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Diabetic Exchange Lists

Comprehensive Food Lists


Our massive diabetic exchange lists make following your diet easy! Don't guess at exchange values or waste time calculating them yourself.

Our food exchange lists are easy to follow include the most popular foods around.

As you know, there are six categories of foods in the diabetes food pyramid:

  • Starches and Breads
  • Fruits
  • Vegetables
  • Meat and Substitutes
  • Dairy
  • Fat

There are also many combination foods, such as stews, casseroles, and pizza. Everyone also wants to know about free foods, such as coffee and tea. We will deal with each one of these categories in turn.

Please Note: All of the exchange values provided below are for illustration purposes only. Any given food item may be more or less depending upon the individual ingredients. The values provided are to help you plan your meals, but you should always review individual food labels to confirm exchnage values.

Starches and Breads Diabetic Exchange Lists

One Exchange Value serving typically should conform to the following:

Calories: 80
Protien: 3 grams
Carbohydrates: 15 grams
Fat: minimal to none

When at all possible choose whole grain bread, pasta and cereal. Also, when evaluating breakfast cereals, make sure there is less than 5g of sugar per serving, otherwise you get "bumped up" into a higher number of exchange points.

You should also note that "starches" don't just include the standard breads, pastas, and grains. They include high starch vegetables, such as potatoes, corn and some beans.

Common Breads, Rolls, Pasta and Cereal Diabetic Exchange Lists

Item Serving Item Serving
Bread (white, wheat, etc.) 1 Slice English Muffin 1/2 Med.
Bread, Red. Cal. (40c per slice) 2 Slices Bagel 1/2 Med.
Bread, French/Italian 1 Slice Roll, Dinner 1 Small
Bread Crumbs 3 Tbs. Roll, Hambuger 1/2 Medium
Taco Shell 1 Fat, 1 Starch Roll, Hot Dog 1/2 Roll
Corn Tortilla 1 Fat, 1 Starch Cereal, cooked 1/2 Cup
Bran, Concentrated 1/3 Cup Pasta, cooked 1/2 Cup



Common Starchy Vegetables Diabetic Exchange Lists

Item Serving Item Serving
Corn, kernals 1/2 Cup Beans, Lima 1/2 Cup
Corn, cob (5 x 1 inch) 1 Beans, split peas, lentils 1/3 Cup cooked
Potato, mashed 1/2 Cup Roll, Dinner 1 Small
Potato, baked 1/2 Medium Pumpkin 3/4 Cup
Sweet Potato, mashed 1/3 Cup Squash, Acorn 3/4 Cup
Sweet Potato, baked 1/2 Medium Squash, Winter 3/4 Cup
Peas 2/3 Cup Squash, Butternut 3/4 Cup



Common GrainsDiabetic Exchange Lists

Item Serving Item Serving
Rice, white, brown 1/3 Cup cooked Barley, cooked 1/4 Cup
Rice, arborio 1/3 Cup Cornstarch 2 Tbs.
Rice, basmati, wild 1/3 Cup cooked Cornmeal, uncooked 2.5 Tbs.
Couscous 1/2 Cup cooked Flour 3 Tbs.
Kaska, cooked 1/3 Cup Quinona, uncooked 2 Tbs.



Common Crackers and Miscellaneous Diabetic Exchange Lists

Item Serving Item Serving
Popcorn, popped, no fat 3 Cups Ginger Snaps 3
Popcorn, popped, light 3 Cups, 1 bread, 1 fat Graham Crackers 3
Matzo, whole wheat 7 Melba Toast, rectangles 5
Matzo, regular 1 Melba Toast, rounds 5
Rice Cakes, whole 2 Saltines 6
Rice Cakes, mini 8 Pretzels 3/4 oz.


Fruit Diabetic Exchange Lists

One Exchange Value serving typically should conform to the following:

Calories: 60
Protein: 0 grams
Carbohydrates: 15 grams
Fat: 0 grams

As expected fresh fruit is the optimal choice. If you must eat other types (canned, frozen, etc.), make sure there is no sugar added.

