I would think that as with any recipe, you can use some substitutes for your health issues. I've done the applesauce sub for other cake recipes with no problem, I bet it would work on this one too....it is a REALLY GOOD cake! :lol: Hmmmm...I might need to make one today (although DH is diabetic now) which means that I would eat the ENTIRE cake by myself.... :roll: ....hmmm....better not... :wink: