Food exchange lists are a practical meal-planning tool. This project was conducted to develop a food exchange list for traditional Saudi foods. The most commonly consumed 25 traditional Saudi foods were selected. The homemade foods (n = 15) were prepared and the out-of-home foods (n = 10) were purchased. Food samples were analyzed for their macronutrient content. The food exchange list of 25 traditional Saudi foods has been developed and is ready to be used by dietitians who work with Saudis. The contribution of a Saudi food exchange list as an educational tool raises awareness to prevention strategies needed to control a national diabetes crisis.