Item Serving Item Serving
Apple 1 small Apricots 4 medium
Applesauce, unsweet. 1/2 Cup Banana, 9 inch 1/2
Blackberries 3/4 Cup Cantaloupe, sectioned 1/3 melon
Blueberries 3/4 Cup Caneloupe, cubed 1 Cup
Boysenberries 1 Cup Cherries, fresh 12
Grapefruit, 4 inch 1/2 Dates 3
Grapes 15 Figs 2 small
Guava 1.5 small Honeydew Melon, 6.5 inch 1/8 Melon
Mango, whole 1/2 Honeydew Melon, cubed 1 Cup
Mango, cubed 1/2 Cup Kiwifruit 1 large
Lemon 1 large Peach, 2.5 inch 1
Orange, 3 inch 1 Pear 1 small
Nectarine, 2.5 inch 1 Cup Papaya, 3.5 inch, sectioned 1/2
Pineapple, diced 3/4 Cup Papaya, cubed 1 Cup
Pineapple, canned 1/3 Cup Plum, 2 inch 2
Pomegranate, 3.5 inch 1/2 Prunes, medium 3
Rasberries 1 Cup Raisins 2 Tbs.
Strawberries 1 1/3 Cup Rhubarb, diced 3 Cups
Tangerine, 2.5 inch 2 Watermelon, diced 1 1/4 Cup



Common Fruit Juices

Item Serving Item Serving
Apple Juice, unsweet. 4 oz. Lemon Juice, unsweet. 6 oz.
Cranberry Juice, Low Cal. 10 oz. Orange Juice, unsweet. 4 oz.
Grape Juice, unsweet. 4 oz. Pineapple, Juice, unsweet. 4 oz.
Grapefruit Juice, unsweet. 5 oz. Prune Juice, unsweet. 3 oz.


Vegetable Diabetic Exchange Lists

One Exchange Value serving typically should conform to the following:

Calories: 28
Protien: 2 grams
Carbohydrates 5 grams
Fat: 0 grams

Raw vegetables are considered the best choice, particularly dark leaf vegetables, such as spinach. Steaming vegetables is the next best preparation choice.

Item Serving Item Serving
Artichoke 1/2 Okra 1/2 Cup
Asparagus, chopped 1 Cup Onion 1/2 Cup
Bamboo Shoots 1/2 Cup Pea Pods, snow 1/2 Cup
Bean Sprouts 1/2 Cup Pepper, green, red, yellow 1 Cup
Beets 1/2 Cup Radishes 1 Cup
Broccoli 1/2 Cup Rutabagas 1/2 Cup
Broccoli Rabe 1/2 Cup Sauerkraut 1/2 Cup
Brussels Sprouts 1/2 Cup Scallions 1/2 Cup
Cabbage 1 Cup Spinach, cooked 1/2 cup
Carrots 1/2 Cup Squash, Summer 1 Cup
Cauliflower 1 Cup Squash, Zucchini 1 Cup
Celery 1 Cup Tomato 1 medium
Collard Greens 1 Cup Tomato, paste 1.5 Tbs.
Egg Plant 1/2 Cup Tomato, sauce, can 1/3 Cup
Fennel, bulb 1/2 Cup Tomato, juice 1/2 Cup
Garlic 5 cloves Turnips 1/2 Cup
Green Beans 1 Cup vegetables, mixed 1/4 Cup
Kale 1/2 Cup Vegetable, juice 1/2 Cup
Leeks 1/2 Cup Wax Beans 1 Cup
Mushrooms, Fresh 1 Cup Water Chestnuts 5 Whole
Mustard Greens, cooked 1 Cup Chili Pepper 5 small



Low Carb and Low Cal Vegetable Diabetic Exchange List

Some vegetables have very little carbohydrates or calories. They are not technically "free" foods as outlined below, but if eaten raw they may be eaten in greater quantity. This does not mean you can eat 12 lettuce heads in one sitting, but generally you do not have to stress over the serving size like other foods.

