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What to Order at Five Guys with Gestational Diabetes

7 April 20265 min read
Created by
Medically reviewed byStaci Gulbin, RDLast reviewed 7 April 2026

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Five Guys in a Lettuce Wrap: Your GD Fast-Food Hero

You're craving a real burger — not a sad fast-food approximation, but a proper, fresh-cooked, toppings-loaded burger. With gestational diabetes, the bun is the enemy, but the rest? The beef patty, the cheese, the grilled mushrooms, the jalapeños — all of that is basically carb-free.

Five Guys makes this particularly easy because they offer a burger bowl and lettuce wrap option. Order any burger in a bowl or lettuce wrap, load it with your favorite toppings, and you have a legitimately satisfying meal with as few as 3–5g carbs.

Quick-Reference: Best Five Guys Orders for GD

Menu Item Approx. Carbs Approx. Protein Why It Works
Little Hamburger (single patty, lettuce wrap) ~3g ~20g Pure beef + fat + zero bun carbs
Little Cheeseburger (single patty + cheese, lettuce wrap) ~3g ~24g Cheese adds protein and fat to slow glucose
Hamburger (double patty, lettuce wrap) ~4g ~40g Excellent protein, satisfying, virtually zero carbs
Cheeseburger (double patty + cheese, lettuce wrap) ~4g ~47g The classic Five Guys, GD edition
Bacon Burger (no bun) ~3g ~45g Bacon adds protein and fat, still very low carb
Veggie Sandwich (no bun) with cheese ~10g ~10g Lower carb vegetarian option

How to Order the GD Way at Five Guys

When you approach the counter or use the app, here's exactly what to say:

"I'd like a [Hamburger/Cheeseburger/Bacon Burger] in a bowl, please."

Then add your toppings. It's that simple. Five Guys staff are used to this order — you're not asking for anything unusual. They'll put the entire assembled burger (no bun) into a cup/bowl or wrap it in lettuce leaves.

Lettuce wrap vs. bowl:

  • The lettuce wrap lets you eat it like a burger, just with lettuce instead of a bun. It's more satisfying texturally.
  • The bowl is the entire burger deconstructed in a cup — better if you're eating in the car or want to mix toppings.

The Burger: Which Size Should You Order?

Five Guys naming convention trips people up. Here's the clarification:

  • "Little" Hamburger: 1 beef patty (~20g protein, ~3g carbs without bun)
  • Hamburger: 2 beef patties (~40g protein, ~4g carbs without bun)
  • "Little" Cheeseburger: 1 patty + cheese (~24g protein)
  • Cheeseburger: 2 patties + cheese (~47g protein)

For GD, the full Cheeseburger (double patty) in a lettuce wrap is actually an excellent choice — high protein keeps you full and stabilizes blood sugar throughout the afternoon.

The Best Five Guys Toppings for GD

This is where Five Guys shines for GD — their topping bar includes many options that are essentially free from a carb perspective. Customize to your heart's content:

Zero or Near-Zero Carb Toppings (Load Up)

  • Lettuce — of course
  • Tomatoes — ~1g carb
  • Onions (grilled or raw) — ~2g carbs, adds great flavor
  • Jalapeños — ~1g carb, adds heat without blood sugar impact
  • Green Peppers (grilled or raw) — ~2g carbs
  • Mushrooms (grilled) — ~1g carb, add richness
  • Pickles — ~0g carbs
  • Mustard — ~0g carbs per teaspoon
  • Mayo — ~0g carbs, adds richness and healthy fat
  • Hot Sauce — usually ~0g carbs

Toppings to Use Sparingly

  • Ketchup: ~4g sugar per packet — one packet is fine, multiple adds up
  • BBQ Sauce: 8–12g sugar per serving — avoid for GD
  • A1 Sauce: ~3g carbs per tablespoon — use sparingly

The Fries Situation

Let's be honest: Five Guys fries are famous and delicious. They're also very high in carbs:

  • Little fries: ~43g carbs
  • Regular fries: ~57g carbs
  • Large fries: ~78g carbs

For GD, fries are the hardest part of Five Guys. A few strategies:

  • Skip them entirely — your lettuce wrap burger is already a complete meal
  • Share a little fries with your dining companion and eat 10–15 fries (~15g carbs)
  • Eat the fries after the burger — the protein and fat from the burger eaten first will significantly blunt the glucose spike from a small portion of fries

Drinks at Five Guys for GD

Five Guys has a Coca-Cola Freestyle machine with many drink options. For GD:

  • Water: Always the best choice
  • Diet options or zero-sugar Freestyle selections: Acceptable in moderation
  • Regular sodas and lemonade: Skip — they're 40–60g sugar per cup

Items to Avoid at Five Guys with GD

  • Any burger on a regular bun — the bun alone adds 39–43g carbs
  • Regular or large fries — too high in carbs for GD
  • Regular soda or lemonade — pure sugar spike
  • BBQ sauce — high in sugar

Sample GD-Friendly Meals at Five Guys

Option 1: The Classic GD Burger

Cheeseburger (double patty) in a lettuce wrap + grilled mushrooms + grilled onions + jalapeños + mustard + mayo + water. Total: ~8g carbs, ~50g protein.

Option 2: The Protein Powerhouse

Bacon Burger (double patty + bacon) in a bowl + tomatoes + lettuce + pickles + mustard + water. Total: ~5g carbs, ~52g protein.

Option 3: The Light Version

Little Cheeseburger (single patty + cheese) in a lettuce wrap + all the vegetables you want + water. Total: ~8g carbs, ~26g protein.

More Restaurant Guides for Gestational Diabetes

This content is for informational purposes only and is not medical advice. Always consult your healthcare provider or registered dietitian for personalized guidance.

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Medical Disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider about any questions regarding gestational diabetes or your pregnancy. Our content is reviewed by our team of registered dietitians specializing in prenatal nutrition and gestational diabetes management.

Frequently Asked Questions

Can I eat at Five Guys with gestational diabetes?

Absolutely. Five Guys is one of the best fast-food burger options for GD because they offer a burger bowl or lettuce wrap that eliminates the bun (and most of the carbs). A lettuce-wrapped burger has as few as 0–5g carbs.

How do I order a Five Guys burger for gestational diabetes?

Ask for your burger "in a bowl" or "lettuce wrapped." Tell them the toppings you want. Five Guys makes burgers fresh to order, so they can accommodate this easily. The lettuce wrap replaces the bun with large iceberg lettuce leaves.

How many carbs does a Five Guys lettuce wrap have?

A Five Guys Little Hamburger (single patty) in a lettuce wrap has approximately 3g carbs and 20g protein. A regular Cheeseburger (double patty) in a lettuce wrap has about 4g carbs and 47g protein.

What about Five Guys fries for gestational diabetes?

Five Guys fries are made fresh but are still high in carbs — a small serving has about 43g carbs, a regular serving about 57g. Skip the fries or share a very small portion. The best GD side at Five Guys is the cup of water, honestly.

What toppings at Five Guys are GD-friendly?

Nearly all Five Guys toppings are free and very low in carbs: lettuce, tomato, onion, jalapeños, green peppers, mushrooms, pickles, mustard, and mayo. Avoid ketchup (has sugar) and the A1 sauce. BBQ sauce should also be avoided as it's sugar-heavy.

Free Download: 50 Foods Safe for Gestational Diabetes

Printable guide with portion sizes, glycemic index, and pairing tips. Take it to the grocery store!

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