Exchange List in Diabetic’s Diet

What you eat is closely connected to the amount of sugar in your blood. The right food choices will help you control your blood sugar level. There is no one "diabetes diet." Your doctor will probably suggest that you work with a registered dietitian to design a meal plan.

A meal plan is a guide that tells you what kinds of food you can choose at meals and snack time and how much to have. For most people with diabetes (and those without, too), a healthy diet consists of 40% to 60% of calories from carbohydrates, 20% from protein and 30% or less from fat. In recent years, doctors have learned that eating some sugar doesn't usually cause problems for most people with diabetes as long as it is part of a balanced diet. But diabetics must look to be careful about how much sugar you eat and try not to add sugar to foods.

In general, at each meal you may have 2 to 5 choices (or up to 60 grams) of carbohydrates, 1 choice of protein and a certain amount of fat. Talk to your doctor or dietitian for specific advice.

Carbohydrates. Carbohydrates are found in fruits, vegetables, beans, dairy foods and starchy foods such as breads. Try to have fresh fruits rather than canned fruits (unless they are packed in water or their own juice), fruit juices or dried fruit. You may eat fresh vegetables and frozen or canned vegetables. Condiments such as nonfat mayonnaise, ketchup and mustard are also carbohydrates.

Protein. Protein is found in meat, poultry, fish, dairy products, beans and some vegetables. Try to eat poultry and fish more often than red meat. Don't eat poultry skin, and trim extra fat from all meat. Choose nonfat or reduced-fat dairy products such as cheeses and yogurts.

Fat. Butter, margarine, lard and oils add fat to food. Fat is also in many dairy and meat products. Try to avoid fried foods, mayonnaise-based dishes (unless they are made with fat-free mayo), egg yolks, bacon and high-fat dairy products. Your doctor or dietitian will tell you how many grams of fat you may eat each day. When eating fat-free versions of foods (like mayonnaise and butter), make a point to check the label to see how many grams of carbohydrates they contain. Keep in mind that these products also often have added sugar.

The exchange list

The exchange list is a tool to help you plan healthy meals and snacks. To add variety to your diet, you can substitute certain foods for other foods in the same group.

If your blood sugar is low, you may become cranky, tired, confused, shaky or sweaty. This is a condition called hypoglycemia. This can happen after you have been working hard or exercising. You should check your blood sugar level and then drink fruit juice or a regular (not diet) soda right away. This will usually bring your level back to normal.

However, if you are very thirsty, urinate a lot or have blurred vision, your blood sugar may be much too high. Check your blood sugar level and contact your doctor to find out what to do.