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(1) These vegetables are rich sources of fiber. (2) These vegetables are rich
sources of pro Vitamin A.
Fruits are important for their vitamin, mineral, and fiber contents. Include at least
two to three exchanges daily in the diet, one of which should be rich in vitamin C.
Fruits may be used fresh, dried, canned, frozen or cooked. Some fresh fruit juices
like Kalamansi (Philippine lemon), dayap and lemon may be rated as “free food”
when used as flavoring, sauce or when diluted and sweetened with artificial
sweeteners. Fruits may cause a temporary increase in blood sugars, thus meal plans
for patients with diabetes mellitus allow no more than 5 exchanges a day.
The truths are: kalamansi or any sour fruit juice does not have special reducing
properties; the natural sweetness of fruit is not contraindicated for diabetes; each
exchange of fruit contains 40 kilocalories, thus fruits should be computed into the
meal plan. Like any other foods the use of fruits should be regulated. Some
physicians and dietitians prefer to use whole fruits rather juice in diets for patients
with diabetes because the latter have a greater glycemic effect.
Fruit juice consists of unfermented but fermentable liquid obtained from native fresh
fruit, with nothing added or subtracted. Fruit juice is also commercially available I
the form of fruit juice drink and fruit juice concentrate. Fruit drink is a ready-to-drink
beverage prepared by mixing water with fruit concentrate and into which sugar and
citric acid may be added to adjust the soluble solid content and acidity of the
product. The main ingredient consists of fruit juice concentrate, essential oils,
essences of extracts, with or without added sugar. Concentrated fruit juice is the
fruit juice which is concentrated by the removal of part of water but not dried.
This list shows the kinds and amounts of foods to use for one fruit exchange.
A.P E.P.
Fresh:
Banana:
Bungulan 60 40 1/2 of 15 x 4 cm
Lakatan 51 40 1 (9 x 3 cm)
Latundan 55 40 1 (9 x 3 cm)
Mango:
Marang 45 35 1/2 of 12 x 10 cm
Dried:
Dikyam 15 2 (3 x 3 x 1 cm each)
Canned juices:
Bottled (sweetened):
Others:
Sherbet 35 3 tablespoons
(1) These fruits are good sources of fiber. (2) These fruits are good sources of
pro-vitamin A.
(3) These fruits are sources of vitamin C. Include at least one exchange in the diet
daily.
Wt. (g)
Food Measure
E.P.
Whole Milk
Milk, evaporated, untiluted 125 1/2 cup
Milk, evaporated, filled,
125 1/2 cup
undiluted
Milk, evaporated, recombined,
125 1/2 cup
undiluted
+ Milk, fresh carabao's 250 1 cup
Milk, fresh cow's 250 1 cup
1/4 cup or 4 level
Milk, powdered 30
tablespoons
Skimmed (Non-Fat)/Very
Low Fat:
++ Buttermilk: liquid 185 2/3 cup
1/4 cup or 4 level
powdered 25
tablespoons
Long life skimmed milk 250 1 cup
Yoghurt 125 1/2 cup
+ Equivalent to 1 cup cow's milk plus 2 exchanges of fat or 1/2 cup evaporated milk
plus 2 exchanges of fat.
++ Buttermilk refers to pasteurized skim milk that has been sourced by lactic acid
producing bacteria.
List 4 - Rice Exchange
Rice, other cereals and products made from these are the major sources of
carbohydrate which is the cheapest source of calories. In addition, whole grains or
enriched rice and cereals are good sources of iron, thiamin and riboflavin, whole grain
products have more fiber than products made from refined flours.
This list shows the kinds and amount of rice, rice equivalents, bread and bakery
products to use for 1 exchange.
Wt (g)
Food Measure
E.P.
