Framingham State University

Calculation of Dietary Pattern

Step 1: Calculate Prescribed Diet and Suggested g CHO
Prescribed Diet: 2200 Kcal 50 % CHO 30 % Protein 20 % Fat
275 g CHO 110 g Protein 73 g Fat
Suggested g CHO: Breakfast 80 g Lunch

80g Supper 80 g H.S.15 g

Step 2: Calculate number of exchanges

Exchange

# Exchanges

CHO g

Pro g

Fat g

Mid
A.M.

Mid
P.M.

Night

Step 4: Distribute number of exchanges at meals

Milk skim
whole

1%

2%

36

24

Starch/Bread

135

27

Vegetables

30

12

Fruits

75

Meats/Substitutes

49

12

Fats

45

72 g

74 g
15 g
77 g
15 g
80 g
CHO
CHO
CHO
CHO
CHO
Step 5: Check g CHO at each meal/snack

Total
276 g

Step 3: Check Kcal

+

112 g

276 g CHO
112 g Protein

72 g Fat

x4
1552 kcal

x 9
648 kcal = 2200 Total Kcal from calculated dietary pattern

Step 3: Check Kcal Are the total kcal from the calculated dietary pattern 20 kcal of prescribed kcal? Yes
must recalculate!
Step 5: Is calculated g CHO @ B, L, S 15 g of suggested level? Yes

1/12 smn

0
15 g
CHO

No If you checked No, then you

No

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Framingham State University

Time of Day

Food Eaten/ Amount/ Place

CHO

Pro

Fat

7 a.m

Home:

c. Cheerios
1 c. low fat 1% Milk

15
12

3
8

1
0

Green Smoothie
4oz. Orange Juice
1 small banana
cup plain NON fat yogurt
1 cup of (raw) spinach

15
15
12
5

0
0
8
2

0
0
0
0

1 granola bar

15

1/2 Vegetable Soup (no added fat)

Sandwich: 2 Slices whole grain Bread
With 3 oz Tuna,
1 Tbsp. Mayo, lettuce, tomato slice
15 potato chips
1 small apple
1 c. skim milk

5
30
0
0
15
15
12

2
6
21
0
3
0
8

0
2
6
15
11
0
0

En-Route
Home:

2 rice cakes & 2 tsp sugar free jam

16.9 fl oz. of water

15
0

0
0

0
0

Home:

3 oz. Roast chicken

1/2 mashed potatoes

0
15

21
3

6
1

1/2 cup corn with tsp. Butter

1 whole grain roll with tsp. Butter
1 cup salad (lettuce + tomato + 17 small grapes)
with 1 Tbsp. French Dressing
of broccoli & 1 cup of asparagus (cooked)

15
15
20

3
3
2

6
6
5

15

1/4 cup of cottage cheese (nonfat)

cup of pineapple
16.9 fl oz of water

0
15
0

7
0
0

0
0
0

9 a.m.

Noon

School Caf:

School Caf:

3 p.m.
5:30 p.m.

9:30

Home:

1/12 smn

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Framingham State University

Total Kcal: 2125

Total gm:
Kcal:
% Kcal:

276 g
X4
1104
kcal
50%

109 g
X4
436
kcal
20%

65 g
X9
585
kcal
27%

The patient has agreed to:

Switch from whole milk to skim milk to reduce fat intake
Exchange white bread to whole grain bread to slow down gastric emptying & increase intestinal transit time, which delays glucose absorption
Try a smoothie in the morning in order to get another serving of raw leafy vegetables and add more CHO to breakfast.
Snack on a granola bar instead of a donut to reduce grams of fat and carbohydrates, yet still satisfy her craving for a sweet snack.
Reduce serving size of meat for both lunch and dinner to reduce protein intake.
Choose a small apple vs. a medium apple at lunch-time so she can add grapes in her salad for dinner. This evens out CHO distribution.
Cut down starchy vegetables (corn and mashed potatoes) to half and no gravy. Also evens out CHO distribution, and also reduces fat
intake.
Try a variety of vegetables such as broccoli and asparagus, fruits such as grapes and pineapple, as well as new snacks such as rice cakes
and cottage cheese to hold her over between meals.

1/12 smn

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