Lecture notes Chapter 17-4
Calculating diet using exchange system
Points to remember
- Keep in mind that you are creating a meal plan for real person not imaginary
- Exchange system has 2 main functions
a) it is a tool for translation of diet prescription into meal for diet aids
b) it helps us analyze diet in terms of CHO, Protein and Fat content and appropriate Kcal
Yielded by them.
- Remember to talk to patient first to be able to modify the menu based on pt’s likes and
dislikes
Translate the following foods into exchange and calculate how many Kcal this menu
provides
Breakfast Lunch Dinner
3/4 c dry cereal 1 c salad 1 c salad
1 c strawberries 2 tsp diet dressing 2 tsp diet dressing
2 egg white omelette ½ c ??? ½ c noodles
2 tsp margarine 1/3 c rice 1 tsp margarine
8oz 1%milk Small roll ½ cup carrots
3pm 1 c yogurt 1 tsp margarine Angel food cake
1 small banana Pear ½ c ice cream
½ c vanilla pudding
EX CHO Protein Fat
Milk 2 24 16 6
Vegetable 4 20 8 -
Fruit 4 60 - -
Bread/St. 4 +1 (ice cream) 75 15 -
219
Meat 8( 1VL, 7L) 56 1 + 21=22
95
Fat 4 + 2 (ice cream) 30
58
Other CHO 3 45
* ice cream = 1 bread + 2 fats
*Other CHO - 1 pudding
- Angel food cake
219 x 4 = 876 kcal
95 x 4 = 380 kcal
58 x 9 = 522 kcal
Total kcal provided by this menu = 1778 kcal = 1800 kcal
