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Dietary Guidelines from the American Diabetes Association
The Exchange Lists are the basis of a meal planning system designed by a committee of the
American Diabetes Association and the American Dietetic Association. While designed
primarily for people with diabetes and others who must follow special diets, the Exchange
Lists are based on principles of good nutrition that apply to everyone.
A Registered Dietitian can help a person with diabetes determine the amount of carbohydrate
that should be eaten per day and at each meal and snack. For consistent blood glucose
levels, the amount of carbohydrate eaten should be spread throughout the day to allow for
a more even release of glucose into the blood from meal to meal and from day to day. The
total number of meals and snacks and their timing throughout the day can differ for each
person depending on nutritional needs, lifestyle, and medications.
According to recent research, the amount of carbohydrate in a meal is more important than
the type of carbohydrate. Foods high in carbohydrates include grains such as
rice, pasta, breads, cereals, and similar foods; white and sweet potatoes; fruits
and juices; vegetables; milk and milk products; and anything made with added sugars,
such as sweetened beverages, candies, cookies and other desserts.
In addition to the Exchange Lists, many diabetics now use carbohydrate counting. By
knowing the carbohydrate goal (the number of grams of carbohydrate to eat) for each meal
and snack, choices can be made by counting the total number of carbohydrates in the
meal. Each Starch, Fruit, and Milk exchange serving contains roughly 15 grams
of carbohydrate and each Vegetable exchange serving contains roughly 5 grams of
carbohydrate. Fat and protein content of foods should also be monitored for
overall good health.
General Guidelines
- Know the number of exchanges or carbohydrates you have available for the meal.
- Request a take-home container at the beginning of the meal. Take home
the additional food beyond the servings you can eat at your meal.
- Use the specific information provided for each item to determine the
amount of each item you can eat.
- 2% milk is available.
Exchanges and Carbohydrate Grams for Specific Foods
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Soups
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| Karen's "Flying D" Chili |
Cup = 2 Medium Fat Meat and 2 Starch - 30 Carbohydrates
Bowl = 4 Medium Fat Meat and 4 Starches - 60 Carbohydrates |
| Chicken Noodle |
Cup = 1 Lean Meat and 1 Starch - 15 Carbohydrates
Bowl = 2 Lean Meat and 2 Starch - 30 Carbohydrates |
| Tortilla |
Cup = 1 Lean Meat and 1 Starch - 15 Carbohydrates
Bowl = 2 Lean Meat and 2 Starch - 30 Carbohydrates |
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Salads
Dressings to select: Fresh Lemon or Olive Oil and Vinegar.
For other dressings use 1 Fat Exchange for each Tablespoon of Dressing
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The Wedge
Order without bacon. |
Salad - Free |
| Vine-Ripe Tomato and Onion Salad |
1 Vegetable and 1 Fat |
Caesar Salad
Order without cheese, croutons and Caesar
dressing. |
Salad - Free
For Caesar dressing add 1 Fat for each Tablespoon. |
Grilled Chicken Caesar or Cedar Plank Salmon Caesar
Order without cheese, croutons and Caesar dressing. |
For Caesar dressing add 1 Fat for each Tablespoon.
Salad - Free
Chicken - 6 Lean Meat
Salmon - 4 Lean Meat and 1 Fat |
Grilled Salad
Order without cheese, bacon, egg and croutons. Add chicken,
bison patty or Cedar Plank Salmon. |
Salad - Free
Chicken - 6 Lean Meat
Salmon - 4 Lean Meat
Bison Patty - 6 Lean Meat |
House Salad
Order without bacon or croutons. |
Salad - Free |
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Blue Plate Specials
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Roasted "Beer Can" Chicken
Remove skin from chicken.
Order tomato slice, broccoli, carrots or green beans steamed. |
Chicken - 6 Lean Meat Exchanges
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Slow-Roasted Pork
Order tomato slice, broccoli, carrots or green beans steamed. |
Pork - 6 Lean Meat Exchanges
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Roast Turkey
Order tomato slice or broccoli, carrots or green beans steamed. |
Turkey - 6 Lean Meat Exchanges
Dressing - 1 Starch and 1 Fat - 15 Carbohydrates
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Burgers and Brick Chicken
Order Ground Bison or Brick Chicken. Order "dry" wheat buns. Ask to NOT have
your bun "floated." Choose a cup of chili as a side.
