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Diabetic Exchange

A diabetic exchange diet is designed to allow you easy control over the amount of sugar and cholesterol you allow into your body. A successful diabetic exchange diet will help to control you weight and your sugar levels. It is necessary to carefully measure food in a diabetic exchange diet, and it is generally recommended to eat 3 meals and one snack per day.

The diabetic exchange divides foods into 6 specific groups, and measures food per serving size.

A balanced diet will take the correct proportion from each food group, and your dietician will tell you the number of servings that should be eaten from each food group per day. Food in the same group may be exchanged to give variety. Be sure to carefully measure or weigh each food and drink item.

Diabetic Exchange food groups

This list is certainly not comprehensive, but it does contain a wide variety of foods that conform to the diabetic exchange diet. Some foods may not be included that are perfectly alright to eat, but patients on a diabetic exchange diet should avoid eating foods in the ‘PROHIBITED LIST.’ However, because a food does not appear in the prohibited list, it is not necessarily alright to eat.

Bread and Starch

  • 1/2 cup of cooked lima beans
  • 1/2 cup of cooked pasta
  • 1/2 a 6-inch piece of pita bread
  • 1/2 cup of mashed potatoes or a small jacket potato
  • 1/3 cup of cooked rice
  • 1/2 cup of cooked green peas
  • 1/2 a hamburger or hot dog bun
  • 2 rice cakes
  • One 6-inch round small tortilla
  • 1/2 cup of cooked winter squash
  • 1/2 3-inch bagel
  • 1 slice of bread (not oversized)
  • 1/2 cup of cooked cereal
  • 1/2 cup of corn or 1 medium corn on the cob
  • 6 saltine crackers / three 2-1/2-inch square crackers
  • 1 small dinner roll
  • 1/2 cup cooked dried beans (I.E; kidney, pinto, lentils, chick peas, white, navy)
  • 1/2 an English muffin

Fruit

  • 1 small apple (c. 3 inch)
  • 1 small (c. 5 inch) banana or 1/2 a 9-inch banana
  • 17 small or 12 large red or white grapes
  • 1 kiwi fruit
  • 1 cup of melon (cantaloupe, honeydew, etc.)
  • 1 small orange (c. 3 inch)
  • 1 medium peach (c. 3 inch)
  • 1/2 large pear (c. 4 inch)
  • 1/2 cup of tinned pineapple
  • 2 plums
  • 3 dried prunes
  • 2 tbs. of raisins
  • 1-1/4 cup of whole strawberries
  • 1-1/4 cup of cubed watermelon

Vegetables

To conform with the diabetic exchange it is possible to have 1 cup of raw or 1/2 cup cooked portion of most vegetables.

  • Asparagus
  • Green beans
  • Broccoli
  • Cabbage
  • Carrots
  • Cauliflower
  • Celery
  • Collard greens
  • Cucumber
  • Eggplant
  • Green beans
  • Kale
  • Mixed vegetables (less corn and peas)
  • Mushrooms
  • Onions (Red, white)
  • Pea pods
  • Peppers (Red, yellow, green)
  • Radishes
  • Salad greens (lettuce, watercress, spinach)
  • Summer squash
  • Tomatoes (fresh or tinned)
  • Turnip greens
  • Turnips
  • Zucchini squash

Dairy

  • 1 cup of skimmed, 1-percent, or 2-percent milk
  • 1 cup of non-fat plain or sugar-free yogurt
  • 1/3 cup of dry non-fat milk
  • 1 cup of skimmed or low-fat buttermilk

Meat or Meat Substitutes

  • 1/4 cup of canned tuna, salmon
  • 1 ounce of chicken (less skin)
  • 1 large egg or 1/4 cup of egg substitute (Keep under 3 per week)
  • 1 ounce of fish (not breaded, fried)
  • 1 ounce of lean beef or pork
  • 1/4 cup of low-fat cottage cheese
  • One 1-inch cube or 1 ounce of low-fat solid cheese
  • 1/2 cup of tofu
  • 1 ounce of turkey (less skin)

Fats

  • 1/8 portion of a medium avocado
  • 1 Tablespoon of regular cream cheese or 2 tablespoons of low-fat cream cheese
  • 1 Tablespoon of regular margarine or 2 tsp. low-fat margarine
  • 1 Tablespoon of regular mayonnaise or 1 Tablespoon of low-fat mayonnaise
  • 6 almonds or cashew nuts, 10 peanuts, or 4 halves of pecan nuts
  • 1 Tablespoon of oil, such as canola, corn, or olive oil
  • 2 Tablespoons of peanut butter
  • 1 Tablespoon of regular salad dressing or 2 Tablespoons of low-fat salad dressing

