5 :: KDA, Korean Diabetes Association ::
Meal planning
How to use ‘Food Exchange System’ - Meal Plan Example:

1) Assess typical food intake, and calculate the necessary amount.
2) Plan a single day's meals based on treatment goals
3) Determine the exchange units from each food group.
4) The number of units is distributed based on meals.
5) Using the food exchange system, foods were selected.
6) Calculate the actual amount of food ingested.

Meal planning

 Example of the Distribution of Food exchange units
Energy
(kcal)		 Grains Meat Vegetables Fats
and oils		 Milk Fruit
Low
fat		 Medium
fat
1,200 5 1 3 6 3 1 1
1,300 6 1 3 6 3 1 1
1,400 7 1 3 6 3 1 1
1,500 7 2 3 7 4 1 1
1,600 8 2 3 7 4 1 1
1,700 8 2 3 7 4 1 2
1,800 8 2 3 7 4 2 2
1,900 9 2 3 7 4 2 2
2,000 10 2 3 7 4 2 2
2,100 10 2 4 7 4 2 2
2,200 11 2 4 7 4 2 2
2,300 11 3 4 8 5 2 2
2,400 12 3 4 8 5 2 2
depending on the patient's eating habits, method of treatment, and the presence of complications, individual adjustments may be necessary.
Meal planning

 Distribution of the Food exchange unit(1700kcal)
Grains Meat Vege-
tables		 Fats
and oils		 Milk Fruit CPF ratio
Low
fat		 Medium
fat
Type 2 DM 8 2 3 7 4 1 2 55-60 : 15-20 : 20-25
Type 1 DM
(children)		 7 2 3 7 4 2 2 45-60 : 15-20 : <35%
Gestational DM 6.5 2 4 7 4 2 2 CHO < 50%
DM Nephropathy 11 1 8 5 0.5 2 Protein 0.8g/kg