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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
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Bagel
|
1/2 Med.
|
|
Bread, French/Italian
|
1 Slice
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Roll, Dinner
|
1 Small
|
|
Bread Crumbs
|
3 Tbs.
|
Roll, Hambuger
|
1/2 Medium
|
|
Taco Shell
|
1 Fat, 1 Starch
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Roll, Hot Dog
|
1/2 Roll
|
|
Corn Tortilla
|
1 Fat, 1 Starch
|
Cereal, cooked
|
1/2 Cup
|
|
Bran, Concentrated
|
1/3 Cup
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Pasta, cooked
|
1/2 Cup
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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
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Roll, Dinner
|
1 Small
|
|
Potato, baked
|
1/2 Medium
|
Pumpkin
|
3/4 Cup
|
|
Sweet Potato, mashed
|
1/3 Cup
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Squash, Acorn
|
3/4 Cup
|
|
Sweet Potato, baked
|
1/2 Medium
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Squash, Winter
|
3/4 Cup
|
|
Peas
|
2/3 Cup
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Squash, Butternut
|
3/4 Cup
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Common GrainsDiabetic Exchange Lists
|
Item
|
Serving
|
Item
|
Serving
|
|
Rice, white, brown
|
1/3 Cup cooked
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Barley, cooked
|
1/4 Cup
|
|
Rice, arborio
|
1/3 Cup
|
Cornstarch
|
2 Tbs.
|
|
Rice, basmati, wild
|
1/3 Cup cooked
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Cornmeal, uncooked
|
2.5 Tbs.
|
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Couscous
|
1/2 Cup cooked
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Flour
|
3 Tbs.
|
|
Kaska, cooked
|
1/3 Cup
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Quinona, uncooked
|
2 Tbs.
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Common Crackers and Miscellaneous Diabetic Exchange Lists
|
Item
|
Serving
|
Item
|
Serving
|
|
Popcorn, popped, no fat
|
3 Cups
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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
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Banana, 9 inch
|
1/2
|
|
Blackberries
|
3/4 Cup
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Cantaloupe, sectioned
|
1/3 melon
|
|
Blueberries
|
3/4 Cup
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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
|
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Mango, whole
|
1/2
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Honeydew Melon, cubed
|
1 Cup
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Mango, cubed
|
1/2 Cup
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Kiwifruit
|
1 large
|
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Lemon
|
1 large
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Peach, 2.5 inch
|
1
|
|
Orange, 3 inch
|
1
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Pear
|
1 small
|
|
Nectarine, 2.5 inch
|
1 Cup
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Papaya, 3.5 inch, sectioned
|
1/2
|
|
Pineapple, diced
|
3/4 Cup
|
Papaya, cubed
|
1 Cup
|
|
Pineapple, canned
|
1/3 Cup
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Plum, 2 inch
|
2
|
|
Pomegranate, 3.5 inch
|
1/2
|
Prunes, medium
|
3
|
|
Rasberries
|
1 Cup
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Raisins
|
2 Tbs.
|
|
Strawberries
|
1 1/3 Cup
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Rhubarb, diced
|
3 Cups
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|
Tangerine, 2.5 inch
|
2
|
Watermelon, diced
|
1 1/4 Cup
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Common Fruit Juices
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Item
|
Serving
|
Item
|
Serving
|
|
Apple Juice, unsweet.
|
4 oz.
|
Lemon Juice, unsweet.
|
6 oz.
|
|
Cranberry Juice, Low Cal.
|
10 oz.
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Orange Juice, unsweet.
|
4 oz.
|
|
Grape Juice, unsweet.
|
4 oz.
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Pineapple, Juice, unsweet.
|
4 oz.
|
|
Grapefruit Juice, unsweet.
|
5 oz.
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Prune Juice, unsweet.
|
3 oz.
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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.
