Q. Does one comply with Shalach Monos when giving chomentashn or cakes to a diabetic?
A. Nishmas Avrohom (695) quotes RS’Z Auerbach zt’l who maintains that one complies, since the receiver can offer them to members of his family and guest. However, he disagrees. See also Birur Halocho (2: 695)
Horav Shlomo Miller’s Shlit’a opinion is that one can be lenient
Rabbi A. Bartfeld as advised by Horav Shlomo Miller and Horav Aharon Miller Shlit’a