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50 pounds a yearWhose medium?A fist is a cupBuild the bolusGlycemic indexThe plateLoaded
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Bolus 4 · Episode 1649

Potatoes

The most-eaten vegetable in America — about fifty pounds a year each, french fries included. Scott and Jenny sort out how to measure one (a fist is a cup, a cup of mashed is 30 carbs), why a plain baked potato hits as hard as it does, and what butter, sour cream and bacon do to the shape of the bolus.

Scott Benner and Jenny Smith, RD, CDCES, LD
Open the Bolus 4 estimator

No carb ratio or estimator run on this one. The practice person sits at a stable 100 — Scott would rather see 80 — and the conversation is about measuring the portion, how fast a potato hits, and how the toppings change the bolus's shape. The carb figures here are the ones said on the recording; bring your own ratio. 6:36

01 · Bolus 4 · Episode 1649

Fifty pounds a year

Scott looked up the ten most-eaten vegetables in the country, by weight. The top of the list is where the series starts — and Jenny wants to know how much of that weight is french fries.

1:30
49.4 lb
of potatoes per person, per year — frozen forms and french fries included

The number-one vegetable in America by weight. The list doesn't say how much of that is fries; Jenny's hoping it's less than she fears. Both of them want the same fry when they want one — crisp outside, salty, out of a paper cone — and Jenny's new oven has an air fryer built in, which sent the giant countertop one out the door.

02 · Bolus 4 · Episode 1649

Measure a potato

The lists say a medium potato is 18 to 22 carbs. Jenny's problem with that: a medium to a child and a medium to a six-foot-six man are not the same potato. She measures starch by the cup instead.

3:36

One cup, mashed

30carb
Jenny's go-to for a fist-sized portion of mashed potatoes. The lists Scott found range from 20 to 37 for a cooked cup; she uses 30. That's a cup already mashed — a cup of chunks holds less potato than a cup you've packed in.

A medium potato

18 to 22 carbs on the list Scott pulled up — if you and the list agree on what medium means. Jenny doesn't trust size words for exactly that reason, which is why the cup rule exists.

A woman's fist is about a one-cup portion. Jenny's eyeball rule for the starchy vegetables — potatoes, corn, peas are similar enough by the cup to share it. Cups are easy to see on a plate; "medium" is not.

Jenny's portion rules · no carb ratio was set on the recording  ·  Click any item to hear that moment
Jenny's cup rule4:37
1 fist
is about one cup
Potatoes, corn and peas are close enough by the cup that one eyeball rule covers the starchy vegetables.
30g
of carb in a cup of mashed
Her working number for that fist-sized portion — and yes, the Thanksgiving-leftovers bowl of mashed potatoes, gravy and turkey Scott describes counts as at least one.
03 · Bolus 4 · Episode 1649

Build the bolus

Stable at 100, eating a plain baked potato by itself. Jenny's word for its glycemic nature: fairly high — and the moment you add fat to it, the number comes down and the bolus changes shape.

6:16
Jenny's glycemic index numbers7:35
85–90
a plain baked potato
All carbohydrate — fiber too if you eat the skin — and high on the index. Scott's surprise: there's that much sugar in a baked potato?
~70
french fries
The fat slows the hit. Same potato, lower number. Butter, sour cream, cheese or a stuffed potato do the same thing.

Scott's question, answered: a baked potato with sour cream slopped on it does behave more like a french fry.

A potato by itself8:45

Nobody eats a plain potato as a snack, Jenny says — so this is the single-food version, before the rest of the plate.

  1. Pre-bolus is the huge focusIt's going to hit sooner rather than later. Get the insulin in ahead of it.
  2. The whole bolus up frontNo extended wave for a plain potato with salt and seasoning. If the ratio is right and the timing is good, you see the classic bell curve — up, back down, landed.
  3. Will there be a late rise?Not from the potato alone. That question belongs to what you put on it, below.
04 · Bolus 4 · Episode 1649

The rest of the plate

This series usually stops at one food. Here Scott builds a real dinner plate — breaded chicken, a potato, broccoli — and then Jenny loads the potato up.

9:52
Scott's plate: chicken tenders, potato, broccoli9:52
  1. Think about the potato firstThe potato gets the pre-bolus and the real attention; that's the part of the plate that moves the number.
  2. A little for the chickenBreaded chicken breast — some protein, some carbs in the breading. For nuggets Scott counts up by threes, three, six, nine, twelve, figuring four or five carbs each with the breading.
  3. Don't skip the greenA cooked cup of broccoli is six to eight carbs, Jenny says — and people miss it because they see green and don't bolus. Scott puts the whole plate in at once; Jenny would handle that meal the same way.
Takeaway11:09

Load it, and the shape changes

Bacon, sour cream, cheese — and if it came from a restaurant, Jenny guarantees butter went on while it baked. Scott's estimate: 40 or 50 grams of fat by the time you're done. That much fat slows the potato enough that you may not want the whole bolus up front any more: some now, some over time, or on injections some at the start and some at the end of the meal. Scott calls it a little science experiment — how much fat on the potato before the front-loaded bolus stops being right? Adjust the pre-bolus, and look at an extended bolus or a second shot.

Take a picture of this one

Things to remember from this one

The numbers that transfer to the next starchy side.

1 fist= 1 cup
Jenny's eyeball rule for potatoes, corn and peas
30gcarb
in a cup of mashed potatoes — Jenny's working number; the lists say 20 to 37
85–90glycemic index
for a plain baked potato; fries drop to about 70 because of the fat
6–8gcarb
in a cooked cup of broccoli — the green people forget to bolus

“A woman's fist is like the size of a one cup portion.”

Jenny Smith4:37

“Sometimes they see green and they don't bolus.”

Scott Benner10:44

“You're going to see that typical, what we call a bell curve, right up, comes down, lands you, really nice.”

Jenny Smith9:35
The tool

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The method

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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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