The exchange “diet” was put forth by the ADA in the 1950s. I don’t really have much positive to say about the diet. If you were taught the diet years ago and have achieved reasonable success, then certainly you should feel comfortable continuing. But frankly, any diabetic looking for a diet would be better served by never being reminded that the exchange diet ever existed. As a prediabetic, your response to carbs in your diet will be highly variable. Make no mistake, if you limit the carbs in your diet, you will have success in managing the high levels in your blood sugars. But don’t fret that sometimes your blood sugar will be higher or lower than anticipated. Sometimes your body will generate a surge of insulin full ‘covering’ the carbs that you eat and other times, you will seem to be carb intolerant. In either case, I recommend that you wipe your mind of any mention of the exchange diet. My personal opinion.
