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1. Exchange System Assignment
2.QUIZ
The information in the powerpoint may help with the answer
Diabetic Exchange System Overview
FN255
What is it?
A system that allows one to quickly estimate intake or plan a diet
Estimate carbohydrate, fat, protein, or kcals
An exchange is a specific amount of a food inside a food group category
All exchanges in each group provide the same amounts
Serving size varies
Why use it?
Can be challenging to memorize the exchanges and amounts per exchange
Once you are familiar, you can quickly estimate amounts
Writing recommendations or analyzing intake
Handy when an electronic database or list is not available
How to use it
Exchange groups
Starch
Milk
Whole, Reduced fat, Skim
Fruits
Vegetables
Meats
Very lean, lean, medium fat, high fat
Fats
How to Use it
Determine how many exchanges are provided by a specific food/meal.
Multiply the number of exchanges x kcals, CHO, Pro, and Fat per exchange.
Total amounts for the day.
Exchanges
Group g CHO g FAT g PRO Kcals
Starch 15 0-1 1-3 80
Fat-Free Milk 12 0 8 90
Low-Fat Milk 12 5 8 120
Whole Milk 12 8 8 150
Fruit 15 0 0 60
Vegetables 5 0 2 25
Very Lean Protein 0 0-1 7 35
Lean Protein 0 3 7 55
Med-fat Protein 0 5 7 75
High-fat Protein 0 8 7 100
Fat 0 5 0 45
Starch
One exchange = 1 oz equivalent
80 kcals, 15 g CHO, 3 g Pro, 1 g Fat
Includes grains and starchy vegetables
Potatoes, corn, sweet peas
X 1: slice of bread, 2.5” biscuit, 2×2” cornbread, small muffin, 4” waffle, sm potato
½ cup: pasta, hot cereal, corn, potatoes, bran cereal, shredded wheat
¾ cup: dry cereal
1/3 cup: cooked rice, beans* and peas
Milk
Skim: 90 kcals, 12 g CHO, 8 g Pro, 0 g fat
1 cup slim milk, ½ – 1% milk, low-fat buttermilk, 8 oz low or non-fat yogurt
Low-fat: 120 kcals, 12 g CHO, 8 g Pro, 5 g fat
2 % milk, plain low-fat yogurt
Whole: 150 kcals, 12 g CHO, 8 g PRO, 8 g fat
1 cup: whole milk, ½ cup: evaporated whole milk, 8 oz: whole milk plain yogurt
Fruit
One exchange = 60 kcals, 15 g CHO, 0 g P, 0 g F
X1: medium apple, orange, pear, peach
X2: plums, tangerines, figs
½ cup: most cut fresh fruit, fruit juice
¼ cup: dried fruit
Other exchanges: 15 grapes, 1 – 1 ¼ cup melon
Berries: 1 ¼ c Straw, 1 c Rasp, ¾ c Blue & Black
Banana: x 1 small, x ½ large
Vegetables
Non-starchy
One exchange: 25 kcals, 5 g CHO, 2 g P, 0 g F
One exchange =
½ cup: cooked vegetables, vegetable juice
1 cup: raw vegetables
Remember starchy vegetables are starch equivalents: potatoes, corn, peas
Meats
1 oz equivalent for all, Fat and kcals vary
Very Lean: 35 kcals, 0 g C, 7 g P, 0-1 g F
Egg white (x3), fat-free lunch meat,
Lean: 55 kcals, 0 g C, 7 g P, 3 g F
Lean beef, pork, skinless poultry, lowfat lunch meat, seafood, fish, fish canned in water
Medium Fat: 75 kcals, 0 g C, 7 g P, 5 g F
Most beef, most pork, lamb, poultry with skin, lunch meat, fish canned in oil, white cheese, reduced fat cheese, tofu, whole egg (x1), organ meat
High Fat: 100 kcals, 0 g C, 7 g P, 8 g F
Beef (Prime cuts, ribs, corned beef, ground), Pork ribs, ground pork, sausage (x1 link or patty), fried fish, bologna, salami, sausage, peanut butter (1 T), hot dog (1 HFM+F)
Fats
One fat exchange = 45 kcals, 0 g CHO, 0 g pro, 5 g fat
1 tsp: Pure fats (oil, butter, margarine), Mayonnaise
1 Tbsp: Most Nuts, Reg Dressings, Red. fat mayo, Cream cheese
2 Tbsp: Red. Fat dressings, Sour cream
Olives: x10 sm, x5 lg
Avocado: 1/8 or ~1/4 c
Combinations & Desserts
1 cup casserole = 2 MFM, 2 S, 1 Fat
¼ Cheese Pizza = 1 MFM, 2 S, 1 Fat
1 cup chili w/ beans = 2 MFM, 2 S, 2 Fat
1 cup Mac & Cheese = 1 MFM, 2 S, 2 Fat
1 cup Spaghetti & MBs = 1 MFM, 2 S, 1 Fat
1 cup (most) Chunky soup = 1 MFM, 1 S, 1 V
1 cup Beans (cooked) = 1 LM, 2 S
2 small Cookies = 2 S, 1 Fat
½ cup Ice cream = 1 S, 2 Fat
1 oz chips = 1 s, 2 Fat
4 oz Soda, juice, lemonade, etc = 1 Fr
Extensive List
http://
www.glycemic.com/DiabeticExchange/The%20Diabetic%20Exchange%20List
This PDF document provides a more detailed look at the actual exchange sizes.
