PODCAST JUICEBOX
Listen on Apple Podcasts
Juicebox Podcast
Press Esc to close  ·  Cmd K to toggle juiceboxpodcast.com
0:00 --:--
MP3
The labelHalf a dayFour tablespoons13 unitsStep by stepLook at the CGM
0:00
Bolus 4 · Episode 1681

Cinnabon

One Cinnabon Classic Roll, read straight off the company's own nutrition page: 129 carbs, 61 of them sugar, 37 grams of fat, 880 calories. Scott reads the label; Jenny turns the fat into four tablespoons of oil. Then the two of them work out how you'd bolus for a thing that most people are guessing at by half.

Scott Benner and Jenny Smith, RD, CDCES, LD
Open the Bolus 4 estimator
Carb ratio1:10
Sensitivity—
Target—
Fat + protein50%

Scott's example ratio for this one is 1:10 — “one to 10 is our example ratio.” No blood sugar was entered and nothing was corrected on the recording, so the up-front figure is straight division. The estimator itself was never run on this episode; the extended figures on this page are the tool's default 50% fat-protein factor, run afterward, and are marked that way. 12:40

01 · Bolus 4 · Episode 1681

One roll, taken apart

Every number here is off cinnabon.com for one Classic Roll — 241 grams, frosting included. Scott reads the label; Jenny turns the numbers into things you can see on a counter. Each piece lights up when it's said.

3:28
1Sugar61 g — almost half the roll
2The icingthe part that lands first
3The bunthe bulk — and most of the fat
4Oil4 tablespoons — 37 g of fat
5Salt1,150 mg — half of Jenny's teaspoon
Off one label · every piece is something Jenny or Scott said  ·  Click any piece to hear that moment
Jenny guesses first4:05
One Classic Roll. How many calories?
880
Jenny said 700-something. It's 880 — on a 2,000-calorie day, Scott's math a few minutes later, you are halfway into the food you should eat today before you've left the food court.
The rest of the label4:09
37g fat
16 of them saturated. Jenny's translation comes later, and it's the number that changes the bolus.
1,150mg sodium
Half of the 2,300 most adults are told to stay under; the American Heart Association's ideal is 1,500. A measured teaspoon of salt is a little over 2,300, Jenny says — and salt is in there because it marries with the sugar.
55mg cholesterol
Scott guessed the daily limit was under 55. Jenny: the goal most sources give is not more than about 300 in a day.
12g protein
Plus 2 grams of fiber. “It's almost healthy eating,” Scott says, and then reads the sugar.
129
carbs in one Classic Roll — 61 of them sugar, 59 of those added

Jenny's daily range for total carbohydrate, depending on the source: 150 to 300 grams, adjusted for age and activity. The internet's version for a 2,000-calorie diet is 225 to 325. Either way, one roll is about half of a day.

Takeaway8:15

The problem isn't the bolus. It's the guess.

Scott's picture of the failure: you're rolling through the mall, you grab one, your brain says “this is a lot,” and a lot for you is 65 carbs. Now you're half wrong, and your blood sugar is 400 for the next four hours. Nobody undercounts a Cinnabon by 5 grams. They undercount it by 60.

Half a day, in one hand9:10

The numbers next to what a person is supposed to have.

  1. 880 caloriesOn a 2,000-calorie day you're halfway into the day's food. Scott's point: nobody goes to the next meal and orders a salad because they had a Cinnabon at 10 a.m. You keep eating the way you eat, and by the end of the day the totals are crazy.
  2. 129 carbsRoughly half of the 225 to 325 a 2,000-calorie diet allows. Jenny's range is 150 to 300, depending on the source and the person.
  3. Jenny: it's a treatShe has had a bite of one. She has never eaten a whole one. “It's a treat at that point.” Once a year, once every six months — the problem, she says, is that for the standard American diet this has become regular, and nobody knows what their day should add up to.
  4. The small ones aren't the fixCenter of the Roll, Cinnabon Sweeties, BonBites — “it's just a little,” and five seconds later you've had more than a roll. They also sell the frosting by the pint.
02 · Bolus 4 · Episode 1681

Build the bolus

Fast sugar up front, almost 40 grams of fat behind it, and a dose big enough that Scott says most people won't take it. How the two of them would shape it — and why an extended bolus is on the table.

10:47
Takeaway11:03

A quick hit — and then what are you stuck with?

Jenny's read: half the carbs are sugar, so expect a fast rise. But there are almost 40 grams of fat in the roll, and that fat is going to hold the blood sugar up after the sugar is gone. The sugar is the spike. The fat is the load.

4 tbsp
of oil — Jenny's translation of 37 grams of fat

Butter, butter, butter, butter. Scott: would you take a quarter cup of oil and knock it back right now? No. Would you eat a Cinnabon? Yes. That's the whole reason to think of it this way.