Alfalfa Sprouts Lettuce
Chicory Parsley
Chinese Cabbage Pickes, unsweet.
Cucumber Pimiento
Endive Spinach
Escarole Watercress


Meat and Meat Substitutes Diabetic Exchange Lists

Meat and Meat Substitutes are a little more involved for determining One Exchange Value of any given serving. The conventional wisdom is that meat exchange values are determined based on their fat content as follows:

Nonfat Low Fat Medium Fat Higher Fat
Calories 40-45 55 75 100
Protein 7g 7g 7g 7g
Carbohydrates 0g 0g 0g 0g
Fat 0g 3g 5g 8g

High fat meat choices should be rare occasions. If at all possible stick with low fat options. Also, avoid frying meat and try to bake, barbeque or broil when cooking.

If eating hamburger, you may also want to rinse the meat after you cook it. This will remove a tremendous amount of the fat. Lastly, trim any excess fat before cooking.


No Fat Meat and Meat Substitutes

Item Serving
Cheese, fat free 1 oz.
Cottage Cheese, fat free 1/4 Cup
Ricotta, 100% Skim 1 oz.



Low Fat Meat and Meat Substitute Diabetic Exchange Lists

Item Serving Item Serving
Cottage Cheese, 1% Fat 1/4 Cup Pork, tenderloin, trimmed 1 oz.
Cheese, low fat 1 oz. Poultry, chicken, no skin 1 oz.
Beans, dried, cooked 1/2 Cup (1 meat, 1 starch) Poultry, turkey, no skin 1 oz.
Egg, substitute, raw 1/4 Cup (55 cal.) Ground Chicken 1 oz.
Fish and Shellfish 1 oz. Ground Turkey 1 oz.
Tuna, water packed 1/4 Cup Canadian Bacon 1 oz.
Lunch Meat, 95% fat free 1 oz. Tofu 3 oz.



Medium Fat Meat and Meat Substitutes Diabetic Exchange Lists

Item Serving Item Serving
Beef, chipped 1 oz. Veal, no breast 1 oz.
Beef, flank steak 1 oz. Cheese, mozzarella part skim 1 oz.
Beef, hamburger 15% fat 1 oz. Cheese, ricotta part skim 1 oz.
Beef, rin eye 1 oz. Cheese, processed lite 1 oz.
Beef, sirloin 1 oz. Cheese, lite 1 oz.
Beef, tederloin 1 oz. Parmesan 3 Tbs.
Beef, top round 1 oz. Romano 3 Tbs.
Beef, bottom round 1 oz. Egg 1
Lamb, non breast 1 oz. Egg, substitute (56-80 cal.) 1/4 cup, raw
Pork, ground 1 oz. Lunch Meat, 86% lean 1 oz.
pork, sparerib 1 oz. Turkey Bacon 2 slices
pork, tenderloin 1 oz. Peanut Butter 1 Tbs., 1 meat, 1 fat



Higher Fat Meat and Meat Substitutes Diabetic Exchange Lists

Eat these meats only infrequently. The saturated fat content is not good for you.

Item Serving Item Serving
Beef, brisket 1 oz. Cheese, blue 1 oz.
beef, rib steak 1 oz. Cheese, brie 1 oz.
Beef, corned beef 1 oz. Cheese, cheddar 1 oz.
Beef, hamburger 80% lean 1 oz. cheese, colby 1 oz.
Beef, rib roast 1 oz. Cheese, feta 1 oz.
Lamb, breast 1 oz. Cheese, monterey jack 1 oz.
Pork, ground 1 oz. Cheese, provolone 1 oz.
Pork, spareribs 1 oz. Cheese, swiss 1 oz.
Pork, sausage (link, patty) 1 oz. Cheese, processed 1 oz.
Veal, breast 1 oz. Cheese, low fat goat 2 oz.
Pultry, duck 1 oz. Organ Meat, liver, kidney, heart 1 oz.
Poultry, goose 1 oz. Fried Fish 1 oz.


Dairy Diabetic Exchange Lists

Dairy Exchange Value per serving is split into nonfat, low fat and medium to high fat categories.

Dairy choices are best if nonfat or low fat. The key is also to avoid as much, or all saturated fat in this category. If you are not a big dairy consumer, make sure you take a calcium supplement. Amongst other things, this will help with avoiding or minimizing diabetes and osteoporosis.

