Individuals managing diabetes who need a lower-sodium, lower-carbohydrate, or gluten-free alternative to traditional soy sauce can utilize several healthy substitutes. Coconut aminos provide a slightly sweeter, soy-free flavor profile with significantly lower sodium content and minimal glycemic impact, though they contain more natural sugars than pure soy extract. Alternatively, tamari aged without wheat, low-sodium light soy sauce used in strict moderation, or homemade broth seasoned with nutritional yeast, apple cider vinegar, and garlic powder can successfully mimic the savory umami depth of soy sauce without causing sharp blood sugar spikes.