J Korean Diabetes > Volume 12(4); 2011 > Article
The Journal of Korean Diabetes 2011;12(4):228-244.
DOI: https://doi.org/10.4093/kcd.2011.12.4.228    Published online December 1, 2011.
2010 당뇨병환자를 위한 식품교환표 개정
주달래, 장학철, 조영연, 조재원, 유혜숙, 최경숙, 우미혜, 손정민, 박유경, 조여원
Korean Food Exchange Lists for Diabetes: Revised 2010.
Dal Lae Ju, Hak Chul Jang, Young Yun Cho, Jae Won Cho, Hye Sook Yoo, Kyung Suk Choi, Mi Hye Woo, Cheong Min Sohn, Yoo Kyoung Park, Ryo Won Choue
1Department of Food Service and Nutrition, Seoul National University Hospital, Seoul, Korea.
2Department of Internal Medicine, Seoul National University Bundang Hospital and Seoul National University College of Medicine, Seongnam, Korea. janghak@snu.ac.kr
3Department of Dietetics, Samsung Medical Center, Seoul, Korea.
4Department of Food Service and Nutrition, Chung-Ang University Hospital, Seoul, Korea.
5Department of Food Science and Nutrition, Daejin University, Pocheon, Korea.
6Department of Nutrition, Kyung Hee University Medical Center, Seoul, Korea.
7Major in Food and Nutrition, Wonkwang University, Jeonbuk, Korea.
8Department of Medical Nutrition, Kyung Hee University, Yongin, Korea. rwcho@khu.ac.kr
9Research Institute of Medical Nutrition, Kyung Hee University, Seoul, Korea.
A food exchange system for diabetes is a useful tool for meal planning and nutritional education. The first edition of the Korean food exchange lists was developed in 1988 and the second edition was revised in 1995. With recent changes in the food marketplace and eating patterns of Koreans, the third edition of food exchange lists was revised in 2010 by the Korean Diabetes Association, the Korean Nutrition Society, the Korean Society of Community Nutrition, the Korean Dietetic Association and the Korean Association of Diabetes Dietetic Educators through a joint research effort. The third edition is based on nutritional recommendations for people with diabetes and focuses in adding foods to implement personalized nutrition therapy considering individual preferences in diverse dietary environment. Foods were selected based on scientific evidence including the 2007 Korea National Health and Nutrition Examination Survey data analysis and survey responses from 53 diabetes dietetic educators. While a few foods were deleted, a number of foods were added, with 313 food items in food group lists and 339 food items in the appendix. Consistent with previous editions, the third edition of the food exchange lists included six food categories (grains, meat, vegetables, fats and oils, milk, and fruits). The milk group was subdivided into whole milk group and low fat milk. The standard nutrient content in one exchange from each food group was almost the same as the previous edition. Korea Food & Drug Administration's FANTASY(Food And Nutrient daTA SYstem) database was used to obtain nutrient values for each individual food and to determine the serving size most appropriate for matching reference nutrients values by each food group. The revised food exchange lists were subjected to a public hearing by experts. The third edition of the food exchange lists will be a helpful tool for educating people with diabetes to select the kinds and amounts of foods for glycemic control, which will eventually lead to preventing complications while maintaining the pleasure of eating.
Key Words: Food exchange lists, Diabetes mellitus, Korean, Meal plan, Serving size

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