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| Naked |
6 Lean Meat and 2 Starch - 30 Carbohydrates |
Chili-Cheese
Order without cheese. |
6 Lean Meat, 1 Fat and 2 Starch - 45 Carbohydrates |
| Skinny Dip |
6 Lean Meat, 1 Fat and 2 Starch - 30 Carbohydrates |
The Green and Hot
Order without cheese. |
6 Lean Meat and 2 Starch - 30 Carbohydrates |
| Veggie Burger |
4 Lean Meat, 1 Fat and 2 Vegetable - 10 Carbohydrates |
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Featured Entrées
Order tomato slice, broccoli, carrots or green beans steamed (1 Vegetable - 5 Carbohydrates).
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Pot Roast
Order tomato slice or broccoli, carrots,
asparagus or green beans steamed. Can add Caesar, Wedge, House or Vine-Ripened
Tomato and Onion Salad as above. |
Pot Roast - 6 Medium Fat Meat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Prime Rib
Order without lemon butter. Order
tomato slice or broccoli, carrots, asparagus or green beans steamed. Can add Caesar,
Wedge, House or Vine-Ripened Tomato and Onion Salad as above. |
Steak - 8 High Fat Meat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Fresh Cedar Plank Salmon - Lunch Cut
Order tomato slice or broccoli, carrots, asparagus or green beans steamed. |
Salmon - 6 Lean Meat and 1 Fat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Fresh Cedar Plank Salmon - Dinner Cut
Order tomato slice or broccoli, carrots, asparagus or green beans steamed. Can
add Caesar, Wedge, House or Vine-Ripened Tomato and Onion Salad as above. Order with
fresh lemon. |
Salmon - 7 Lean Meat and 1.5 Fat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Tenderloin Filet
Order without lemon butter. Order tomato slice or broccoli,
carrots, asparagus or green beans steamed. Can add Caesar, Wedge,
House or Vine-Ripened Tomato and Onion Salad as above. |
Tenderloin - 6 Lean Meat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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Kansas City Strip Steak
Order without lemon butter. Order tomato slice or
broccoli, carrots, asparagus or green beans steamed. Can add
Caesar, Wedge, House or Vine-Ripened Tomato and Onion Salad as above. |
Steak - 8 Lean Meat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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The Delmonico
Order without lemon butter. Order tomato slice or broccoli, carrots,
asparagus or green beans steamed. Can add Caesar, Wedge, House or
Vine-Ripened Tomato and Onion Salad as above. |
Steak - 10 Medium Fat Meat
Mashed Potatoes - 2 Starch and 2 Fat - 30 Carbohydrates
Vegetables - 1 Vegetable - 5 Carbohydrates
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French Dip
Order without French fries or Horseradish sauce. Order tomato
slice or broccoli, carrots, asparagus or green beans steamed. |
Lean Meat, 3 Starch - 45 Carbohydrates
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Sides
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Steamed Vegetables
Order without butter. |
Vegetables - 1 Vegetable - 5 Carbohydrates |
| Mashed Potatoes |
2 Starch and 2 Fat - 30 Carbohydrates |
Sweet Potato
Order plain. Recommend eat half and take other half home. |
2.5 Starch - 37 Carbohydrates (1/2 potato) |
Baked Potato
Order plain. Recommend eat half and take other half home. |
2 Starch - 30 Carbohydrates (1/2 potato) |
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General Guidelines for Kids Menu
Diabetic exchanges and carbohydrate counting are included for
insulin dependent diabetic children following a diet prescription from a registered
dietitian. Food information is included so items may be used in daily diet
planning as based on each child's exchange and carbohydrate availability. This
information is not meant to replace recommendations from medical experts and is
provided as a means to make menu planning easier.
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| 2% Milk |
1 Milk - 12 Carbohydrates |
| French Fries |
2 Starch and 2 Fat - 30 Carbohydrates |
| Sliders |
8 Medium Fat Meat and 3 Starch - 45 Carbohydrates |
| Chicken Tenders |
Chicken - 3 Lean Meat, 1 Fat, 1 Starch - 15 Carbohydrates
Honey Mustard Sauce - 1 Fat and 1 Carbohydrates
Exchanges* - 15 Carbohydrates
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| Lil' Bison Pot Roast |
Pot Roast - 3 Medium Fat Meat
Mashed Potatoes - 1 Starch and 1 Fat - 15 Carbohydrates
Green Beans - Free
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| Mac 'N Cheez |
3 Medium Fat Meat, 3 Starch - 45 Carbohydrates |
| Ice Cream |
1.5 Starch and 3 Fat - 22 Carbohydrates |
| Sides |
Steamed Vegetables
Order without butter. |
Vegetables - 1 Vegetable - 5 Carbohydrates |
The Wedge
Order without Bacon |
For dressings use 1 Fat Exchange for each Tablespoon Dressing
Salad - Free
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*(A carbohydrate exchange contains 15 carbohydrates and can be substituted for 1 Starch, Fruit
or Milk exchange as individual plans allow.)
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