The Exchange List System for Diabetic Meal Planning - …

1 Family and Consumer Sciences The Exchange List System for Diabetic Meal Planning Dr. Rosemary If you or someone you know has The nutritional goals for manage . Rodibaugh, , diabetes, you may be worried about ment of diabetes include the following: Extension Nutrition what the future holds. Diabetes is likely to cause changes in your life, Maintain desirable blood glucose Specialist and blood lipid (fat) levels. but with proper care, most diabetics can live much as they did before Maintain optimal nutritional developing the disease. status. Diabetes is a condition whereby Reach and maintain a healthy the body does not make enough weight.

2 Insulin or use it properly. Without insulin, the body cannot utilize food Usually, a doctor will prescribe a for energy. People with diabetes have visit with a registered dietitian who high blood glucose levels and many can help the Diabetic work out a have high blood cholesterol and specific meal plan. Often, the meal triglyceride levels. plan is a guide which shows the number of food choices to eat at each meal and snack using the Diabetic The two main types of diabetes are: Exchange lists . Type 1 or insulin-dependent The Exchange lists group foods together because they are alike.

3 Foods Type 2 or non-insulin-dependent on each list have about the same amount of carbohydrate, protein, fat Type 1 is treated with daily and calories. In the amounts given, all insulin injections, regular exercise, choices on each list are equal. Any food on the list can be exchanged or and a balanced meal plan. The daily traded for any other food on the list. meal plan is tailored to an individual's The lists are grouped into three main needs. It is likely to include three groups: carbohydrate group; meat and meals and two or three snacks eaten meat substitute group; and fat group.

4 At set times each day. The carbohydrate group contains Type 2 is treated with an the starch, fruit, milk, other carbohy . individualized diet plan that usually drates and vegetable lists . Grouping restricts calories, especially calories foods this way allows for more conve . from fat, so the individual can reach nient Exchange among these lists and Arkansas Is and maintain a healthy weight. Treat . more flexibility in choosing foods. The meat and meat substitute group con . Our Campus ment also includes following a regular tains very lean, lean, medium-fat, and exercise plan.

5 If diet and exercise do not high-fat meat and substitute lists . The control blood glucose, oral medication fat group contains monounsaturated, Visit our web site at: or insulin injections may be needed. polyunsaturated and saturated fat lists . University of Arkansas, United States Department of Agriculture, and County Governments Cooperating Starch List Starchy Foods Prepared With Fat (Count as 1 starch/bread serving plus 1 fat serving). Each item on this list contains approximately Biscuit, 2 1/2 inches across ..1. Chow mein noodles ..1/2 cup 15 grams of carbohydrate, 3 grams of protein, a trace Corn bread, 2 inch cube.

6 1 (2 oz). of fat and 80 calories. Whole grain products average Cracker, round butter type ..6. about 2 grams of fiber per serving. As a general rule, Croutons ..1 cup 1/2 cup of cereal, grain or pasta and 1 ounce of a French fried potatoes ..16-25 (3 oz). bread product equals one serving. Granola ..1/4 cup Muffin, plain, small ..1. Dried Beans/Peas/Lentils Pancake, 4 inches across ..2. Beans and peas, cooked (such as Stuffing, bread (prepared) ..1/3 cup kidney, white, split, blackeye) ..1/2 cup Taco shell, 6 inches across ..2. Lentils, cooked ..1/2 cup Waffle, 4 1/2 inches square.

7 1. Lima beans ..2/3 cup Whole wheat crackers (fat added) ..4-6 (1 oz). Popcorn, microwave ..3 cups Starchy Vegetables Sandwich crackers, cheese/peanut Corn ..1/2 cup butter ..3. Corn on the cob, 6-inch ..1. Peas, green ..1/2 cup Potato, baked or boiled ..1 small (3 oz) Fruit List Potato, mashed ..1/2 cup Squash, winter (acorn or butternut) ..1 cup Each item on this list contains about 15 grams of Yam, sweet potato, plain ..1/2 cup carbohydrate and 60 calories. Fresh, frozen and dry Baked beans ..1/3 cup fruits have about 2 grams of fiber per serving.

8 Fruit juices contain very little dietary fiber. Cereals/Grains/Pasta Bran cereals ..1/2 cup Use fresh fruits or fruits frozen or canned without Bulgur ..1/2 cup added sugar. Unless stated otherwise, the serving size Cooked cereals ..1/2 cup for one fruit Exchange may include one of the following: Cornmeal, dry ..3 tbsp Grape-Nuts ..1/4 cup 1/2 cup of fresh fruit or fruit juice Grits, cooked ..1/2 cup 1/4 cup of dried fruit Cereals, ready-to-eat unsweetened ..3/4 cup Cereals, sugar-frosted ..1/2 cup Apple (raw, 2 inches across) ..1 apple Pasta, cooked.

9 1/2 cup Applesauce (unsweetened) ..1/2 cup Puffed cereal ..1 1/2 cup Apricots (medium, raw) ..4 apricots Rice, white or brown (cooked) ..1/3 cup Apricots (canned) ..1/2 cup Shredded wheat ..1/2 cup Banana (small) ..1 banana Wheat germ ..3 tbsp Blackberries (raw) ..3/4 cup Blueberries (raw) ..3/4 cup Bread Cantaloupe (5 inches across) ..1/3 melon Bagel ..1/2 (1 oz) (cubes) ..1 cup Bread, reduced-calorie ..2 slices Cherries (large, raw) ..12 cherries (1 1/2 oz) Cherries (canned) ..1/2 cup Bread-white, wheat, rye ..1 slice (1 oz) Figs (raw) ..1 1/2 large or Bread sticks, crisp 2 medium 4 inches long, 1/2 inch thick.

10 2 (2/3 oz) Fruit cocktail (canned) ..1/2 cup English muffin ..1/2 Grapefruit (large) ..1/2 fruit Frankfurter or hamburger bun ..1/2 (1 oz) Grapefruit, segments ..3/4 cup Pita, 6 inches across ..1/2 Grapes (small) ..17 grapes Plain roll, small ..1 (1 oz) Honeydew (medium) ..1 slice (10 oz). Raisin, unfrosted ..1 slice (1 oz) (cubes) ..1 cup Tortilla, 6 inches across ..1 Kiwi (large) ..1 fruit Mandarin oranges ..3/4 cup Crackers/Snacks Mango (small) ..1/2 mango or Animal crackers ..8 1/2 cup Graham crackers, 2 1/2 inches ..3 Nectarine (small) ..1 nectarine Matzoth.