Puddings or deserts provide additional carbohydrate to a meal which may be required if a patient has a small appetite or is at risk of malnutrition. If a person with diabetes is eating well and not at risk of malnutrition, puddings or deserts may increase blood glucose levels and cause unnecessary weight gain. Encourage them to make healthier pudding choices or offer smaller portions less often. It is not necessary to make separate puddings made with sweeteners for people living with diabetes.