#1799 Bolus 4 - Krispy Kreme
Scott and Jenny talk about bolusing 4 donuts.
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Key Takeaways
- The Meal Bolt Roadmap: A strategic approach to bolusing includes measuring the meal, evaluating yourself, adding base units, layering a correction, building the bolus shape, offsetting timing, looking at the CGM, and tweaking for next time.
- Total Sugars as Pre-Bolus Timing: While not a rigid medical rule, a helpful starting strategy for pre-bolusing high-sugar foods is to use the total grams of added sugar as the pre-bolus time in minutes.
- Algorithm Dynamics: When using an automated pump algorithm, be mindful that the system might pull back basal insulin during a blood sugar climb, which might require a larger upfront bolus or an extended bolus to compensate.
- Don't Underestimate Frosting: Add-ons like icing and fillings carry a massive carbohydrate load. A regular glazed donut has about 22 carbs, but adding icing can increase that by 15 carbs alone.
- Wait for the Downward Tick: Before diving into a high-sugar, fast-hitting food like a donut or cookies, aim to see a diagonal down arrow or a slight drop on your CGM to ensure the insulin has actively started working.
Resources Mentioned
- Juicebox Podcast Meal Bolt: juiceboxpodcast.com/meal-bolt
- US Med: usmed.com/juicebox or call (888) 721-1514
- Omnipod 5: omnipod.com/juicebox
- Diabetes Pro Tip Series: Episodes 1000 to 1025 in your podcast player or at juiceboxpodcast.com
- Krispy Kreme: krispykreme.com
- Oreo: oreo.com
- Wrong Way Recording: wrongwayrecording.com
Introduction & The Meal Bolt Roadmap
Scott Benner Hello, friends, and welcome back to another episode of the Juice Box podcast.
Scott Benner In every episode of bolus four, Jenny Smith and I are gonna take a few minutes to talk through how to bolus for a single item of food.
Scott Benner Jenny and I are gonna follow a little bit of a road map called meal bolt.
Scott Benner Measure the meal. Evaluate yourself.
Scott Benner Add the base units. Layer a correction.
Scott Benner Build the bolus shape. Offset the timing. Look at the CGM.
Scott Benner Tweak for next time.
Scott Benner Having said that, these episodes are gonna be very conversational and not incredibly technical.
Scott Benner We want you to hear how we think about it, but we also would like you to know that this is kind of the pathway we're considering while we're talking about it.
Scott Benner So while you might not hear us say every letter of Miele Bolt in every episode, we will be thinking about it while we're talking.
Scott Benner If you wanna learn more, go to juiceboxpodcast.com/meal-bolt.
Scott Benner But for now, we'll find out how to bowl us for today's subject.
Scott Benner While you're listening, please remember that nothing you hear on the juice box podcast should be considered advice, medical or otherwise.
Scott Benner Always consult a physician before making any changes to your health care plan or becoming bold with insulin.
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Scott Benner Full terms and conditions can be found @omnipod.comslashjuicebox. (2:19) Jenny, we are gonna do some bolus four stuff.
Bolusing for a Krispy Kreme Glazed Donut
Jenny Smith Oh, fun. These are always fun.
Scott Benner I have a list.
Scott Benner These are,
Jenny Smith Are we gonna do McDonald's again?
Scott Benner No. No. We can't do that again.
Scott Benner That was, that was good though. People were very That's
Jenny Smith way fun.
Scott Benner People had a good time with that one. So no.
Scott Benner We're not gonna do that, but we are gonna look at the list, a pretty extensive list that people sent in. Do you wanna do a well, we did McDonald's, so that one's done.
Jenny Smith Okay.
Scott Benner Should we do another restaurant, or do you wanna just wanna do a donut?
Scott Benner Why don't we do a short one here?
Jenny Smith Do a doughnut. Sure.
Jenny Smith We've not done that. Gosh. That's something I guess I would think that we would have already done.
Jenny Smith It's a pretty common
Scott Benner Let's just do a Krispy Kreme doughnut.
Jenny Smith Oh my gosh.
Scott Benner Have you ever had one?
Jenny Smith I have actually had a Krispy Kreme doughnut. Yes.
Scott Benner Alright.
