Plan a 1500 kcal diet for a woman with type 2 diabetes using the exchange list, and check its carbohydrate, protein and fat.

1. 1 · Aim. To plan a 1500 kcal diabetic diet for Mrs. E using exchange lists.
2. 2 · Principles.
   • An exchange gives about the same energy and macronutrients as others in its group
   • Protective exchanges first, then cereals to fill energy, fat for cooking
   • Carbohydrate 50-60%, protein about 15%, fat below 30%
   • Spread carbohydrate evenly over the meals
3. 3 · Nutrient prescription. IBW = 54 kg; energy 1500 kcal; carbohydrate 188-225 g; protein 55-60 g; fat below 50 g.
4. 4 · Exchange list. [Table: group | one exchange | kcal | protein | carbohydrate | fat]
5. 5 · Exchange plan and calculation. [Table: group | number | kcal | protein | carbohydrate | fat] Total 1480 kcal; 213 g carbohydrate (58%); 60.5 g protein (16%); 42.5 g fat (26%).
6. 6 · Distribution and sample menu. [Table: time | exchanges | menu, six meals]
7. 7 · Result. The 22-exchange plan gives about 1480 kcal with 58% carbohydrate, 16% protein and 26% fat, meeting Mrs. E's prescription.
8. 8 · Teaching tips. Swaps within groups only, same carbohydrate at each meal, free foods for hunger, no sugar.

Scoring tip: Show the 'remaining energy ÷ 100 = cereal exchanges' step and the three percentages; that is where the calculation marks are.