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Common Medical Conditions Requiring Dietary Modifications 217

carbohydrate. These food portions are called ‘10 g Commercial foods state the amount of
carbohydrate exchanges’ and examples are listed in carbohydrate on the label and this can be used to
Table 7.3.4. The range is from about 13–18 work out how much carbohydrate is in a portion of
exchanges of 10 g carbohydrate each day for a food that the child eats.
toddler to 35–40 exchanges for a very active
teenager going through their adolescent growth Sweet puddings, confectionery and other
spurt. sugary foods do not have to be cut out altogether.
The overall sugar intake can be about 10 per cent
of total energy as for normal healthy eating. This

Table 7.3.4 Ten-gram carbohydrate exchanges

Food items Quantity providing 10 g carbohydrate
Bread
Breakfast cereals Wholemeal or white slices ½ large slice or 1 small slice
Rolls or baps
Rice and pasta Porridge ½ roll
Weetabix
Corn flakes/Cheerios 7 tbsp
Cooked brown or white rice
Cooked pasta shapes 1 biscuit
Spaghetti
Tinned spaghetti 5 tbsp

3 tbsp

3 tbsp

10 long strands

1 small tin
3

Potatoes Boiled potatoes 1 small
Beans Baked potatoes
Fruit Chips 1 medium
Baked beans in tomato sauce
Yogurt and ice cream Dried uncooked beans 5 thick cut
Biscuits Apple
Drinks Pear 5 tbsp
Banana
Grapes 2 tbsp
Orange
Satsumas/clementines 1 medium
Dried fruit
Natural yogurt 1 medium
Fruit sweetened yogurt
Ice cream 1 medium
Oatcakes
Crackers 10
Crispbreads – wholewheat or rye
Digestive 1 medium
Milk
Unsweetened pure fruit juice 2 small

1 tbsp

1 carton

½ carton

1 scoop

1 large

2

2

1

2 glasses of 100 mL

2 glasses of 50 mL pure juice diluted
with 50 mL water

1 tbsp = one 15 mL tablespoon.