Diet Prescription: Food Group Exchange Values and Worksheet

Diet Prescription Worksheet OverviewThis document outlines a 'Diet Prescription' in the format of an 'Exchange Worksheet' designed for a patient. It systematically breaks down various food groups and their corresponding caloric and macronutrient values per exchange. The worksheet aims to calculate the total caloric intake (kcals) and the total grams of carbohydrates (CHO), protein (pro), and fat based on the prescribed number of exchanges for each food group. It includes sections for 'Patient Name' and a final 'TOTAL' summation.

Food Group Exchange ValuesBelow are the details for each food group, including their approximate caloric (Kcal) and macronutrient (CHO, Protein, Fat) content per single exchange:

• Starch

  • Calories per exchange: $80$ Kcal

  • Carbohydrates per exchange: $15$ g

  • Protein per exchange: $3$ g

  • Fat per exchange: $1$ g

• Fruit

  • Calories per exchange: $60$ Kcal

  • Carbohydrates per exchange: $15$ g

  • Protein per exchange: Not specified (implied $0$ g)

  • Fat per exchange: Not specified (implied $0$ g)

• Milk (Varies by fat content)

  • FF/1% (Fat-Free/1% Milk)

    • Calories per exchange: $100$ Kcal

    • Carbohydrates per exchange: $12$ g

    • Protein per exchange: $8$ g

    • Fat per exchange: $0-3$ g

  • Reduced-fat Milk

    • Calories per exchange: $120$ Kcal

    • Carbohydrates per exchange: $12$ g

    • Protein per exchange: $8$ g

    • Fat per exchange: $5$ g

  • Whole Milk

    • Calories per exchange: $160$ Kcal

    • Carbohydrates per exchange: $12$ g

    • Protein per exchange: $8$ g

    • Fat per exchange: $8$ g

• Vegetables

  • Calories per exchange: $25$ Kcal

  • Carbohydrates per exchange: $5$ g

  • Protein per exchange: $2$ g

  • Fat per exchange: Not specified (implied $0$ g)

• Protein (Varies by fat content)

  • Lean Protein

    • Calories per exchange: $45$ Kcal

    • Protein per exchange: $7$ g

    • Fat per exchange: $2$ g

    • Carbohydrates per exchange: Not specified (implied $0$ g)

  • Medium-fat Protein

    • Calories per exchange: $75$ Kcal

    • Protein per exchange: $7$ g

    • Fat per exchange: $5$ g

    • Carbohydrates per exchange: Not specified (implied $0$ g)

  • High-fat Protein

    • Calories per exchange: $100$ Kcal

    • Protein per exchange: $7$ g

    • Fat per exchange: $8$ g

    • Carbohydrates per exchange: Not specified (implied $0$ g)

• Fat

  • Calories per exchange: $45$ Kcal

  • Fat per exchange: $5$ g

  • Carbohydrates per exchange: Not specified (implied $0$ g)

  • Protein per exchange: Not specified (implied $0$ g)

• Alcohol

  • Calories per exchange: $100$ Kcal

  • Macronutrient breakdown for Alcohol is not specified in the table.

Total Calculation FieldsThe worksheet includes dedicated fields for summing up the total dietary intake after the number of exchanges for each food group has been determined:

• Total Calories: $XX$ kcals

• Total Carbohydrates: $XX$ g CHO

• Total Protein: $XX$ g pro

• Total Fat: $XX$ g fat

These fields are intended to be filled in once the diet prescription is finalized, providing a clear summary of the patient's estimated daily intake across key nutritional categories. The 'Patient Name' field is for personalization of the worksheet.