Modern Tuna Noodle Casserole

Modern Tuna Noodle Casserole
Recipe photo may include foods and ingredients that are not a part of this recipe and not included in the nutrition analysis.
Source: The Diabetes Cookbook. Recipe Credit: .

This recipe is a great example of using vegetables to bulk up a dish that is typically high in carbs and fat.

  • Prep time
    5 min
  • Cook time
    40 min
  • Servings
    8 Servings
  • Serving size
    1 cup
Nutrition Facts

Nutrition Facts

8 Servings

  • Serving Size
    1 cup
  • Amount per serving Calories 250

  • Total Fat 4g
    • Saturated Fat 1.2g
    • Trans Fat 0g
  • Cholesterol 10mg
  • Sodium 300mg
  • Total Carbohydrate 42g
    • Dietary Fiber 6g
    • Total Sugars 6g
  • Protein 13g
  • Potassium 380mg
  • Phosphorus 235mg

Choices/Exchanges: 2 1/2 Starch, 1 Nonstarchy vegetable, 1 Lean protein



  • nonstick cooking spray
  • whole grain penne, shells, or farfalle pasta
    12 oz
  • olive oil
    1 tbsp
  • white (button) mushrooms (sliced)
    8 oz
  • small onion (diced)
  • baby spinach
    5 oz
  • salt-free all-purpose seasoning
    1/2 tsp
  • flour
    3 tbsp
  • skim milk
    2 cup
  • salt
    1/2 tsp
  • black pepper
    1/4 tsp
  • tuna packed in water (drained)
    5 oz
  • Parmesan cheese (shredded)
    1/2 cup


  1. Preheat the oven to 375 degrees F. Coat a 9x13-inch baking dish with cooking spray. Set aside.

  2. Cook the pasta according to the package directions minus two minutes (the pasta should be slightly undercooked).

  3. While the pasta is cooking, add the olive oil to a large sauté pan over medium-high heat. Add the onion and mushrooms and sauté until the onions turn clear, about 5 minutes.

  4. Add the spinach and no-salt seasoning and sauté until the spinach is wilted and soft, about 3 more minutes.

  5. In a small bowl, whisk together the flour, milk, salt and ground black pepper until all the flour lumps are mixed in. Pour over the vegetables and bring to a boil. Stir in the tuna and pasta and pour into the prepared baking pan.

  6. Sprinkle the parmesan cheese on top of the casserole and bake for 15 minutes.

  • Recommended

    We very much enjoyed this recipe. Made it as recipe stated. I will continue to make this, very comforting ❤️

  • Recommended

    FYI my teenage boys loved it! I did double the tuna though.

  • Recommended

    Delicious comforting dish. I will be making this one again.

  • Recommended

    Wonderful taste. I didn't add all the noodles it would have been too dry for me. Nor did I add the spinach my husband wouldn't have eaten it. Instead I made a side of sauteed veggies. Make this dish. You'll be grateful you did.