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Item
|
Serving
|
Item
|
Serving
|
|
Artichoke
|
1/2
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Okra
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1/2 Cup
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|
Asparagus, chopped
|
1 Cup
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Onion
|
1/2 Cup
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|
Bamboo Shoots
|
1/2 Cup
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Pea Pods, snow
|
1/2 Cup
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|
Bean Sprouts
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1/2 Cup
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Pepper, green, red, yellow
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1 Cup
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|
Beets
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1/2 Cup
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Radishes
|
1 Cup
|
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Broccoli
|
1/2 Cup
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Rutabagas
|
1/2 Cup
|
|
Broccoli Rabe
|
1/2 Cup
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Sauerkraut
|
1/2 Cup
|
|
Brussels Sprouts
|
1/2 Cup
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Scallions
|
1/2 Cup
|
|
Cabbage
|
1 Cup
|
Spinach, cooked
|
1/2 cup
|
|
Carrots
|
1/2 Cup
|
Squash, Summer
|
1 Cup
|
|
Cauliflower
|
1 Cup
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Squash, Zucchini
|
1 Cup
|
|
Celery
|
1 Cup
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Tomato
|
1 medium
|
|
Collard Greens
|
1 Cup
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Tomato, paste
|
1.5 Tbs.
|
|
Egg Plant
|
1/2 Cup
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Tomato, sauce, can
|
1/3 Cup
|
|
Fennel, bulb
|
1/2 Cup
|
Tomato, juice
|
1/2 Cup
|
|
Garlic
|
5 cloves
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Turnips
|
1/2 Cup
|
|
Green Beans
|
1 Cup
|
vegetables, mixed
|
1/4 Cup
|
|
Kale
|
1/2 Cup
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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
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Chili Pepper
|
5 small
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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.
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Alfalfa Sprouts
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Lettuce
|
|
Chicory
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Parsley
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|
Chinese Cabbage
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Pickes, unsweet.
|
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Cucumber
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Pimiento
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Endive
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Spinach
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|
Escarole
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Watercress
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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
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Low Fat
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Medium Fat
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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.
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Low Fat Meat and Meat Substitute Diabetic Exchange Lists
|
Item
|
Serving
|
Item
|
Serving
|
|
Cottage Cheese, 1% Fat
|
1/4 Cup
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Pork, tenderloin, trimmed
|
1 oz.
|
|
Cheese, low fat
|
1 oz.
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Poultry, chicken, no skin
|
1 oz.
|
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Beans, dried, cooked
|
1/2 Cup (1 meat, 1 starch)
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Poultry, turkey, no skin
|
1 oz.
|
|
Egg, substitute, raw
|
1/4 Cup (55 cal.)
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Ground Chicken
|
1 oz.
|
|
Fish and Shellfish
|
1 oz.
|
Ground Turkey
|
1 oz.
|
|
Tuna, water packed
|
1/4 Cup
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Canadian Bacon
|
1 oz.
|
|
Lunch Meat, 95% fat free
|
1 oz.
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Tofu
|
3 oz.
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Medium Fat Meat and Meat Substitutes Diabetic Exchange Lists
|
Item
|
Serving
|
Item
|
Serving
|
|
Beef, chipped
|
1 oz.
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Veal, no breast
|
1 oz.
|
|
Beef, flank steak
|
1 oz.
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Cheese, mozzarella part skim
|
1 oz.
|
|
Beef, hamburger 15% fat
|
1 oz.
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Cheese, ricotta part skim
|
1 oz.
|
|
Beef, rin eye
|
1 oz.
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Cheese, processed lite
|
1 oz.
|
|
Beef, sirloin
|
1 oz.
|
Cheese, lite
|
1 oz.
|
|
Beef, tederloin
|
1 oz.
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Parmesan
|
3 Tbs.
|
|
Beef, top round
|
1 oz.
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Romano
|
3 Tbs.
|
|
Beef, bottom round
|
1 oz.
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Egg
|
1
|
|
Lamb, non breast
|
1 oz.
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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
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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.
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Cheese, blue
|
1 oz.
|
|
beef, rib steak
|
1 oz.
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Cheese, brie
|
1 oz.
|
|
Beef, corned beef
|
1 oz.
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Cheese, cheddar
|
1 oz.
|
|
Beef, hamburger 80% lean
|
1 oz.
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cheese, colby
|
1 oz.
|
|
Beef, rib roast
|
1 oz.
|
Cheese, feta
|
1 oz.
|
|
Lamb, breast
|
1 oz.
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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.
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Cheese, processed
|
1 oz.
|
|
Veal, breast
|
1 oz.
|
Cheese, low fat goat
|
2 oz.
|
|
Pultry, duck
|
1 oz.
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Organ Meat, liver, kidney, heart
|
1 oz.
|
|
Poultry, goose
|
1 oz.
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Fried Fish
|
1 oz.
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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
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NonFat Dairy Diabetic Exchange Lists
|
Item
|
Serving
|
Item
|
Serving
|
|
Skim Milk
|
8 oz.
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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.
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Medium to High Fat dairy Exchange List
|
Item
|
Serving
|
|
Low Fat Milk, 2%
|
8 oz.
|
|
Whole Milk
|
8 oz.
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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!
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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