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Processed vs. ultraWhy make itFood noiseHunger cuesAmylinCorn syrupOriginal CokeBack to bolusing
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Bolus 4 · Episode 1835

Ultra-Processed Food

A pause in the middle of Bolus 4. Simple, whole foods seem to need less finagling; doughnuts need a lot. So what does “ultra-processed” actually mean — and why should someone with type 1 care? Scott brings the questions he'd been asking ChatGPT all morning. Jenny brings the food science.

Scott Benner and Jenny Smith, RD, CDCES, LD
Open the Bolus 4 estimator
Carb ratio—
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Fat + protein50%

No food, no bolus on this one. Scott's framing: “instead of talking about how to bolus for something today,” a look at what the food is made of — and why that changes how it hits. 2:35

01 · Bolus 4 · Episode 1835

Processed isn't the same as ultra-processed

The difference is mostly how much the original food has been changed.

2:35
Jenny's definition3:55

Ultra-processed is making something to eat in a factory.

Industrial ingredients and additives that don't occur in nature — there for the taste, to preserve it, and to keep the crunch and the appeal after it's sat in a package on a shelf for who knows how long. Anti-caking agents so the powder doesn't clump. Things that keep it from going soggy.

The lists Scott found4:54
Processedaltered to be safer, last longer, or be easier

Plain yogurt

Rolled oats

Frozen vegetables

Ultra-processedindustrial ingredients and additives

Packaged snack cakes

Chips with flavor coatings

Nuggets from reconstituted meat

Sugary cereals

Also on Scott's processed list: canned beans, cheese, peanut butter that's just peanuts and salt, whole-grain bread with a short ingredient list. And on the ultra-processed list: soda, candy, instant noodles with seasoning packets, packaged cookies, many frozen microwave meals, anything that says “cheese product.” Jenny's caveat: nobody lives like Little House on the Prairie. Unless you make it yourself, your yogurt has been processed to package it and keep it safe. That's not the same thing as ultra-processed.

02 · Bolus 4 · Episode 1835

Why it's made this way

Scott asked why he should care, then played naive: if I were making food, why would I do this?

8:08
What came back8:08

Not the chemicals first — the nutrition and the formula.

  1. Low nutritional valueHigh intake is linked to chronic disease.
  2. Salt, sugar and fat, engineeredJenny remembers a book about the food industry learning to combine fat, sugar and salt so it hits your taste buds exactly — and then hits the brain signal that says take another.
  3. The business caseHigher margins, longer shelf life, less waste. Hyper-palatable, so it drives repeat buying. And perfectly repeatable: the chip tastes the same every single time.
  4. It's not one chipScott: your body can process canola oil. It's not about one chip, or one bag. It's about 50 bags over a year or two.
Once you pop11:13
Half a can of stacked potato crisps, without noticing. How many calories?
600
Jenny: mostly air, salty, crunchy — and you're still hungry, so you move on to something else. Sit down to a 600-calorie meal of real food and you'd feel full and satisfied, with all the macronutrients.
Scott, three years on a GLP12:19

He can eat poorly for days now and not gain weight.

His first answer from ChatGPT was satiety. He pushed back — he knows how to eat through a GLP — and it moved on to insulin and slower gastric emptying. Then he asked whether the problem is the food or the way his body works. It said the food. Meanwhile the protein he's supposed to prioritize keeps getting more expensive: four steaks at Costco, he says, went from 40 to 90 dollars in about three months.

Food noise, and food everywhere17:29

Did people have “food noise” 500 years ago, or did they just call it hunger?

  1. GLPs quiet itJenny: that's part of why they work for people who had no control before. They bring back some recognition of how much, and what, you've eaten.
  2. Most of us don't grow our food anymoreJenny's garden couldn't feed her family of four. Food is available everywhere now — strawberries in December.
  3. Snacks are newThere was no such thing as a snack when you ate because Mom called you in from the field. Now there's food at every occasion, and snacks for a ten-minute car ride.
  4. Scott's 9:30 drinkHeading to watch TV before bed, he reached for a drink and stopped: why am I doing this? He took water.
03 · Bolus 4 · Episode 1835

What it means with type 1

Jenny and Scott both came into this part meaning to bring up the same thing — almost.

20:06
Jenny24:06

Managing insulin changes how you think about food.

Not everyone has an eating disorder, but because the body doesn't make insulin in response to food, people with diabetes eat because it's time to take insulin. Jenny hears it over and over: I don't feel hunger anymore; I eat because it's time. Arden says it too — hungry, but not craving anything, and she could nibble all the time.