One Exchange Value serving typically should conform to the following:

Nonfat Low Fat Med. - High Fat
Calories 80 107 125-150
Protein 8g 8g 8g
Carbohydrates 12g 12g 12g
Fat 0 3 5-8



NonFat Dairy Diabetic Exchange Lists

Item Serving Item Serving
Skim Milk 8 oz. Low-Fat Milk, 0.5% 8 oz.
Nonfat Yogurt, Plain 8 oz. Lactaid Milk, skim 8 oz.
Canned Evaporated Milk 4 oz.



Low Fat Milk Diabetic Exchange Lists

Item Serving
Low Fat Milk, 1% 8 oz.
Yogurt, plain 8 oz.
Lactaid Milk, 1% 8 oz.



Medium to High Fat dairy Exchange List

Item Serving
Low Fat Milk, 2% 8 oz.
Whole Milk 8 oz.


Fat Diabetic Exchange Lists

One Exchange Value serving typically should conform to the following:

Calories: 45 Protein: 0 Carbohydrates: 0 Fat: 5

Try and choose unsaturated or low saturated fat choices. Better cooking oil choices includ safflower, olive, canola, etc.

Lower or Unsaturated Exchange Lists

Item Serving Item Serving
Avocado, 4 inch 1/8 Nuts, pecans 2 whole
Margarine 1 Tsp. Nuts, pine nuts 1 Tbs.
Mayonnaise 1 Tsp. Nuts, pistachio 12 whole
Mayonnaise, reduced calorie 1 Tbs. Nuts, walnuts 2 whole
Nondairy Creamer 2 Tbs. Oils, olive, safflower, canola 1 Tsp.
Nondairy Creamer, lite 5 Tbs. Oil, corn, sunflower 1 Tsp.
Nuts, almonds 6 whole Olive, green 5 small
Nuts, brazil 2 med. Olive, black 2 large
Cashews 5-8 whole Dressing, salad italian 1 Tbs.
Nuts, hazelnuts 5 whole Dressing, salad, Mayo based 2 Tsp.
Nuts, macadamia 3 whole Seeds, sunflower 1 Tbs.
Nuts, peanuts, spanish 20 whole Seeds, pumpkin 2 Tsp.
Nuts, peanutes, virginia 10 whole Seeds, sesame 1 Tbs.



More Saturated Fat

Use the following fats very infrequently.


Item Serving Item Serving
Butter 1 Tsp. Cream, light 1.5 Tbs.
Bacon, crisp 1 strip Cream, sour 2 Tbs.
Coconut, shredded 2 Tbs. Cream, whipped, can 1/3 Cup
Nondairy Whipped Topping 3 Tbs. Cream Cheese 1 Tbs.
Cream, half n half 2 Tbs. Margerine 1 Tsp.
Cream, heavy 1 Tbs. Oil, palm, coconut 1 Tsp.


Free Foods Diabetic Exchange Lists

Finally, if you have read this far, you are now rewarded with some free food items!! Wahoo!! They may not seem like much, but let's take what we can get. If the item has an * next to it, it has high sodium, so be careful.

The following items have very few calories and are considered free!.

Bouillon Cubes* Broth, Clear Soda, no calorie
Coffee Cranberries, unsweet. Most Extracts
Most Herbs Horseradish Lime Juice
Most Mustards Sugar Substitutes Pickles, unsweet.
Soy Sauce Steak Sauce, most Tabasco Sauce
Taco Sauce Tea Vinegar, most



Diabetic Exchange Lists Summary

The above diabetic exchange lists should get you started toward implementing your exchange diet. However, as you may have determined, many of the foods we eat come already prepared.

Initially, it will take some time to figure the appropriate exchange value, but the reward will be well worth it. Great health and feeling great!



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Sources:

Joslin Diabetes Gourmet Cookbook, Polin, Bonnie Sanders, Towner, Frances, Bantam Books, 1993.

Mayoclinic.com (accessed August 2009).

Nutrition.gov (accessed August 2009).


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