1 pound pepperoni,- sliced
  • 9 ounce can of Sliced Mushrooms
  • 3 cups Shirataki Penne Noodles
  • 1 tsp Salt
  • ½ tsp Ground Black Pepper
  • 3 cups Mozzarella Cheese – grated
  • 15 ounce can of Tomato Sauce
  • 1 cup Sugar Free Pizza Sauce (link to recipe below)


Prepare the noodles

  • Drain and rinse the shirataki noodles under running water.
  • Fill a saucepan with clean water and add the noodles.
  • Bring to a boil and boil for 4 or 5 minutes.
  • Drain and rinse the noodles again and then set aside.

Remaining casserole

  • Preheat oven to 350 °F (175 C)
  • In a large frying pan, brown the ground beef along with the onions and garlic.
  • In a large bowl, mix the ground beef noodles, salt and pepper, half of the mushrooms, half of the pepperoni, 1 cup of grated cheese and tomato sauce.
  • Pour into the casserole dish and spread out evenly.
  • Spread the sugar-free pizza sauce over the surface.
  • Spread the remaining grated cheese evenly over the pizza sauce.
  • Spread the remaining pepperoni and mushrooms over the cheese.
  • Bake in the oven for 45 minutes for up to an hour, until the cheese is bubbly and thoroughly melted.
  • Serve hot.

Nutritional Information

The information provided below is approximate and relies on the use of the ingredients specified in the ingredients list.

Per Serving – This recipe is divided into 10 – servings.

  • Calories – 418
  • Total Fat – 26. gr
  • Saturated Fat – 9. gr
  • Total Carbs – 12 gr
  • Fibre – 4 gr
  • Net Carbs 8 gr
  • Protein – 35 gr
  • Sodium – 1350 mg

Nutrition information is provided as a courtesy and is automatically calculated using an online nutrition calculator. We encourage you to calculate nutrition data with your specific brand ingredients as nutritional information can vary between brands

thanks for stopping by

This website may contain affiliate links. When a purchase is made through our links, The Naked Diabetic may receive a commission, at no cost to you.