Amylin — the other hormone that's missing26:36
1slows the stomach
Beta cells release amylin with insulin at meals. It slows gastric emptying.
2blunts glucagon
It suppresses the inappropriate post-meal glucagon that pushes blood sugar up.
3signals full
It increases satiety through central signaling.
0in type 1
The damaged beta cells don't make it either. Food may leave the stomach faster, rises may come faster, and fullness signals may be weak — so you still feel hungry and snack more. Jenny: that's the ineffective cues she keeps hearing about.
Symlin27:31

The made-in-a-lab amylin never really caught on.

Jenny: it was finicky and hard to dose, and it needed a good practitioner to help each person figure it out. Scott recently interviewed a 23-year-old who went down the amylin rabbit hole — hungry constantly, never full, gaining weight — and was put on a GLP. He thinks GLPs will help a lot of people with type 1 with exactly this.

04 · Bolus 4 · Episode 1835

How corn becomes syrup

Jenny guessed milling and enzymes from food science she learned eons ago. Scott read the steps.

29:25
High-fructose corn syrup, step by step29:49

As Scott read it on the recording.

  1. Mill the cornSeparate the starch from the protein, fiber and oil. Corn starch is a long chain of glucose.
  2. Break the starch down with enzymesA starch slurry, then alpha-amylase chops it into shorter chains, then glucoamylase breaks those into mostly glucose. At this point it's corn syrup.
  3. Turn some glucose into fructoseThe syrup passes over glucose isomerase, which rearranges some of it. The first product is about 42% fructose.
  4. Concentrate and blendSeparate out a fructose-rich stream as high as 90%, blend to the grade they want, then filter, purify, and ship it as a liquid — cheap, stable, easy to pump.
The numbers are the percent fructose32:14
42HFCS 42
Baked goods, processed foods, some beverages.
55HFCS 55
Common in soft drinks.
90HFCS 90
Mostly used to blend the other grades.
1:1table sugar
Sucrose is one glucose bonded to one fructose, from cane or beets: crush, extract the juice, filter, evaporate, crystallize, refine. Chemically it ends up in a similar place, but it's built differently.
Jenny33:20

There's no engineering in an apple.

The whole corn-syrup process, Jenny says, is chemical engineering — processing, reprocessing, heating, pulling through, adding things that weren't meant to be. Pull an apple off a tree and the tree did everything it was meant to do.

And while they were at it33:51

Scott went looking for the original Coca-Cola.

  1. 1886, John PembertonThe company doesn't disclose the formula. Its history describes a syrup with carbonated water, named for the coca leaf and the kola nut.
  2. RoughlySugar, water, caramel for color, coca leaf extract, kola nut extract for the caffeine, citric acid, lime juice, vanilla, and flavored oils and spices. “That doesn't seem so bad.”
  3. Yes, it had cocaineThe coca leaf extract of the time still carried cocaine alkaloids. That was later removed.
  4. Seed oilsJenny's point on canola and the rest: much more omega-6 than the omega-3s that help your heart and inflammation. And processing strips nutrients, so things get fortified to put something back.
05 · Bolus 4 · Episode 1835

Back to bolusing

Where it folds back into Bolus 4.

39:07
Takeaway39:07

The more processed it is, the faster it hits.

Scott: more fillers, more emulsifiers, more shelf-stabilizing chemicals — the harder it's going to be to bolus for. It's so broken down that your body grabs the sugar out of it quickly and shoots your blood sugar up. If you've wondered why cereal does what it does, this is the basis of why.

Tweak for next time39:50

Jenny's end note.

  1. Look at your own grocery listPick one or two things you could change. Spices instead of the seasoning packet.
  2. It isn't always more expensiveShe has a family to feed too. Some swaps are more cost-effective once you break them down.
  3. Nobody's shaming anybodyScott's wife brought home a sauce packet for chicken — she liked it, and it's eight minutes when you both work. If you can't afford it or don't have the time, fine. You should still understand what's happening.
55%
of the calories Americans eat, by national estimates, come from ultra-processed food

Scott: “This is gonna make me sad if we keep going. I'm gonna stop now.”

Take a picture of this one

Things to remember from this one

The numbers that transfer to the next one.

Factorymade
Jenny's shorthand for ultra-processed — made to eat in a factory.
42 · 55 · 90HFCS
the percent fructose in each grade of high-fructose corn syrup.
Amylinmissing
the beta-cell hormone that slows the stomach and signals full — missing in type 1 along with insulin.
55%of calories
from ultra-processed food, by the national estimate Scott read.

“Ultra processed is essentially, like, making something to eat in a factory.”

Jenny Smith4:39

“It's not about having a potato chip. It's about having a bag of potato chips.”

Scott Benner10:14

“I pull an apple off of the tree, man, and that tree did everything that the universe was meant for the tree to do.”

Jenny Smith33:32

“I think we can discuss the truth behind this and not be insulting people at the same time.”

Scott Benner41:06
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