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Scott's ideaMeal Bolt, letter by letterLoad, not just impactSpot-check, don't hoverDoritosServing vs. portion1.8 unitsThree servingsStart at 150
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Bolus 4 · Episode 1613 · The first one

Intro and Doritos

The episode where Bolus 4 was invented. Scott brings Jenny an eight-step roadmap he's been workshopping for weeks — Meal Bolt — and the two of them argue it into shape. Then, with fifteen minutes left, they pick up a bag of Doritos and run the steps for the first time.

Scott Benner and Jenny Smith, RD, CDCES, LD
Open the Bolus 4 estimator
Carb ratio1:10
Sensitivity100
Target100
Fat + protein50%

Scott sets the person up on purpose to keep it simple: one unit for every 10 carbs, one unit moves the blood sugar 100 points, and a blood sugar of 100 — “the unicorn number,” as Jenny calls it — so there is nothing to correct. No insulin on board. A single serving of Doritos never gets near the fat-protein side of the estimator, so the factor never comes into play. 28:15

01 · Bolus 4 · Episode 1613 · The first one

Meal Bolt

Eight steps Scott says he already runs in his head every time he boluses — he just had to sit down and find them. Jenny's version: the steps have been in a file cabinet for 37 years, never written down.

2:20
The roadmap, letter by letter5:06
M
Measure the meal
List the carbs, the fat, the protein and the glycemic impact. Jenny adds portion and glycemic load a few minutes later, and Scott writes it in.
E
Evaluate yourself
Check the CGM or meter, insulin on board, planned activity and stress. Jenny's additions: illness, and anything else going on outside the numbers.
A
Add the base units
The food bolus — carbs divided by the insulin-to-carb ratio. Scott admits he doesn't love the wording, but the step is right.
L
Layer a correction
Current blood sugar against the target, through the correction factor — adding insulin, or taking some away if you're low. Check the insulin on board again.
B
Build the bolus shape
Up-front percentage versus extended, and for how long.
O
Offset the timing
Pre-bolus lead time, or a split dose. Scott and Jenny agree B and O run together in practice.
L
Look at the CGM
Which way is the curve going before you bolus — and spot-check at one, three and five hours after.
T
Tweak for next time
Log the outcome, adjust the ratio or the split. Jenny's favorite step, because it makes people keep a record.
Takeaway10:44

Portion changes the load, not the index

Jenny's addition to Measure. Watermelon has a high glycemic index whether you eat a handful or four cups — but the load, how much is actually going in, is what changes the bolus and its timing. So a bagel is one problem and three bagels are another, and the roadmap has to say so. Scott adds “load” to the first step on the spot.

Look at the CGM — two readings of the same step19:33

Scott keyed in on the moment before the bolus; Jenny on the hours after. Both are the step.

  1. Before: which way is it curving?Scott's Pro Tip habit — go to the three-hour line, look at the last three dots, and see where the blood sugar is headed. A pre-bolus ten minutes ahead of a climb from 150 to 220 was already lost.
  2. After: spot-check, don't hoverJenny: check at an hour, at three, at five. Not minute by minute. You are testing a decision so you can tweak it next time, and that only works if you let the scenario play out.
  3. Don't fix it at ten minutesScott's M&M story from the Pro Tips, in slow motion. Reacting early while you're still learning usually means guessing in the wrong direction — an over-bolus and a low, or eating at 120 because it started to drift.
Swagging has a history too23:30
  1. On vacation, everything is a swagJenny eats out at places that aren't chains and estimates everything — but she also orders inside her own habits, so every plate comes with history behind it.
  2. The steps get you there fasterScott: the roadmap should work for people who swag too. You just might have to eat more pizza to get to the answer.
02 · Bolus 4 · Episode 1613 · The first one

Doritos

Fifteen minutes left, and after everything the nutrition episodes said about them, Scott pulls up a picture of the label on a bag of nacho cheese Doritos. Jenny grabs a pen.

24:57
Takeaway26:12

Serving is not portion

Jenny's distinction, before a single number is read. The serving is what the label calls one — and everything on that label belongs to it. The portion is what lands on your plate, and it might be four servings by the bag's count.

Jenny guesses first25:47
9–12
How many chips in a serving?
Her range for tortilla chips, from experience. The label says 12.
19
How many carbs in those 12 chips?
Her answer is half-garbled on the transcript, but it lands a hair high. The label says 18 — “See, that's pretty close.”
5
How many servings in the bag?
Nine, in a 9.25-ounce bag.
03 · Bolus 4 · Episode 1613 · The first one

Twelve chips

An ounce of nacho cheese Doritos, off the label, run through the roadmap for the first time.

27:18

One serving — 12 chips

1g of that is sugar
18carb2protein8fat
1.80u up front0.00u no wave1.80u total
An ounce. 150 calories, 8 grams of fat — one of them saturated — 210 milligrams of sodium, one gram of fiber, one gram of sugar, two of protein. Jenny's guess for the carbs was a hair high — 19, as best the transcript catches it; the label says 18. Calcium and potassium are in there too, “not an amount that you need.”