Evaluate yourself: where in the mall are you?12:10

The E in Meal Bolt, in Scott's words.

  1. Been there an hour and a half, blood sugar drifting downYou may have just been handed the best Cinnabon pre-bolus in the world. The walking already did part of the work.
  2. Just walked in from the parking lotLike Jenny's dad cruising straight into the food court. You haven't moved yet, and all the walking you do afterward is not going to save you from what this does first.
  3. Then the ratioOne to 10 is the working example — Jenny's word for it: middle of the ground, not aggressive, not sensitive. It's for the math.
Classic Roll · 1:10 · no correction13:07
129carb12protein37fat
Up front
12.90u
129 ÷ 10 — “that's 13 units”
Then, over 5 hours
1.91u
3.8 fat-protein units
Theoretical requirement
14.80u
13% of it is not carbs

Scott's number on the recording is 13 units at 1:10 — and 26 at 1:5. The estimator was not run on this episode. Its default would add 1.91 units over five hours for the 3.8 fat-protein units in the roll, and that's what the wave box shows: the tool's math at its default 50% factor, not a figure from the tape.

The dose, at two ratios13:12
13u
at 1:10
Scott's example ratio. Big, but a number people can picture.
26u
at 1:5
“There are some people out there that have balls of steel, right? But, like most people are not going to be like, I'm having a Cinnabon. Here's 26 units of insulin.”

Arden's ratio, Scott figures, would put a whole roll at 15 to 20 units — a hard pill to swallow in a mall. Which is how people end up choosing the high blood sugar over the scary bolus.

Why Jenny would consider an extended bolus here14:52

Not for the fat alone — for the exit.

  1. You can cancel the back halfTake part up front, extend the rest. If you're walking the Mall of America and things start dropping in a way you don't like, the extended portion can be cancelled. A 26-unit bolus that's already in cannot.
  2. The fat is a stabilizerJenny: there is a stabilizing piece to almost 40 grams of fat. It's the frosting — sugar and cinnamon — that's going to be the hit. The bun, with the fat in it, is the slower part.
  3. The frosting has fat tooScott checks the pint: 7 grams of fat per serving, a serving being one-sixteenth of the pint. So it isn't pure sugar — but it's the part that lands first.
  4. The bulk mattersScott's add: a roll this size is a lot of flour sitting in your stomach. If it were a third the size with the same sugar, it would clear faster. Bulk slows it down, on top of the fat.
How Scott would go at it16:20

The posts he sees online, and what he'd do instead.

  1. The guesses are all over the placeSomeone puts up a picture at a restaurant and asks for a number. A parent of a newly diagnosed kid says 20. Someone else says 60. For sweet things especially, the spread is enormous — and the real answer is 129.
  2. He'd go 40 and keep hitting itHis honest instinct on a picture like this: more like 40, then keep adding as the CGM shows where it's headed. The undervaluing is the problem, not the technique.
  3. Bolus for a diagonal-down arrowOn something like this he wants a 90 with a diagonal-down arrow before the first bite. That's the moment to “work this Cinnabon out of the bag.” It hits so fast you need momentum on your side just to keep it from being 220 in 20 minutes.
03 · Bolus 4 · Episode 1681

Step by step, then watch it

Jenny's way around a scary number, and what the two of them would be looking at on the CGM for the next five hours.

17:34
Takeaway17:34

Bolus for what you'd normally eat. Then add.

Jenny's strategy for people who look at 13 units and freeze: do you usually eat 129 grams of carbohydrate at once? No. So bolus for the amount you'd normally eat at a meal, then follow the CGM and bolus more as you see the shift. It is a stepwise approach. It will not give a perfect result every time — but it's a dose you'll actually take.

The first step, in numbers18:35
You always take five units at a meal. At 1:10, what does that cover?
50g
“I am used to always taking five units of insulin at a time, great. One to 10, that's 50 grams of carb. And I can try that.” Get through that, and there's another 79 grams of roll to cover from the CGM.
Offset the timing, look at the CGM18:46

The back half of Meal Bolt, for a food with too many ways to go wrong.

  1. Drink water with itJenny: a lot of people eat something like this with a sweet coffee. Don't attack yourself from all sides. Water helps the digestion do what it's supposed to.
  2. Watch it like a hawkScott: there are too many possible excursions here — high, then low, or high and staying there. This is not a meal you bolus and forget.
  3. The rarer the treat, the closer you watchIf this is your every-six-months thing, you have nothing to base it on. Is it dipping? Climbing? Is the rate of change extreme, or a slow rise? Then apply the strategies you already use for what you see.
  4. Nobody's telling you not toScott: no one is at the Cinnabon every day, and no one is saying don't have one. This is just what's probably going to happen when you do. Good luck.
Take a picture of this one

Things to remember from this one

The numbers that transfer to the next one.

