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Reproduced with permission from the American Diabetes Association/American Dietetic Association. Exchange lists for meal planning; 1995.

Reproduced with permission from the American Diabetes Association/American Dietetic Association. Exchange lists for meal planning; 1995.

foods containing sugar and is the nutrient that has the greatest effect on blood glucose levels. About 909c of carbohydrate converts to glucose within I to 2 hours of eating. Using the exchange food lists, each starch, fruit, or milk exchange is counted as 15 grams of carbohydrate, that is, one carbohydrate serving. The grams of carbohydrate, or carbohydrate servings, can be calculated based on the number of starch, fruit, and milk exchanges allowed for each meal and snack. In addition, food labels list the amount of carbohydrate in grams for other foods not found on the exchange lists. Carbohydrate counting allows added flexibility in food choices and works well for the way children like to eat. For example, a breakfast of two starch exchanges

(30 g). one fruit exchange (15 g). and one milk exchange (12 g) is approximately equivalent to 60 g of carbohydrate, that is four carbohydrate servings.

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