Turkey mince is lean, which is why turkey meatballs are so often dry. Two things fix that here: ground almonds and Parmesan in the mix, and finishing the meatballs in the sauce rather than baking them all the way through. The courgetti goes in at the very end and barely cooks.

A serving has about 38g of protein for under 400 calories. That ratio is what makes it useful if you are trying to lose fat while keeping muscle. Lean turkey, egg, almonds and Parmesan provide the protein.
Courgetti cuts the carbohydrate to about 15g a serving, compared with over 50g in a normal 75g portion of dried spaghetti on its own. It also makes this one of the biggest bowls of food on the site for the calories. That is why it is tagged for blood sugar.
On heavy training days, you may want the carbohydrate back. Carbohydrate refuels the glycogen your muscles use for hard exercise. Add 60g of wholewheat spaghetti per person, cooked and mixed with the courgetti. That adds about 200 calories and 37g of carbohydrate a serving.
The sauce counts towards your 5 a day, and cooked tomatoes are one of the best sources of lycopene, which the body absorbs more easily when tomatoes are cooked with a little oil.
For women around menopause, enough protein at each meal, together with strength training, helps protect muscle and bone: see strength training in midlife. For another turkey dinner, try the turkey, sweet potato and tart cherry traybake.
Check the ground almonds and passata labels if you need the dish to be strictly gluten-free. Almonds are a tree nut, so swap them for 30g of gluten-free oats if anyone eating has a nut allergy.