A. Rice and rice products
1. Rice, cooked 80 1/2 cup
2. Rice gruel (lugaw)
thin consistency 705 4-1/2 cups
medium consistency 435 3 cups
thick consistency 250 1-1/2 cups
3. Rice Products
Ampaw: Pinipig 25 3 (9 x 3-1/2 x 2 cm each)
Rice 25 1 (9 x 3-1/2 x 2 cm)
1 slice (1/4 of 15cm diameter,2 cm
Bibingka: Galapong 45
thick
Malagkit 40
1 slice (6 x 3 x 3 cm)
Biko 40 1 slice (10 x 5 x 1 cm)
Casava cake 45 1/2 of 15 x 3 x 2 cm
Espasol (1) 35 2 (11 x 2-1/2 x 1-1/2 cm each
Kalamay: Latik 50 1 (4 x 6 x 2 cm)
Ube 55 1 slice (7 x 3 x 1-1/2 cm)
Kutsinta 60 1 (6 cm diameter x 2-1/2 cm)
Palitaw, walang niyog 55 4 (7-1/2 x 4 x 0.3 cm each)
Puto: Bumbong 40 2 (11 x 2 x 1 cm each)
Pula 45 3 (4 x 3 cm each)
1 slice (9-1/2 x 3 x 3-1/2 cm)
Puti 45
3 (3-1/2 cm diameter x 1-1/2 cm
Seko, bilog 25
thick each)
Seko, haba 25
5 (5 cm long x 2 cm diameter each)
May niyog (1)
Sapin-sapin 75 1 slice (5 x 3 x 4 cm each)
Suman: Ibos 60 1 (8 x 4 x 2 cm)
45 1/2 of 15 x 3 x 2 cm
Kamoteng kahoy
55 1 (8 x 4 x 2 cm)
Lihiya (1)
50 2 (9 x 3 x 2 cm each)
Marwekos (1)
100 2 (7 x 6 cm each)
Tamales
Tikoy 40 1 slice (10 x 3 x 1-1/2 cm)
Tupig 35 1/2 of 14 x 3 x 1 cm
‘B. Rice equivalents
1. Bread
Pan amerikano 40 2 pcs
Pan de bonete (1) 40 1 pc
Pan de leche 40 1 pc
Pan de limon 40 1 pc
Pan de monay 40 1 pc
Pan de sal 40 3 pcs
Rolls (hotdog/hamburger) 40 1 pc
Whole wheat bread (1) 45 2 slice
2. Bakery products
Jelly roll 35 1 slice
Sponge cake 40 1 slice
Galyetas de patatas 30 10 pcs
Pasensiya 30 22 pcs
Masapudrida 25 1 pc
Marie 30 22 pcs
Lady fingers 30 5 pcs
Apas 25 6 pcs
Mamon tostado 30 3 pcs
1/2 of 7 cm diameter x 1-1/2 cm
Hopia hapon 35
thick, round
Ensaymada 35 1 pc
3. Corn and corn products
Binatog (1) 90 1/2 cup
Corn/rice curls and the like 25 1-1/4 cups
Corn flakes 25 1 cup
Corn, boiled (1) 65 1 pc (12 x 4 cm)
Baby corn 90 1 cup
Golden corn, canned (1) 145 1 cup
Corn pudding (1) 85 1 slice (5 x 4 x 2 cm)
4. Noodles, cooked:
Bihon, macaroni (1), 75 1 cup
sotanghon, spaghetti
5. Rootcrops
Sweet potato 80 1/2 of 11 cm long x 4-1/2 cm
Cassava (1) 85 diameter
Gabi (1) 100 1 (5 cm long x 4-1/2 cm diameter) or
Potato 165 1 cup
Ubi (1) 130 2 (6 cm long x 4 cm diameter each)
or 1 cup
2-1/2 of 7 cm long x 4 cm diameter
each
1 (8-1/2 cm long x 4-1/2 cm
diameter)
6. Beans and Nuts
Chestnut, roasted (1) 40 11 pieces large or 20 pieces small
(kastanyas, binusa)
7. Others
Breakfast cereals 25 1/2 cup
Cornstarch 25 5 teaspoon
Flour, all purpose 25 3 tablespoons
Ice cream, regular 90 1/3 cup
Sago, cooked 120 1/2 cup, cooked
Foods high in protein (except milk) compose the meat and fish exchange list. These
foods include meat, fish, eggs, poultry, and legumes.
In addition to protein majority of the foods in the list are also good sources of iron,
zinc, and other B-complex vitamins. Those from animal origin are particularly rich in
vitamin B12. Seafoods, nuts, legumes and soybeans are good sources of
magnesium, zinc and iron. Organ meats like liver as well as egg, clams, soybeans
and nuts are rich in iron.
Foods from animal sources contain cholesterol, the richest sources of which are egg
yolk, liver, kidney, brains, sweetbreads and fish roe while smaller amounts are
found in meat. Foods from plant sources contain negligible cholesterol.
This list is sub-divided into 3 sub groups based on the amount of fat and calories:
low fat, medium fat, and high fat meat and fish.
A. Fish Products
Dried:
Daing:
Alakaak, alumahan, bisugo, 20 1(15-1/2 x 8 cm)
biyang puti
Lapu-lapu 20 1/4 of 30 x 40 cm
Sapsap 20 3 (9 x 5 cm each)
Tamban 20 1 (16 x 3 cm)
Tanigi 20 1 slice (16 x 6 cm)
Tinapa:
Bangus 30 1/4 of 20 x 8 cm
Galunggong 30 1 (16 x 4 cm)
Tamban 25 1 (16 x 5 cm)
Tuyo:
Alamang 15 1/3 cup
Ayungin, dilis, sapsap, 20 3(11-1/2 x 8 cm each)
tunsoy
Pusit 15 1 (8 x 1 cm)
Canned:
Salmon 40 1/3 cup flaked
Tuna in brine 30 1/3 cup flaked
B. Meat Products
Tocino (lean) 45 1 slice (11 x 4 x 0.5 cm)
Margarine, butter and cream contain some vitamins in addtion to fat. Peanut butter
is particulary a good source of magnesium, potassium and zinc and contains
protein.
Coconut oils is unique in that it has shorter chain lenght fatty acids and is the only
vegetable oil that has 15-20 % medium chain triglycerides (MCT) is long chain fatty
acids such as those found in animal sources. MCt is digested, absorbed and
transported easily and oxidized rapidly as source of energy and has very low
tendecy to be deposited in adipose and other tissues.