Prohibited List (Try to avoid these foods)

  • Cakes
  • Candy
  • Cookies
  • Ice cream
  • Jelly and jam
  • Pastries
  • Pie
  • Regular fizzy drinks
  • Sugar-coated cereals
  • Sweet rolls

Foods and beverages containing:

  • Corn syrup
  • Dextrose
  • Fructose
  • Glucose
  • High fructose corn syrup
  • Honey
  • Maltose
  • Molasses
  • Sucrose
  • Sugar (brown, corn, powdered)
  • Syrup
Your Comments
 
I agree with Julie the old fashioned way was best, when I became diabetic 26 years ago I was told to keep carbs at a minimum and count them is exchange form so easy. I have now had a transplant and still this way of life is in my head, although I do have some sweet things now.
Posted by Laika Laika on Thursday, October 06, 2011
Could someone please tell me what quantity a 'cup' is supposed to hold? I'd be really grateful to have some info on this, as I believe it is quite a usual measure in America. Many thanks to anyone who can help. (By the way, I'm a type 1, and pumping!)
Posted by Anna, Buckinghamshire on Tuesday, June 07, 2011
I have been an insulin dependant diabetic for 41 yrs since the age of 9 and this article is the the most horrifying, scary piece of rubbish I have ever seen. I work full time, run a home, travel and have a trim size 8 figure, none of which would be possible following this diet. My rule is I have diabetes it doesn't have me. Know your limitations food and drink wise and a little bit of what you fancy does you good. I treat eating like balancing out a pair of old fashioned scales; food and insulin must balance. I have a good healthy lifestyle, no major problems and think the old ways of good old fashioned carbo counting is easy and works for me. Try it and see.
Posted by julie dunn, North East England on Tuesday, June 07, 2011
I have been type 1 since '93 after trauma from an RTA caused it. I found a lot out initially but life moves on. To eat the higher sugary foods you need to be expending the glucose as it will rise very fast and cause long term damage, to expend you need to exercise sometimes vigoursly to use what you put in, then on finishing exercise eat something to replace lost salts and minerals lost via heat and sweating, similarly not eating enough carbs, veg or proteins will cause hypos, exercise can reduce heart rate, improve glucose control, reduce high blood pressure.. massive benfits in all areas,, mobility i could go on. Life does not finish.. i climb trees, ride bikes, run marathons, occassional glitch yes but otherwise good so far...
Posted by Paul Goodman, Essex on Friday, April 15, 2011
I have been a type 1 diabetic for nearly 20 years. I gradually put on 3 stone when I got it. But in all these years, I still don't really know what I should and should not be eating or the amounts. When first diagnosed, I was told you must have carbs at every meal and a snack before bed (ie couple of biscuits etc) and at present I am trying to follow a low glycaemic index diet !!! as suggested to me by my doctor as I have stomach problems which is probably diabetic comps (only eat carbs that are slow to digest). confused? you will be!! So most of the time I don't really know what I am doing, and really getting nowhere. I just wish there were some sort of rules or guideline that all the healthcare proffesionals agreed with!! Help
Posted by carol brook-marsh, littlehampton, West Sussex on Thursday, March 24, 2011
Looking through this list, and bearing in mind there are limits on the amount you can have, I'm even more disheartened with having diabetes than ever before! I'd be starving! 1/8 of an avocado? I normally have a whole one! 1 cup of milk? I use at least a pint a day of semi (on cereal/porridge and in tea/coffee/latte). A 5 inch banana? I have 3 bananas mashed with a dash of evaporated milk and a sprinkle of Splenda as a late night snack (they contain seratonin which apparently improves SAD which I suffer from in winter months). Someone needs to find a way round the pancreas transplant rejection problems!! Doesn't this diet make you feel like not eating? You'd end up pro-ana!
Posted by MrsA, Southampton on Friday, October 29, 2010
I've been a diabetic (type 2) for nearly 5 years and I'm very confused by all of the contrasting food information.I was told that I shouldn't worry about the sugar contents - just the saturated fats in my food!
Posted by simsue, london on Thursday, September 30, 2010
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