By ChrissyRI Latest Reply 2012-08-05 13:09:26 -0500
Started 2012-08-05 06:11:43 -0500

What are they? I never understood the exchange list.

4 replies

dietcherry 2012-08-05 12:46:04 -0500 Report

In the Dark Ages of D Awareness or 1981 when I was diagnosed T1, we used the Exchange Meal Plan instead of counting carbs. I was told not to eat sugar and at that time it was little understood that carbs are metabolized the same as sucrose, and with the same BG spikes.

We counted ounces, grams, cups, Tbsp.s, etc. although there was little counting involved as we had Meal Plan books that spelled out exactly how much of a food item equaled an Exchange. For example, 1 slice of bread was 1 Exchange. 1 ounce or 30 grams of meat was an Exchange.

We had 7 food groups: Meat, Bread/Starch, Vegetables, Fruit, Fat, Milk, and the ever desired Free List. The Free List was comprised of mostly seasonings and limited condiments :(

A note I made to myself in the book was that 0-5 grams=a free Carbohydrate Exchange, 6-10 grams=half a Carb Exchange, and 11-15 grams was 1 Exchange, which was the genesis of carb-counting as we know it today.

Also some food items overlapped more than 1 Food Group; a half cup of ice cream was 1 Bread/Starch Exchange and 2 Fat Exchanges.

Are you sorry you asked? lol At some point I was planning on taking pictures of my old book and posting them here for the amusement of my DC friends :-)

ChrissyRI 2012-08-05 12:49:53 -0500 Report

Lol! Not sorry I asked at all. I think I will stick to counting carbs though Haha. Americana diabetes association recommends no more than 40-60 carbs per meal (via phone interview with an agent for an upcoming blog I am posting soon). So basically, when I see the exchange info on a recipe, I guess im to ignore it lolol

dietcherry 2012-08-05 13:09:26 -0500 Report

lol Weve come a looooong way in our understanding of how food affects our BG and carb-counting is the final word——for now?——in successful D management :)

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