Sunday, February 12, 2012

Confusion reins! What's an "exchange"?

Written by

Emma Raines

Emma Raines

Sun, December 16, 2007

Can someone please help me understand "exchanges"?  They never seem to make any sense for me?  When I see the word "exchange" my brain shuts down.   :)  :) 

 

12/19/07 10:55am

Hi Emma,

 

I know exchanges seem to be confusing. Believe me just trying to remember to take my meds can be confusing enough!!

The idea of food exchanges in non diabetic folks is to maintain a balance between proteins, carbs, fats, etc, keeping calorie intake to a certain level so as to lose weight. In a diabetic, food exchanges are used to help diabetics avoid the high and low glucose swings. Options like insulin doses, medicines, exercise (or lack of) all factor in to how those food exchanges are made. It can be confusing!

 

There is a great guideline here on healthcentral.com. David Mendosa also has a great glycemic index you can refer to when choosing foods. It's interesting to see that some foods you consider to be good for you aren't necessarily great and vice versa. That list is located here.

 

Good luck and stay in touch. Let us know how you are doing!

Vicki M

1/26/08 2:26pm
Big SmileThanks to you, Vicki M, and the other nice folks who responded to my query about exchanges.  They are the most confusing little devils, but thanks for directing me to further help on this site.  Onward and upward! 
Anonymous
Dave
6/26/08 2:25pm

So why is this so hard to find???

 

how many calories in a meat echange?

how many in a bread exchange?

how many in a fruit exchange?

how many in a fat exchange?

How many in a milk exchange?

how many in a veg exchange?

How many in a meat exchange?

 

How much meat is an exchange?

How much veg is an exchange?

How much milk is an exchange?

How much fat is an exchange?

How much fruit is an exchange?

How much bread is an exchange?

 

In an 1800 calorie day what should my breakfast calories be?

Lunch?

Dinner?

snacks and when?

 

 

6/26/08 6:44pm

It's not how many calories, but how many carbs if you are diabetic. Diabetics should avoid simple carbohydrates. That is why Dave Mendosa's glycemic index is so good. It gives you the information you need to plan your meals properly.

You can read about the glycemix index here at Dave Medosa's site.

 

Good luck!!

Vicki M

 

 

6/26/08 10:34pm

Thanks but I really need the calories. I can count my carbs ok as a pump user. but history has taught me that to get my weight under cintrol I need to count the calories. I know this info is out there, and hopefuly someone will come to the rescue with what I am asking for.

6/27/08 10:46pm

Well 1800 calories is a pretty high count for a dieter. I have always seen diets that were limited to 1200-1500 calories.

 

You can find diet information in Health Central's sister site Diet and Exercise. There is a calorie counter here.

 

Good luck!

Vicki M

12/27/07 11:49am

Hi Emma,

 

In the diabetic world, exchanges are a little outdated.  Perhaps this isn't so much the case with type 2 diabetes, but I don't know any type 1s who currently rely on the exchange system to manage their disease.

 

Before we all got on board with carb counting, food exchanges were used in diabetic meal planning.  As in, "one fruit exchange for a snack" or "2 bread exchanges for lunch."  Each meal needed to contain a certain amount of carbohydrate (from particular sources) so that one could plan their insulin injection properly.

 

Being diagnosed in 1993, I only did the meal exchange system for a few years before carbohydrate counting came along... thank goodness!

 

Good luck!

Anonymous
Susan Bearce
12/29/07 8:46pm

Hi, I have had Type I diabetes for 38 years.  It used to be that the Dr. would put you on a certain calorie diet, when you were diagnosed with diabetes.  The diet was divided into exchanges.  There were bread exchanges, which were starchy foods.  ie. bread, cereal, rice, corn, peas etc.  There were meat exchanges, which were meat and other protein, ie. eggs, peanuts, cheeses. There were vegetable , fruit and milk exchanges.  They would put you on a specific calorie diet and for each meal and snack you were required to eat a certain amount of exchanges per meal.  It used to be you were supposed to eat the same amount at the same time every day.  Talk about a hassle.  Now they typically have you count carbs, and you give insulin according to your carb to insulin ratio.  This way is much more flexible than the old way.  There are books that help to convert carbs to exchanges etc. Hope this helps

 

Susan