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Exchange lists

Use the following exchange lists adapted from material provided by the "American Diabetes Association" and the "American Dietetic Association" to help you choose appropriate portion sizes and ensure variety in your meal plan.

Exchange List: Starches


One serving (exchange) of a starchy food usually contains 15 grams of carbohydrate, up to 3 grams of protein, up to 1 gram of fat, and 80 calories. Starches in the amounts listed below equal one exchange. Choose whole-grain and low-fat starches as often as you can.


TypeFoodServing size
Bread
  Bagel, large (4 ounces) 1/4 (1 ounce)
Bread: pumpernickel, rye, unfrosted raisin, white, whole-grain 1 slice (1 ounce)
Bread, reduced-calorie 2 slices (1 1/2 ounces)
Chapati, small (6 inches across) 1
English muffin 1/2
Hamburger bun 1/2 (1 ounce)
Hot dog bun 1/2 (1 ounce)
Pancake (4 inches across, 1/4-inch thick) 1
Pita (6 inches across) 1/2
Tortilla, flour or corn (6 inches across) 1
Cereals and grains
  Barley, cooked 1/3 cup
Bulgur wheat, cooked 1/2 cup
Cereal: bran, oats, spoon-size shredded wheat, sweetened 1/2 cup
Cereal, puffed, unfrosted 1 1/2 cups
Cereal, unsweetened, ready-to-eat 3/4 cup
Couscous 1/3 cup
Granola, low-fat or regular 1/4 cup
Grits, cooked 1/2 cup
Pasta, cooked 1/3 cup
Quinoa, cooked 1/3 cup
Rice, cooked: white, brown 1/3 cup
Tabbouleh, prepared 1/2 cup
Wheat germ, dry 3 tablespoons
Wild rice, cooked 1/2 cup
Starchy vegetables
  Baked potato with skin 1/4 large (3 ounces)
Corn 1/2 cup
Corn on the cob, large 1/2 cob (5 ounces)
Mashed potato 1/2 cup
Mixed vegetables with corn, peas or pasta 1 cup
Parsnips 1/2 cup
Plantain, ripe 1/3 cup
Pumpkin, canned 1 cup
Spaghetti/pasta sauce 1/2 cup
Squash: acorn, butternut 1 cup
Succotash 1/2 cup
Yam or sweet potato, plain 1/2 cup (4 ounces)
Crackers and snacks
  Animal crackers 8
Graham crackers (2 1/2-inch squares) 3
Matzo 3/4 ounce
Melba toast 4 pieces
Oyster crackers 20
Popcorn, low-fat microwave or popped with no added fat 3 cups
Pretzels 3/4 ounce
Rice cakes (4 inches across) 2
Saltine crackers 6
Snack chips, fat-free or baked: tortilla, potato 15 to 20 (3/4 ounce)

Beans, peas and lentils also are considered starches, but they count as one starch exchange and one lean meat exchange.


TypeFoodServing sizeCount as
Beans, peas and lentils
  Baked beans 1/3 cup 1 starch plus 1 lean meat
Beans, cooked: black, garbanzo, kidney, lima, navy, pinto, white 1/2 cup 1 starch plus 1 lean meat
Lentils, cooked: brown, green, yellow 1/2 cup 1 starch plus 1 lean meat
Peas, cooked: black-eyed, split, green 1/2 cup 1 starch plus 1 lean meat
Refried beans, canned 1/2 cup 1 starch plus 1 lean meat


Exchange List: Non-Starchy Vegetables


Non-starchy vegetables contain small amounts of carbohydrate and calories, but they pack an important nutritional punch.


One serving (exchange) of a nonstarchy vegetable usually contains 5 grams of carbohydrate, 2 grams of protein, no fat and only 25 calories. For the vegetables listed below, one exchange equals 1/2 cup cooked vegetables or vegetable juice, or 1 cup raw vegetables.


If you eat 1 1/2 cups or more of cooked vegetables or 3 cups or more of raw vegetables in a meal, count them as one carbohydrate exchange.