Nutrition I: FN255
Exchange
System Assignment
Due date: Thursday, 10/2
4
/13
20 points possible
Instructions:
Use the diabetic exchange power point and list at
http://www.glycemic.com/DiabeticExchange/The%20Diabetic%20Exchange%20List
to determine the total amount of carbohydrate, protein, fat, and
kcals
provided by the following:
|
Item |
Svg Size |
Exchange |
g CHO |
g PRO |
g FAT |
kcals |
|
Breakfast |
||||||
|
Cream of wheat |
1 cup , cooked |
|||||
|
Low-fat margarine |
1 Tbsp |
|||||
|
Splenda |
1 tsp |
|||||
|
Ham, 1/8” thick slice |
2 slices |
|||||
|
Orange juice |
8 oz |
|||||
|
Lunch |
||||||
|
Macaroni & Cheese |
1 cup | |||||
|
Grape juice |
||||||
|
Peach |
1 medium |
|||||
|
Water |
12 oz |
|||||
|
Snack |
||||||
|
Oreo cookies |
4 | |||||
|
Milk, low-fat |
||||||
|
Dinner |
||||||
|
Rump roast |
2 palm sz pcs |
|||||
|
Potatoes |
4 small |
|||||
|
Carrots |
½ c, cooked |
|||||
|
Celery |
¼ c, cooked |
|||||
|
Onion |
||||||
|
Broth, garlic salt, onion salt |
¼ c broth |
|||||
|
Diet Pepsi |
16 oz |
|||||
|
Frozen yogurt |
||||||
|
Sugar-free lemonade |
1.How many grams of carbohydrates are provided by the diet pepsi?
2. The 1/4 cup of cooked onions counts as _____ .
Select one:
a. 1 vegetable exchange
b. 1/2 vegetable exchange
c. 1/4 vegetable exchange
3. Which range is the best estimate of the total kilocalories provided by all the foods and beverages on this list?
Select one:
a. 2100 – 2400
b. 2400 – 2700
c. 2700 – 3000
4. The afternoon snack provides 4 oreo cookies, which count as 4 starch and 2 fat exchanges. How many total kcals are provided by the 4 oreos and the 8 oz low-fat milk?
5. The late snack of frozen yogurt and sugar free lemonade provides ____ kcals and ____ grams of carbohydrates.
Select one:
a. 280, 42
b. 320, 60
c. 120, 12
d. 240, 45
6. How many grams of carbohydrates are provided by 1 cup of cream of wheat?
7. How many calories are provided by the breakfast meal?
Select one:
a. 565 b. 435 c. 415 d. 395 e. 400
8. 4 small potatoes count as ____ carbohydrate exchanges.
9. Which of the following is closest to the approximate total kcals provided by the dinner meal?
Select one:
a. 400 kcals
b. 800 kcals
c. 650 kcals
d. 950 kcals
e. 1100 kcals
10. One dairy exchange provides ____ grams of carbohydrates.
11. Which range is the best estimate of the total grams of protein provided by all the foods and beverages on this list?
Select one:
a. 60 – 90 grams
b. 90 – 120 grams
c. 120 – 150 grams
d. 150 – 180 grams
12. Which of the following is the best approximate total of kcals provided by the lunch meal?
Select one:
a. 400 b. 500 c. 300 d. 600 e. 700
13. How many starch exchanges are provided by 1 cup of frozen yogurt (frozen fruit yogurt)?
Select one:
a. 3 b. 2 c. 5 d. 1 e. 4
14. 1 fruit exchange provides ____ grams of carbohydrates.
15. Which range is the best estimate of the total grams of fat provided by all the foods and beverages on this list?
Select one:
a. 75 – 89 grams b. 115 – 129 grams
c. 90 – 114 grams d. 130 – 145 grams
16. 1 cup of macaroni and cheese counts as …
Select one:
a. 1 starch exchange
b. 2 high fat starch exchanges
c. 1 medium fat meat, 2 starch, and 2 fat exchanges
d. 2 starch exhchanges
17. Which range is the best estimate of the total grams of carbohydrates provided by all the foods and beverages on this list?
Select one:
a. 300 – 399 grams
b. 400 – 499 grams
c. 500 – 599 grams
d. 200 – 299 grams
18. One starch exchange provides ____ grams of carbohydrates.
19. If one 1/8″ slice of of ham is considered an oz equivalent of a lean meat, how many kcals are provided by 2 slices?
Select one:
a. 70 kcals
b. 110 kcals
c. 150 kcals
d. 200 kcals
20.
If a palm size piece is 3 oz, how many grams of fat are provided by the rump roast in the dinner meal?
Select one:
a. 48
b. 6
c. 18
d. 30 g