Some vegetable oils, particulary oilve oil and peanut oil are good sources of
monosaturated fatty acids.
The role of unsaturated (poly and mono) fatty acids in lowering plasma cholesterol
level has been demonstrated in patients with diabetes, atherosclerosis and
hyperlimidemia. However, excessive intake of polyunsaturated fats is not
recommended as they may lower HDl cholesterol, commonly known as "good
cholesterol".
One Exchange of meat and fish when fried or sauteed will absorb approximately
ONE exchange of fat.
This list shows the kind and amount of fat to use for 1 fat exchange.
Wt (g)
Food Measure
E.P
Saturated Fats
Bacon 10 1 strip - 10 x 3 cm
Butter 5 1 tsp
Coconut, grated 20 2 tbsp
Coconut, cream 15 1 tbsp
Coconut oil 5 1 tsp
Cream cheese 15 1 tbsp
Latik 10 2 tsp
Margarine 5 1 tsp
Mayonnaise 5 1 tsp
Sandwhich spread 15 1 tbsp
Sitsaron 10 2 (5 x 3 cm each)
Whipping cream, heavy / light 15 1 tbsp
POLYUNSATURATED FATS
Oil (corn, marine, soybean, 5 1 tsp
rapeseed-canola, rice, sunflower,
safflower, sesame)
MONOSATURATED FATS
Avocado 65 1/2 of 12 x 7 cm
Peanut butter 10 2 tsp
Pili nut 5 5 pcs
Peanut oil, olive oil 5 1 tsp
Shortening 5 1 tsp
Alcoholic Beverages
This list gives the fat equivalent of some commonly used alcoholic beverages.
Fat
Beverage Wt. (g) Measure Kcalories
Exchanges
Basi 170 1 glass - 6 oz 4 185
1 bottle - 11
Beer, cerveza 320 3-1/2 163
oz
1 brandy
Brandy, cognac 30 1-1/2 75
glass
1 cocktail
Daiquiri 56 3 124
glass
Gin, dry 43 1 jigger 2-1/2 107
1 bottle - 12
Gin, (ginebra) 360 18-1/2 832
oz
High ball 240 1 glass 4 170
1 cocktail
Manhattan 56 4 167
glass
1 cocktail
Martini 56 3 143
glass
Mint Julep 240 1 glass 5 217
Old Fashioned 240 1 glass 4 183
Rum 43 1 jigger 2-1/2 107
1 tall glass -
Tom Collins 300 4 182
10 oz
Tuba 240 1 glass 2 89
Whisky, scotch 43 1 jigger 2-1/2 107
Wine, red 100 1 wine glass 1-1/2 73
Wine, white 100 1 wine glass 2 85
Wine, champagne (sweet 100 1 wine glass 2 85
& dry)
Wine, port 100 1 wine glass 3-1/2 160
Wine, rose 100 1 wine glass 2 85
Wine, vermouth, French 100 1 wine glass 2-1/2 108
Wine, vermouth 100 1 wine glass 4 170
The following list shows the kinds and amounts of sweets and other forms of sugar
to use for 1 sugar exchange.
Wt. (g)
Food Measure
E.P.
Banana chip 1 ( 6 x 3-1/2 cm)
5
Bukayo 5 1 (3-1/2 x 1 cm)
Caramel 5 1 (2 x 2 cm)
Champoy 5 1 (2 cm diameter)
Chewing gum, bubble gum 5 1 pc
Condensed milk 10 2 tsp
Hard candy 5 1 (3 x 2 x 0.5 cm)
Honey 5 1 tsp
Jams, jellies, preserves 10 2 tsp
2-1/2 of 2 cm diameter
Maraschino cherries 20 ch)
each
1 (2-1/2 cm
Marshmallow 5
diameter)
Matamis sa bao 5 1 tsp
Nata de coco 15 2 tbsp
Nata de pinya 10 2 tbsp
Pakaskas 5 1 tsp
Panutsa, grated 5 1 tsp
Pastillas, duryan 5 1 (5 x 1 x 1 cm)
Pastillas, gatas 5 1 (5 x 1 x 1 cm)
Pastillas, langka 5 1 (5 x 1 x 1 cm)
1 (1-1/2 cm long x 1 cm
Sampaloc candy 5 ick)
thick)
Sugars (white, brown, pure
5 1 tsp
cane, syrup)
Taho w/ syrup & sago 40 1/4 cup
Tira - tira 5 1 pc
1(2-1/2 x 1-1/2 x 1
Toffee candy 5
cm)
Ube, haleya 10 1 tsp
Yema 5 1 (5 x 1-1/4 cm)
Wt. (g) Sugar Kcalori
Food Measure
E.P. Exchanges es
Halo-Halo 410 2-1/3 cups 4 80
Ice Candy (frostee) 100 1 pc 3 60
Ice drop 100 1 pc 4 80
Kundol, matamis 20 1 (7 x 5 cm) 4 80
Pulvoron 10 1 (4 x 2-1/2 x 1 cm) 2 40
Rimas, matamis 40 1 (8 x 4 cm) 8 160
Ubedol 20 1 bar (5 x 2 cm) 4 80
Beverage List