Eating Well on Pesach: Shiurim for Matzah and Wine for Healthy Individuals and Those With Diabetes or Other Medical Conditions

U[dated February 2026

The challenges of diabetes and other health conditions are magnified on Pesach. Aside from the numerous large meals that we have on any Yom Tov, Pesach adds a new set of concerns: the consumption of four cups of wine and set amounts of matzah during the Seder. Before discussing the challenges specific to the Seder, let’s begin by addressing eating during Pesach generally.

Eating Well on Pesach: Tips and Strategies

Enjoying our Yom Tov meals is an important aspect of how we celebrate Pesach. A health concern that may impact how you eat need not decrease your enjoyment of Pesach. There are many aspects of meals on Pesach that can be optimized to enhance your enjoyment.

► Designing the Menu

When planning your meals, consider the variety of foods. Having multiple foods on the table that are good for your health will allow your meals to feel plentiful. For some people, that […]

Pesach Shiurim for Matzah and Wine: For Healthy Individuals and Those With Diabetes or Other Medical Conditions (Abridged Article)

Updated February 2026

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NOTE: A more comprehensive version of this article – Eating Well on Pesach: Shiurim for Matzah and Wine for Healthy Individuals and Those With Diabetes or Other Medical Conditions – provides additional details on this important topic.

Halacha tells us how much wine and matzah one must eat at the Seder. Anyone whose healthcare providers recommend dietary modifications that affect eating matzah or wine should consult with a rav to find out how to follow those health recommendations within halachic guidelines.

Matzah

The guidelines for minimum shiurim for matzah shown below are based on the psak of Rav Moshe Heineman shlit”a. For hand matzos, the regular shiurim are based on the AVERAGE SIZE Pupa-Tzelem matzos. The regular shiurim for machine matzos are based on the AVERAGE SIZE of the brand indicated. Note that matzos baked by other matzah bakeries have […]

Halachos of Taking Medicine on Pesach

Reviewed February 2026

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A shiur on the use of medications on Pesach given by this author can be accessed HERE.

For many years, Rav Gershon Bess prepared a Guide for Pesach Medications and Cosmetics which was published and distributed by Kollel Los Angeles. A partnership with STAR-K and the Kollel to make this information more widely available to the general public is still going strong after more than a quarter century. The Medications and Cosmetics Guide, available in Jewish bookstores nationwide, serves as an invaluable resource for kosher consumers seeking to purchase these items for Yom Tov.

Sefer Kovetz Halachos (Hilchos Pesach 12:4) states in the name of HaRav Shmuel Kamenetzky, shlit”a, that lechatchila one should take a medication approved for Pesach and mentions the availability and use of reliable Pesach lists and guides (see Hilchos Pesach, ibid., footnote 5).

The halachos pertaining […]

Advice for People with Celiac, Food Allergies and Gluten-Free Restrictions on Pesach

Updated January 2025

Yomim Tovim are synonymous with food—and lots of it! During Pesach, the temptation to eat and overeat, perhaps the wrong things for eight straight days, is extra challenging. The good news is that you don’t have to resolve to store away those extra pounds which you will regret just as you store away your Pesach dishes for next year. STAR-K is grateful to Sarah Klugman, RD, for sharing her Pesach nutrition advice on which this article is based. They include tips for gluten-free and celiac individuals, as well as those with various food allergies.

Sarah Klugman suggests, “Always make Kiddush in the morning. It’s the key to a successful day! Use light grape juice 1 and have a starch or fruit and milk. Regarding when to make Kiddush and how to fulfill Kiddush b’makom seuda, consult your rav. Good ideas are: starch/fruit and milk; fruit and yogurt; […]