  • Amaranth
  • Artichoke
  • Artichoke hearts
  • Asparagus
  • Baby corn
  • Bamboo shoots
  • Beans: green, Italian, wax
  • Bean sprouts
  • Beets
  • Borscht
  • Broccoli
  • Brussels sprouts
  • Cabbage: bok choy, Chinese, green
  • Carrots
  • Cauliflower
  • Celery
  • Chayote
  • Cucumber
  • Eggplant
  • Green onions or scallions
  • Greens: collard, kale, mustard, turnip
  • Jicama
  • Kohlrabi
  • Leeks
  • Mixed vegetables without corn, peas or pasta
  • Mung bean sprouts
  • Mushrooms
  • Okra
  • Onions
  • Oriental radish or daikon
  • Pea pods
  • Peppers, all varieties
  • Radishes
  • Rutabaga
  • Sauerkraut
  • Soybean sprouts
  • Spinach
  • Sugar snap peas
  • Summer squash
  • Swiss chard
  • Tomato: raw, canned, sauce, juice
  • Turnips
  • Vegetable juice cocktail
  • Water chestnuts
  • Zucchini



Exchange List: Fruits



One serving (exchange) of fruit usually contains 15 grams of carbohydrate, no protein or fat, and 60 calories. Fruits in the amounts listed below equal one exchange. 



TypeFoodServing size
Fresh fruit
  Apple, small (2 inches across) 1 (4 ounces)
Apricots 4 (5 1/2 ounces)
Banana, extra-small 1 (4 ounces)
Blackberries, blueberries 3/4 cup
Cantaloupe, honeydew, papaya, cubed 1 cup (11 ounces)
Cherries 12 (3 ounces)
Dates 3
Figs, medium 2 (3 1/2 ounces)
Grapefruit, large 1/2 (11 ounces)
Grapes, small 17 (3 ounces)
Kiwi 1 (3 1/2 ounces)
Mango, cubed 1/2 cup
Nectarine, small 1 (5 ounces)
Orange, small 1 (6 1/2 ounces)
Peach, medium 1 (6 ounces)
Pear, large 1/2 (4 ounces)
Pineapple, cubed 3/4 cup
Plums, small 2 (5 ounces)
Raspberries 1 cup
Strawberries 1 1/4 cup
Tangerines, small 2 (8 ounces)
Watermelon, cubed 1 1/4 cup (13 1/2 ounces)
Dried fruit
  Apples 4 rings
Apricots 8 halves
Blueberries, cherries, cranberries, mixed fruit 2 tablespoons
Figs 1 1/2
Prunes 3
Raisins 2 tablespoons
Canned fruit, unsweetened
  Applesauce, apricots, cherries, peaches, pears, pineapple, plums 1/2 cup
Grapefruit, mandarin oranges 3/4 cup
Fruit juice, unsweetened
  Juice: apple, grapefruit, orange, pineapple 1/2 cup (4 fluid ounces)
Juice: fruit juice blends of 100 percent juice, grape, prune 1/3 cup (2.7 fluid ounces)



Exchange List: Sweets, desserts & other carbohydrates


Your diabetes diet can include sweets and desserts. Just remember the ground rules:

  • Eat sweets and desserts as part of your meal. Your body can't tell the difference between sugars and starches when you eat them as part of a mixed meal with protein, fats and other nutrients. When you eat sweets and desserts as part of your meal, your blood sugar won't rise as rapidly.
  • Don't overdo it. Sweets and desserts often lack the vitamins and minerals found in fruits, milk products and other carbohydrates.
  • Eat sugar-free or low-carb candy with caution. The sweetening agents in sugar-free or low-carb candy still contain calories and must be counted in your daily totals. These foods may be high in fat, too.

Here's a guide to common sweets, desserts and other carbohydrates. Remember to count the exchanges in these products as part of your daily allowance. It's also a good idea to talk to your dietitian about how to fit these foods into your meal plan.