129gcarb
in one Classic Roll — 61 of it sugar. Guess 65 and you're half wrong.
4 tbspoil
is what 37 grams of fat looks like on a spoon — Jenny's picture of the load behind the spike
13uat 1:10
for the whole roll, straight division. 26 at 1:5. That's why people freeze.
5ufirst
Jenny's step: bolus for what you'd normally eat, then add from the CGM

“This is like, butter, butter, butter, butter, or a tablespoon, tablespoon, tablespoon, tablespoon of oil.”

Jenny Smith11:23

“Would I take a quarter a cup of oil and just knock it back right now, I would not. Would I eat a Cinnabon? Yes, I would.”

Scott Benner11:42

“Bolus for the amount of food that you would normally eat at a mealtime.”

Jenny Smith17:34

“That's a cake at that point.”

Scott Benner9:40
The tool

Bolus 4 Estimator

Every number on this page, with your own settings.

Open it →
The method

Meal Bolt

The tutorial the whole series is built on.

Read it →
The series

Bolus 4

One food per episode, with Scott and Jenny.

All episodes →
Everything on this page is a simulation for education, not medical advice. Nothing here should change your insulin dosing without your care team.
Read the full disclaimer
Skip to Content
JUICEBOXPODCAST.com
Bolus 4 - Doritos
Bolus 4 - Touched By Type 1
Bolus 4 - Krispy Kreme
Bolus 4 - Pizza Hut
Bolus 4 - Cinnamon Toast Crunch
Bolus 4 - Pancakes
Bolus 4 - Oatmeal
Bolus 4 - Bananas
Bolus 4 - Potatoes
Bolus 4 - Little Bites
Bolus 4 - Halloween
Bolus 4 - Tomatoes
Bolus 4 - Cinnabon
Bolus 4 - High Sugar Drinks
Whole Mind
News Aggregator
Ad Calendar
Survey Results
Partners
HOME
EPISODES
BLOG
Juicebox FAQ
A1C and Blood Glucose Calculator
Juicebox Docs - Best Endocrinologists
Private Facebook Group
American Sign Language
Diagnosis Story
Autoimmune Explorer
Struggles To Solutions
Clinician Share Hub
FDA Tracker
Scott
Share
Carb Lookup
Interactive DD
Jukebox
Survey
504 Builder
Welcome
Pre Bolusing: The Juicebox Way
Fat and Protein Insulin Calculator
Improving Type 1 Diabetes Care: A Guide for Physicians
Juicebox for Docs: Grand Rounds Takeaways
Caregiver Burnout
GLP with Type 1 Diabetes
Thyroid
Understanding TSA
My Belly Hurts
Post-Meal Patterns
Habit Lab
MEAL BOLT: A Tutorial for Insulin Dosing
Advice for T1 Parents
Bold Beginnings
Defining Thyroid
Defining Diabetes
Diabetes Pro Tip
Small Sips
Bolus 4
Fat and Protein
Algorithm Pumping
Mental Wellness
Ask Scott & Jenny
Diabetes Variables
After Dark
The Math Behind
Omnipod 5
GLP Meds
Pregnancy
How We Eat
Grand Rounds
Cold Wind
Podcast Quickstart
Diabetes Myths
Type 2 Diabetes
The Lists
Library
Pro Tips - Transcripts
Bold Beginnings - Transcripts
Small Sips - Transcripts
Grand Rounds - Transcripts
Algorithm Collection
Ask
Defining Thyroid
Diabetes Variables Transcripts
Mental Wellness Transcripts
Pro Tips - Español
Hub
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
Day 11
Day 12
Day 13
Day 14
Day 15
Day 16
Day 17
Day 18
Day 19
Day 20
Day 21
Day 22
Pro Tip Lab
Reviews
Events
Basal Insulin Estimator
Sponsors
Know The Signs
Media Kit
Merch
0
0
JUICEBOXPODCAST.com
Bolus 4 - Doritos
Bolus 4 - Touched By Type 1
Bolus 4 - Krispy Kreme
Bolus 4 - Pizza Hut
Bolus 4 - Cinnamon Toast Crunch
Bolus 4 - Pancakes
Bolus 4 - Oatmeal
Bolus 4 - Bananas
Bolus 4 - Potatoes
Bolus 4 - Little Bites
Bolus 4 - Halloween
Bolus 4 - Tomatoes
Bolus 4 - Cinnabon
Bolus 4 - High Sugar Drinks
Whole Mind
News Aggregator
Ad Calendar
Survey Results
Partners
HOME
