1/24/2024 0 Comments Diabetic exchange chart meal planIdeally, an eating disorder meal plan will help a client relearn skills for creating adequate, balanced meals that they can use beyond treatment. Help spread intake relatively evenly throughout the day.Įnsure a balance of nutrients by providing all the different macronutrients and food groups. Refuel the body with an appropriate amount of food, and to treat underlying malnutrition. What is the Purpose of an Eating Disorder Meal Plan?īefore talking about the problems with exchanges as an eating disorder meal plan, I think it’s important to ground the conversation in the purpose of a meal plan: Exchanges can be a great tool as an eating disorder meal plan, but in my opinion, it’s an over and often inappropriately used tool. While the goal is always to gradually move away from exchanges on whatever timeline is appropriate for the individual client (because no one wants to be 80 and still using exchanges), it can serve a purpose. If you’re on an exchange based plan and it’s helpful for you - great! While I personally rarely prescribe exchanges for a client, I work with a lot of clients who were placed on them in treatment, and it works really well for them or is helpful for the time being. Now, before I dive into the problems with exchanges as an eating disorder meal plan, let me be clear that the point of this post is not to say that exchanges should never be used. While the client could choose whatever foods they like within those specific groups, they would know the serving size of foods that count as an exchange, and either measure or estimate their servings to meet their prescribed exchanges. These exchanges were adapted for use in eating disorder treatment, where they are used as a tool to provide structure an adequacy to eating.Īs an example, a plan might prescribe a meal that looks like this: 3 starch exchanges, 2 protein exchanges, 1 fat exchanges, 1 fruit exchange, 1 dairy exchange. Exchanges were initially developed by the American Dietetic Association along with the American Diabetes Association in the 1950s as a tool for helping people with diabetes practice “portion control” and eat consistent amounts of carbohydrate from meal to meal (note: most people with diabetes do not need to use exchanges, although it can be helpful in limited circumstances). With exchanges, each food group is broken down into units or portion sizes that are similar in nutrition value. Exchanges are a type of eating disorder meal plan. If not, allow me to introduce you to the concept. If you’ve been to treatment for an eating disorder, you know what I’m talking about when I say exchanges.
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