TypeFoodServing sizeCount as
Beverages
  Energy drink 1 can (8.3 fluid ounces) 2 carbohydrates
Hot chocolate, regular 1 envelope added to 1 cup (8 fluid ounces) water 1 carbohydrate plus 1 fat
Hot chocolate, sugar-free or light 1 envelope added to 1 cup (8 fluid ounces) water 1 carbohydrate
Lemonade 1 cup (8 fluid ounces) 2 carbohydrates
Soda, regular 1 can (12 fluid ounces) 2 1/2 carbohydrates
Sports drink 1 cup (8 fluid ounces) 1 carbohydrate
Brownies, cake and cookies
  Angel food cake, unfrosted 1/12 of cake (2 ounces) 2 carbohydrates
Brownie, small, unfrosted 1 1/4-inch square, 7/8-inch thick (1 ounce) 1 carbohydrate plus 1 fat
Cake, frosted 2-inch square (2 ounces) 2 carbohydrates plus 1 fat
Cake, unfrosted 2-inch square (1 ounce) 1 carbohydrate plus 1 fat
Chocolate chip cookies 2 (2 1/4 inches across) 1 carbohydrate plus 2 fats
Cupcake, small, frosted 1 (1 3/4 ounces) 2 carbohydrates plus 1 to 1 1/2 fats
Gingersnap cookies 3 1 carbohydrate
Vanilla wafers 5 1 carbohydrate plus 1 fat
Pie and pudding
  Fruit pie, commercially prepared, two crusts 1/6 of 8-inch pie 3 carbohydrates plus 2 fats
Pudding, regular, made with reduced-fat milk 1/2 cup (4 ounces) 2 carbohydrates
Pudding, sugar-free or sugar- and fat-free, made with fat-free milk 1/2 cup (4 ounces) 1 carbohydrate
Pumpkin pie 1/8 of 8-inch pie 1 1/2 carbohydrates plus 1 1/2 fat
Doughnuts, muffins and sweet breads
  Banana nut bread 1-inch slice (1 ounce) 2 carbohydrates plus 1 fat
Cake doughnut, medium, plain 1 (1 1/2 ounces) 1 1/2 carbohydrates plus 2 fats
Doughnut, glazed 1 (2 ounces) 2 carbohydrates plus 2 fats
Muffin, large 1/4 (1 ounce) 1 carbohydrate plus 1/2 fat
Sweet roll 1 (2 1/2 ounces) 2 1/2 carbohydrates plus 2 fats
Ice cream and other frozen desserts
  Frozen pops 1 1/2 carbohydrate
Frozen yogurt, fat-free 1/3 cup 1 carbohydrate
Frozen yogurt, regular 1/2 cup 1 carbohydrate plus 0-1 fat
Fruit juice bar, 100 percent juice 1 (3 ounces) 1 carbohydrate
Ice cream, fat-free 1/2 cup 1 1/2 carbohydrates
Ice cream, light or no sugar added 1/2 cup 1 carbohydrate plus 1 fat
Ice cream, regular 1/2 cup 1 carbohydrate plus 2 fats
Sherbet, sorbet 1/2 cup 2 carbohydrates
Candy
  Candy bar, chocolate and peanut 2 "fun-size" bars (1 ounce) 1 1/2 carbohydrates plus 1 1/2 fats
Chocolate "kisses" 5 pieces 1 carbohydrate plus 1 fat
Hard candy 3 pieces 1 carbohydrate
Spreads and syrups
  Chocolate syrup 2 tablespoons (1 ounce) 2 carbohydrates
Fruit spreads, 100 percent fruit 1 1/2 tablespoons (3/4 ounce) 1 carbohydrate
Honey 1 tablespoon (1/2 ounce) 1 carbohydrate
Jam or jelly, regular 1 tablespoon (1/2 ounce) 1 carbohydrate
Pancake syrup, light 2 tablespoons (1 ounce) 1 carbohydrate
Pancake syrup, regular 1 tablespoon (1/2 ounce) 1 carbohydrate




Exchange List: Milk and Yogurt


Milk and yogurt are excellent sources of calcium and protein. One serving (exchange) of milk or yogurt usually contains 12 grams of carbohydrate and 8 grams of protein. Check the product label to see how much fat and how many calories each product contains:


  • Fat-free or low fat milk and yogurt products: One serving contains 0 to 3 grams of fat and 100 calories.
  • Reduced-fat milk and yogurt products: One serving contains 5 grams of fat and 120 calories
  • Whole milk and yogurt products: One serving contains 8 grams of fat and 160 calories.

Various types of milk and yogurt may count as slightly different milk and carbohydrate exchanges.


TypeFoodServing sizeCount as
Fat-free and low-fat milk and yogurt products
  Buttermilk 1 cup (8 fluid ounces) 1 fat-free milk
Chocolate milk 1 cup (8 fluid ounces) 1 fat-free milk plus 1 carbohydrate
Evaporated milk 1/2 cup (4 fluid ounces) 1 fat-free milk
Milk 1 cup (8 fluid ounces) 1 fat-free milk
Yogurt, plain or flavored with an artificial sweetener 2/3 cup (6 ounces) 1 fat-free milk
Yogurt, low-fat with fruit 2/3 cup (6 ounces) 1 fat-free milk plus one carbohydrate
Reduced-fat milk and yogurt products
  Milk 1 cup (8 fluid ounces) 1 reduced-fat milk
Soy milk, light 1 cup (8 fluid ounces) 1 carbohydrate plus 1/2 fat
Yogurt, plain 2/3 cup (6 ounces) 1 reduced-fat milk
Whole milk and yogurt products
  Buttermilk 1 cup (8 fluid ounces) 1 whole milk
Chocolate milk 1 cup (8 fluid ounces) 1 whole milk plus 1 carbohydrate
Evaporated milk 1/2 cup (4 fluid ounces) 1 whole milk
Milk 1 cup (8 fluid ounces) 1 whole milk
Soy milk, regular 1 cup (8 fluid ounces) 1 carbohydrate plus 1 fat
Yogurt, plain 1 cup (8 ounces) 1 whole milk
Other
  Eggnog, made with whole milk 1/2 cup (4 fluid ounces) 1 carbohydrate plus 2 fats
Rice drink, fat-free, plain 1 cup (8 fluid ounces) 1 carbohydrate
Rice drink, low-fat, flavored 1 cup (8 fluid ounces) 2 carbohydrates


