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Preheat large ceramic non-stick skillet on medium heat and swirl oil to coat. Add onion and cook for 3 minutes, stirring occasionally.
Add ground turkey and cook for 5-7 minutes, constantly breaking into pieces and stirring.
Add zucchini, stir and cook for another 3-4 minutes, stirring occasionally.
Turn off heat, add tomatoes and pesto, then stir.
Garnish with Parmesan cheese and serve on its own or over greens for a low carb meal, or with Instant Pot brown rice or Instant Pot quinoa for complete with complex carbs meal.