EPISODES
BLOG
Juicebox FAQ
A1C and Blood Glucose Calculator
Juicebox Docs - Best Endocrinologists
Private Facebook Group
American Sign Language
Diagnosis Story
Autoimmune Explorer
Struggles To Solutions
Clinician Share Hub
FDA Tracker
Scott
Share
Carb Lookup
Interactive DD
Jukebox
Survey
504 Builder
Welcome
Pre Bolusing: The Juicebox Way
Fat and Protein Insulin Calculator
Improving Type 1 Diabetes Care: A Guide for Physicians
Juicebox for Docs: Grand Rounds Takeaways
Caregiver Burnout
GLP with Type 1 Diabetes
Thyroid
Understanding TSA
My Belly Hurts
Post-Meal Patterns
Habit Lab
MEAL BOLT: A Tutorial for Insulin Dosing
Advice for T1 Parents
Bold Beginnings
Defining Thyroid
Defining Diabetes
Diabetes Pro Tip
Small Sips
Bolus 4
Fat and Protein
Algorithm Pumping
Mental Wellness
Ask Scott & Jenny
Diabetes Variables
After Dark
The Math Behind
Omnipod 5
GLP Meds
Pregnancy
How We Eat
Grand Rounds
Cold Wind
Podcast Quickstart
Diabetes Myths
Type 2 Diabetes
The Lists
Library
Pro Tips - Transcripts
Bold Beginnings - Transcripts
Small Sips - Transcripts
Grand Rounds - Transcripts
Algorithm Collection
Ask
Defining Thyroid
Diabetes Variables Transcripts
Mental Wellness Transcripts
Pro Tips - Español
Hub
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
Day 11
Day 12
Day 13
Day 14
Day 15
Day 16
Day 17
Day 18
Day 19
Day 20
Day 21
Day 22
Pro Tip Lab
Reviews
Events
Basal Insulin Estimator
Sponsors
Know The Signs
Media Kit
Merch
0
0
Folder: Bolus 4 Examples
Back
Bolus 4 - Doritos
Bolus 4 - Touched By Type 1
Bolus 4 - Krispy Kreme
Bolus 4 - Pizza Hut
Bolus 4 - Cinnamon Toast Crunch
Bolus 4 - Pancakes
Bolus 4 - Oatmeal
Bolus 4 - Bananas
Bolus 4 - Potatoes
Bolus 4 - Little Bites
Bolus 4 - Halloween
Bolus 4 - Tomatoes
Bolus 4 - Cinnabon
Bolus 4 - High Sugar Drinks
Folder: Backend
Back
Whole Mind
News Aggregator
Ad Calendar
Survey Results
Partners
HOME
EPISODES
BLOG
Folder: SUPPORT
Back
Juicebox FAQ
A1C and Blood Glucose Calculator
Juicebox Docs - Best Endocrinologists
Private Facebook Group
American Sign Language
Diagnosis Story
Autoimmune Explorer
Struggles To Solutions
Clinician Share Hub
FDA Tracker
Scott
Share
Carb Lookup
Interactive DD
Jukebox
Survey
504 Builder
Welcome
Folder: GUIDES
Back
Pre Bolusing: The Juicebox Way
Fat and Protein Insulin Calculator
Improving Type 1 Diabetes Care: A Guide for Physicians
Juicebox for Docs: Grand Rounds Takeaways
Caregiver Burnout
GLP with Type 1 Diabetes
Thyroid
Understanding TSA
My Belly Hurts
Post-Meal Patterns
Habit Lab
MEAL BOLT: A Tutorial for Insulin Dosing
Advice for T1 Parents
Folder: SERIES
Back
Bold Beginnings
Defining Thyroid
Defining Diabetes
Diabetes Pro Tip
Small Sips
Bolus 4
Fat and Protein
Algorithm Pumping
Mental Wellness
Ask Scott & Jenny
Diabetes Variables
After Dark
The Math Behind
Omnipod 5
GLP Meds
Pregnancy
How We Eat
Grand Rounds
Cold Wind
Podcast Quickstart
Diabetes Myths
Type 2 Diabetes
The Lists
Folder: Transcript Library
Back
Library
Pro Tips - Transcripts
Bold Beginnings - Transcripts
Small Sips - Transcripts
Grand Rounds - Transcripts
Algorithm Collection
Ask
Defining Thyroid
Diabetes Variables Transcripts
Mental Wellness Transcripts
Pro Tips - Español
Folder: Practice - Pro Tip
Back
Hub
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
Day 11
Day 12
Day 13
Day 14
Day 15
Day 16
Day 17
Day 18
Day 19
Day 20
Day 21
Day 22
Pro Tip Lab
Reviews
Events
Basal Insulin Estimator
Sponsors
Know The Signs
Media Kit
Merch