Three servings — 36 chips

54carb
Jenny's what-if, and Scott's: 36 chips, 54 carbs. “That's a heck of a lot more carbohydrate.” Only the carbs were said out loud — nobody read the fat or protein for three servings, so this card doesn't run the estimator.
Off the label · at 1:10, blood sugar 100, nothing to correct  ·  Click any item to hear that moment
72g
of fat in the whole 9.25-ounce bag

Jenny guessed five servings in the bag. It's about nine, and Scott does the fat out loud — nine times eight — 72 grams. One serving never gets near the fat-protein side of the bolus; the bag is a different food entirely. As Scott points out, finishing one during a show is not hard to imagine.

One serving, 12 chips · 1:10 · 100 · target 10029:50
18carb2protein8fat
Up front
1.80u
18 ÷ 10 — “I'd go two units, just for fun”
No extended wave
0.00u
0.8 fat-protein units
Theoretical requirement
1.80u
0% of it is not carbs

Scott's arithmetic on the recording: 18 carbs at one unit for 10 is 1.8 units, and he'd probably round up to two. Jenny: “One to 10 at 18, yep.” Eight grams of fat and two of protein come to 0.8 fat-protein units, which the estimator discards below 1.0 — so there is nothing to extend, exactly as Jenny said: not for one serving.

Build the bolus for chips30:31

Stable blood sugar, no insulin on board, twelve chips.

  1. Pre-bolus 10 to 15 minutesScott's first guess was five to ten. Jenny wants at least ten to fifteen: these are processed corn, more of a true carb, and they move fast. Scott: by then you won't want the Doritos anymore.
  2. No split, no extendedNot for Doritos, not for one serving. Eight grams of fat is eight grams — “it's not like 50 at once.”
  3. Check at one hourPackaged, snacky foods rise quicker and plateau quicker. One food, eaten alone, is as close as real life gets to how glycemic index was measured — an in and an out.
  4. More chips, same pre-bolus, different loadThree servings doesn't change the glycemic index, it changes how much is going in — and it takes longer to eat 36 chips than 12, so the timing roughly holds.
Scott reads the ingredients31:26

He had to blow the picture up to see them.

  1. Corn, then oilCorn first. Vegetable oil from sunflower, canola and/or corn. Maltodextrin made from corn. Jenny's guess — corn — was right.
  2. Less than 2% of a very long listSalt, cheddar cheese, whey, MSG, buttermilk, Romano cheese, whey protein concentrate, onion powder, corn flour, natural and artificial flavor, dextrose, tomato powder, lactose, spices, three artificial colors, lactic acid, citric acid, sugar, garlic powder, skim milk, bell pepper powders and a few more. Contains milk.
  3. “So mostly corn”Jenny's summary, and the reason for the ten-to-fifteen-minute pre-bolus: processed corn is a fast carb.
Takeaway36:17

Start at 150 and the pre-bolus changes

Scott likes to see a falling blood sugar before the food hits — at 150, a pre-bolus that hasn't moved the number in ten minutes means you're eating on the way to 185. Jenny's answer is the E step: is that 150 stable, or still rising? Stable and flat with no insulin on board can turn around fast. Still rising means there's already a deficit of insulin, and that means a longer pre-bolus. Don't be “hard tied” to one number — the lead time floats with where you are and where you're headed.

Takeaway38:04

The kid heading out to kick a soccer ball

A handful of Doritos on the way outside. Evaluate again: is there insulin on board, is the blood sugar 150 and has the algorithm already put something in for it, and what's about to happen — running around for an hour. On an automated system that has already stepped in, Jenny says, that handful might be totally fine, and you may not need to bolus at all.

Take a picture of this one

Things to remember from this one

The parts of a first try that carry forward.

12chips
is one serving of Doritos — 18 carb, 2 protein, 8 fat
9servings
in a 9.25-ounce bag; 72 grams of fat if you finish it
10–15minutes
of pre-bolus for a fast, processed carb like chips — Jenny
1 hourlater
is when to spot-check a snack like this; three and five hours for bigger meals

“What you put on your plate may be your portion, but I guarantee it's probably not one serving per the bag.”

Jenny Smith26:12

“It's not a minute by minute, watch and react and hyperventilate because something's going on.”

Jenny Smith21:27

“People have been asking for this for years.”

Scott Benner16:45

“That rise indicates a deficit of insulin. It means a longer pre-bolus.”

Jenny Smith37:00
The tool

Bolus 4 Estimator

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The method

Meal Bolt

The tutorial the whole series is built on.

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The series

Bolus 4

One food per episode, with Scott and Jenny.

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Everything on this page is a simulation for education, not medical advice. Nothing here should change your insulin dosing without your care team.
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