Exchange List: Fats


Fats come in various types. Unsaturated fats includes monounsaturated fats and polyunsaturated fats. They are healthy if eaten in small amounts. But saturated fats and trans fats can increase your risk of heart disease.


No matter which type of fat you choose, one fat exchange equals 5 grams of fat and 45 calories. Fats in the amounts listed below equal one exchange. Remember to include any fats you use for cooking as part of your daily fat allowance.


TypeFoodServing size
Monounsaturated fats
  Almonds 6
Avocado 2 tablespoons (1 ounce)
Brazil nuts 2
Cashews 6
Filberts (hazelnuts) 5
Macadamia nuts 3
Nut butters, trans fat-free: almond butter, cashew butter, peanut butter (smooth or crunchy) 1 1/2 teaspoon
Oil: canola, olive, peanut 1 teaspoon (5 milliliters)
Olives, black 8 large
Olives, green with pimento 10 large
Peanuts 10
Pecans 4 halves
Pistachios 16
Polyunsaturated fats
  Margarine, low-fat spread, 30 percent to 50 percent vegetable oil, trans fat-free 1 tablespoon
Margarine, trans fat-free: stick, tub, squeeze 1 teaspoon
Mayonnaise, reduced-fat 1 tablespoon
Mayonnaise, regular 1 teaspoon
Mayonnaise-style salad dressing, reduced-fat 1 tablespoon
Mayonnaise-style salad dressing, regular 2 teaspoons
Oil: corn, cottonseed, flaxseed, grape seed, safflower, soybean, sunflower 1 teaspoon (5 milliliters)
Pine nuts 1 tablespoon
Salad dressing, reduced-fat 2 tablespoons (30 milliliters)
Salad dressing, regular 1 tablespoon (15 milliliters)
Seeds: flaxseed, pumpkin, sesame, sunflower 1 tablespoon
Tahini (sesame paste) 2 teaspoons
Walnuts 4 halves
Saturated fats
  Bacon, cooked, regular or turkey 1 slice
Butter, reduced-fat 1 tablespoon
Butter, stick 1 teaspoon
Butter, whipped 2 teaspoons
Coconut, shredded 2 tablespoons
Cream: half-and-half, whipped 2 tablespoons (30 milliliters)
Cream, heavy 1 tablespoon (15 milliliters)
Cream, light 1 1/2 tablespoons (23 milliliters)
Cream cheese, reduced-fat 1 1/2 tablespoons
Cream cheese, regular 1 tablespoon
Oil: coconut, palm, palm kernel 1 teaspoon (5 milliliters)
Shortening or lard 1 teaspoon (5 milliliters)
Sour cream, reduced-fat 3 tablespoons
Sour cream, regular 2 tablespoons


Exchange List: Free Foods


In the diabetes exchange system, any food or drink that has less than 20 calories and 5 grams or less of carbohydrate per serving are considered as free foods.


Enjoy the free foods listed below in any moderate amount as often as you'd like.


TypeFood
Beverages
  Bouillon, broth, consomme
Club soda
Coffee, unsweetened or with sugar substitute
Diet soda, sugar-free
Drink mixes, sugar-free
Flavored water, carbohydrate-free
Tea, unsweetened or with sugar substitute
Tonic water, sugar-free
Water: plain, carbonated, mineral
Condiments
  Horseradish
Lemon juice
Mustard
Vinegar
Seasonings
  Cooking spray
Cooking wine
Flavored extracts: almond, peppermint, vanilla
Garlic
Herbs
Hot pepper sauce
Pimento
Spices
Worcestershire sauce
Other
  Gelatin, sugar-free or unflavored
Gum
Salad greens