Jenny Smith When I was in college, I worked with Habitat for Humanity.
Scott Benner Okay.
Jenny Smith And our, spring break trips, I was never I never went and laid on a beach.
Jenny Smith My spring break, we took what were called collegiate challenge trips. Mhmm.
Jenny Smith And so we took, like, a big, huge or a couple of, like, 15 passenger vans, and we would pack it all up, all of our supplies.
Jenny Smith We had to get donations, and we would go somewhere out of state And many of the places we went because we still wanted it to be warmer on spring break, we would go or we would pick a location that was somewhere in the South.
Jenny Smith So I'd gone to New Orleans, and I've been to Mississippi and to Georgia and North Carolina and West Virginia.
Jenny Smith Oh my gosh. They were all of my spring break trips were spent with Habitat.
Jenny Smith It was an amazing thing. But my point being that that's where I had Krispy Long story, that's how I got Krispy Kreme.
Scott Benner Travel the country to have a have a doughnut. Well, I'm on their website, krispykreme.com.
Scott Benner Is that what it is called? Let me make sure. Yeah.
Scott Benner Krispykreme.com.
Scott Benner And I'm starting with I think we're gonna do a few of them.
Scott Benner Original just the original glazed donut. When I think of a Krispy Kreme, I just think of, like, a glazed donut.
Scott Benner Okay.
Scott Benner You ready?
Jenny Smith I'm ready.
Scott Benner Alright.
Scott Benner Well, I'll tell you the calories just for fun. It's got a 190 calories in it.
Scott Benner Calories from fat, a 100. Total fat, 10.
Scott Benner Saturated fat, five.
Scott Benner No trans fat, no cholesterol, a 100 milligrams of sodium. Total carbs?
Jenny Smith Maybe 15 or probably oh, a glazed one. Glazed. Sorry.
Jenny Smith I was thinking of a cake doughnut. Probably about 40 to 50?
Scott Benner They say 22. Really?
Scott Benner They say total carbohydrates 22. Dietary fiber less than one, sugar's 10, protein free.
Jenny Smith I wonder how big their glazed donuts are.
Jenny Smith Because that's and it's also then not a terrible amount of glaze.
Scott Benner Okay.
Scott Benner Would you mind all the carbs are coming from,
Jenny Smith you think? From the sugar?
Jenny Smith Would think I mean, the donut itself obviously has the majority of the fat in it. And Mhmm.
Jenny Smith For that many calories, half the calories are coming from fat.
Jenny Smith And there's not really any protein. So that makes sense that it would be approximately 20 some grams of carb Mhmm.
Jenny Smith Based on the calorie value at four calories per gram.
Jenny Smith That's about right for the math of the calories.
Applying Ratios and Algorithm Nuances
Scott Benner Let's do it for you.
Scott Benner What's your insulin to carb ratio?
Jenny Smith It depends what time of day it is.
Scott Benner Alright. Well, let's say you're having a donut in the afternoon.
Jenny Smith So in the afternoon, it's a one to 12.
Scott Benner Twelve. And sensitivity?
Jenny Smith My sensitivity is 85 in the afternoon.
Scott Benner 85 in the afternoon.
Scott Benner We're gonna make it what would you target if you were targeting a blood sugar?
Jenny Smith My target is 85 in my system. 85.
Scott Benner Okay.
Scott Benner 22 carbs and fat 10. No protein in this. Right? No.
Scott Benner Oh, three.
Jenny Smith Oh, there is a little protein.
Scott Benner Little bit of protein.
Scott Benner What's Jenny's blood sugar in the afternoon before she eats this doughnut?
Jenny Smith My blood sugar in the afternoon generally is somewhere between, like, ninety and one twenty.
Scott Benner I was gonna put 96. How we do that? Okay.
Scott Benner I'm gonna assume you have a nice stable arrow because I'm gonna use my strategy simulator online. Okay.
Scott Benner But I wanna hear about you first. So how's Jenny bolusing for this doughnut?
Scott Benner So it's just the doughnut.
Jenny Smith Okay. I have a stable blood sugar.
Scott Benner Stable blood sugar.
Jenny Smith My blood sugar is 85. Yeah. Right? Mhmm.
