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KEY POINTS
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The exchange list meal plan divides foods into starch, fruit, milk, vegetable, fat, and meat groups. The plan gives you serving sizes for foods in each group that have about the same amount of carbohydrate (carb), protein, fat, and calories. This lets you or your child exchange, or swap, choices from a food list. The number of servings from each food group that your child should have is based on how many calories your child needs each day.
A dietitian will help you plan how much food your child should have at each meal and from which lists the foods should come from. The exchange meal plan is very flexible. It is also helpful if your child is overweight and needs to keep track of calories.
The following are groups of foods included on the exchange lists.
One starch exchange contains about 15 grams of carb, 0 to 3 grams of protein, 0 to 1 gram of fat, and 80 calories. A starch exchange is sometimes called a carb exchange and includes foods such as bread, cereals, rice, and starchy vegetables such as potatoes and corn.
One fruit exchange contains about 15 grams of carbohydrate and 60 calories.
One milk exchange contains about 8 grams of protein and 12 grams of carb, 0 to 3 grams of fat, and 100 calories. A milk exchange includes milk and yogurt.
One vegetable exchange has 5 grams of carb, 2 grams of protein, no fat, and 25 calories. One-half cup of cooked or a cup of raw vegetables is a good measure for 1 exchange of most vegetables.
Meats are divided into very lean meats, lean meats, medium-fat meats, and high-fat meats. Try to eat more lean and medium-fat meats and stay away from high-fat meats. The leaner the meat, the fewer the calories and fat. All meat exchanges have 7 grams of protein in 1 meat exchange. Other protein foods that are considered a meat exchange include cottage cheese, eggs, and cheese.
Your body needs the right kind and the right amount of fat to work properly. One fat exchange contains 5 grams of fat and 45 calories. Monounsaturated fats and polyunsaturated fats are healthier than saturated fats. Examples include avocado, nuts, olive oil, canola oil, and corn oil.
A free food contains less than 20 calories and less than 5 grams of carbohydrate per serving. If the food has a serving size listed on its package, limit the amount you eat to 3 servings spread throughout the day. Some examples of free foods are light or sugar-free jelly, fat-free cream cheese, fat-free or low-fat salad dressing, salsa, and ketchup.
Combination foods, such as casseroles, have foods from different food groups mixed together. Your dietitian can help you figure out how to count exchanges for combination foods. For example:
For books that help you with exchange food groups and other information to help manage diabetes, contact: