Bdtyktl

The first thing you should do is ask your friend if he or she wants an alternative.

I am diabetic, and I either pass, or have a VERY SMALL slice of cake. If I know this is going to happen, I adjust my diet so that I have room for a few more carbs, so for me, this would be a non-issue.

However, if your friend says they would like an alternative, ask them for suggestions.

Fresh fruit, things that are low on the glycemic index, and things with low carb contents are always good alternative.

One thing I will NEVER eat is a "diabetic cake" (offered by bakeries) and in my opinion taste somewhere in between dirt and raw twine. So don't make assumptions. Many of the "alternatives" taste nasty.

TLDR:

Get your friends opinion, don't make assumptions, do some research on low-carb, low glycemic index, options.

Ask the diabetic for any suitable alternatives they can eat.

I'm not sure what other legitimate advice there is to possibly give. Medical advice isn't suitable here, we don't know what kind of cakes the person cannot eat, hell we don't even know if the person even likes cake. The only suitable answer is to actually ask the diabetic what a suitable substitute for cake is.

Don't single out the diabetic.

Many (if not most) diabetics can have cake, many just don't want cake. And there are plenty of folks who might have dietary restrictions or desires that you're completely oblivious to. On top of that, a lot of folks really dislike attention and "special" treatment for their diseases and diet.

You've got three great options that don't involve focusing on anyone's diseases:

• 
  Just get the cake. Folks who don't want it won't eat it. And if they are adults, everyone will survive.


• 
  Get the cake and some fruits and veggies. Or whatever. Google "healthy treats" and bring in some alternatives. (I personally prefer a good block of cheese to share!)


• 
  Ask the group as a group if anyone would like another treat. "Hey guys, I'm bringing cake in for X tomorrow. If anyone has other ideas for celebratory treats, please let me know! Or, feel free to just bring something in to share! Thanks!"

^{As an aside: A lot of people (with diabetes, allergies, other special diets) can benefit from having the nutritional info handy — not just available upon request; but, in relatively plain sight.}

Thanks for asking this question. Diabetes can be a big burden in someone’s life and it’s appreciated when others try to make things a bit easier.

Please do not be the sugar police.

You have two options, either:

• treat them as you would treat anyone else, or


• have a conversation with them at a neutral time when no food is involved*.

^{* although tread lightly as some people have unhealthy repressed emotions about their condition.}

Please don’t bring something specifically for the individual without first discussing it with them. This singles them out, makes a whole lot of assumptions, and has a good chance of making them feel much worse than if they simply said “no thanks” to the cake.

tl;dr

• Unless they indicate otherwise, offer them what you are offering everyone else. With no hint of pushiness.


• “No thanks” means “no.”


• Don’t give them more than they ask for.


• Don’t say “just one won’t hurt.”

If they are using insulin, to avoid hospitalization, you must not:

• Intervene or shame them if they are eating something.


• Offer “diabetic anything” or “low/zero-sugar anything” without informing them.

Because...

Diabetes varies greatly from person to person. Different people will have different foods (and drinks) that set them off.

There are many ways of managing diabetes. Some people do their best to make their insulin match what they eat (which means that sometimes a carefully sized piece of cake or confectionery is ideal to stabilize their blood glucose trajectory). Other people try to take an approach of moderation. Others drastically reduce their carb intake. Others stick to a fixed routine. Others have received poor medical advice, so are confused and stressed and probably don’t want to be reminded about their condition.

You say cake is a problem “due to the sugar content”. This is a common misconception. Generally it’s carbs that are a problem. I have Type 1 diabetes and I have just as much trouble with white rice and wheat flakes, as I do with cake. Pizza is a problem, too (for more complex reasons). Ice cream and chocolate are much easier to deal with. As I said, these things vary between people.

Yes, some people would prefer to be be given a healthy alternative, or receive external motivation to make better choices. But don’t assume they do, and don’t assume you know what “better choices” means.

Try speaking to the diabetic person. Tell them you are planning to bring in some cake for xyz event and ask if there's anything they would prefer, or if cake is fine.

If you assume they cannot have cake, it excludes them anyway.

Don't provide special food, but privately give them helpful information.

I'm a type 1 diabetic myself. Others' mileage may vary, but when someone brings cake or other food into the office, I tend to indulge in it as much as anyone else (maybe limiting myself to a slightly smaller piece). With modern fast-acting insulins, it's nothing that I couldn't handle, so I don't feel left out and I prefer not being singled out by special foods brought just for me.

However, what would really be a fantastic bonus is when the cake donor came over to me and told me (in private) something like “Hey, I cut out the Nutrition Facts from the packaging if you want to have a look“, or “I checked the recipe, and there should be approximately 40 grams of carbs in one of those pieces. Thought you might like to know“. Having learned to judge the carb contents of food in front of me, I would do fine without this information; but if someone made that bit of extra effort for me I would feel highly appreciated. Same, for instance, if you have a colleague who is, say, allergic to peanuts, and you walk up to them to tell them you've checked that there are no peanuts in whatever food you brought, etc.

Needless to say, make sure you double-check your numbers. Also, be aware that Diabetes type 1 and type 2 are very different.

Some ideas about alternatives to "regular" cake:

• Try something savory like cheese rolls or pizza muffins




• If possible, use whole-grain flour or substitute part of the wheat with spelt flour. That loweres the glycemic index of the food (blood-sugar rises slower).




• Make fingerfood. That makes it easier for your friend to eat just a tiny amount while the others can take several pieces.




• Fresh or dried fruit and dark chokolate are generally safe for diabetics. They combine very well ;)

That way you can celebrate with tasty food and the diabetic does not feel left out.

Edit 1: in response to several comments and downvotes I removed the substitution of glucose sugar from the list of alternate solutions.

Edit 2: Nowhere in my answer do I suggest hiding any nutritional information or force-feeding anyone. I merely listed possible alternate food items that anyone is free to eat or decline. Since the OP doesn't state (and possibly doesn't know) what type of diabetes their friend has, I still think my answer offers valid information. Of course, the OP should ask her friend for preferences. I just didn't want to repeat information given in several other answers.