Diabetic and Diabetic DietDiabetes Exchange Diet

Food exchange list enable you to "exchanged" with others in a category yet still meet the desired overall nutrition requirements. 


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Food Exchange List

Exchange lists are groups of foods that contain roughly the same mix of carbohydrates, protein, fat, and calories. Serving sizes are defined so that each will have the same amount of carbohydrate, fat, and protein as any other. Foods can be "exchanged" with others in a category while still meeting the desired overall nutrition requirements. Exchanges can be applied to almost any eating situation and make it easier to follow a prescribed diet.

There are six exchange lists:

  1. Vegetables

  2. Starches and Breads

  3. Fruits

  4. Milk

  5. Fat

  6. Meats and Meat Substitutes

Exchange Lists and Nutrition
The chart below shows the amounts of carbohydrate, protein, fat, and calories in one serving from each exchange list.

 

Carbohydrate
(grams)

Protein
(grams)

Fat
(grams)

Calories

Starch/Bread

15

3

trace

80

Meat

Lean
Medium fat
High fat

--
--
--

7
7
7

3
5
8

55
75
100

Vegetable

5

2

--

25

Fruit

15

--

--

60

Milk

Skim
Low fat
Whole

12
12
12

8
8
8

trace
5
8

90
120
150

Fat

--

--

5

45

As you go through the exchange lists, you will notice that serving sizes vary for different choices on each list. Because foods are so different, portions are adjusted so that each choice on a list contains the same amount of carbohydrate, protein, fat, and calories.

Ask your dietician if your favorite foods is not included on the exchange list. You can probably work that food into your meal plan.

 


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