Jenny Smith Or no.
Jenny Smith What did you say?
Scott Benner I I made your blood sugar 96.
Jenny Smith But the target was 85 96. Okay.
Scott Benner How is Jenny Prebola saying? Ten grams of fat, 22 grams of carb.
Scott Benner Does it tell how many grams of added carb or or added sugar?
Scott Benner Added sugar.
Scott Benner Sugar's 10 protein. It doesn't quantify anything as added sugar.
Jenny Smith So total carbs are 22 and sugars are 10.
Scott Benner Yes.
Jenny Smith So my pre bolus is fifteen minutes in the afternoon.
Scott Benner Okay.
Jenny Smith Sometimes twenty depending on the time of the month.
Scott Benner Mhmm.
Jenny Smith But fifteen.
Jenny Smith Let's say this is a sensitive normal time.
Scott Benner Does this need an extended bolus for you?
Jenny Smith With only 10 grams of fat, this type of thing doesn't need an extended bolus.
Jenny Smith No.
Scott Benner For you.
Jenny Smith Not at all.
Scott Benner You would
Jenny Smith For take me, I would take all the carbs.
Jenny Smith I wouldn't even I wouldn't cover fat or put it into my system, which I could if I wanted to.
Jenny Smith I wouldn't put it in there. I would just put the carbs in.
Scott Benner Okay.
Scott Benner And that's a thing that you think you'd have success with.
Scott Benner So what would your what do you think the bolus would be? Two units?
Scott Benner Are you considering the fat or just not stretching it for the fat?
Jenny Smith I'm just not stretching it for the fat.
Scott Benner Okay.
Scott Benner Well, then it's gonna be more like what? 2.8? Something like that?
Jenny Smith Two point I mean, with my ratio, again, I Yes.
Jenny Smith Can't do the math in my head anymore. Yeah. Is. Was my fault.
Jenny Smith Does it for me?
Scott Benner Well, then just just put me in the world.
Scott Benner You grab the doughnut, How much do you throw in for it?
Scott Benner Somebody goes, that's 22
Jenny Smith cards. I would put I would put if I was just out in the world and I was bolusing on my own, I would take two units for it.
Jenny Smith Okay. So I'd be a little bit heavier than my one to 12 calls for.
Jenny Smith It would be less than two units if it was a one to 12.
Jenny Smith Okay. Right?
Jenny Smith But I would just say two.
Scott Benner The, the the thing on the website says two units up front, point eight five over three hours.
Jenny Smith Oh, okay. For the fat, I'm assuming Yeah. For the website.
Jenny Smith Because it does always consider the fat free.
Scott Benner Not gonna not you know but this is interesting.
Scott Benner So but you know from your own life that that's not gonna need that for you.
Jenny Smith I do. And I can also say that experience for many years on MDI
Scott Benner Mhmm.
Jenny Smith I would never have covered extra for something like this with the system I use now, which is Trio.
Jenny Smith I also would not cover extra mainly because I know that the system is already got my back.
Scott Benner Okay.
Jenny Smith Especially with dialed in settings. Right?
Jenny Smith I mean, all of this bolus thing for anything boils down to are your settings in a pretty good place to begin with.
Jenny Smith Mhmm. And so on other systems, however, I wouldn't have even done it on a basic pump that doesn't have an algorithm in it because, again, nothing is being taken away.
Jenny Smith Right? Mhmm. I might consider other algorithms and the potential response algorithms that are the adaptive algorithms that do more of a hard set, just pull back, suspend based on what the trend looks like, that maybe you need to consider what ends up happening because it's pulled back, and that then adds in to some potential
Scott Benner Yeah.
Scott Benner So you make
Jenny Smith Lingering.
Scott Benner You make this two unit bolus for these 22 carbs, which seems pretty small, but it's got a lot of sugar.
Scott Benner It hits you fast. While you're climbing, the system has pulled back basil.
Scott Benner It's not resisting anything there at all. So maybe you do need that point eight five
Jenny Smith Correct.
Scott Benner Pumped in over the hours afterwards.
Jenny Smith And, again, it may not be just because of the fat.
Jenny Smith It might be because of what your system has actually tried to help you with. Yeah.
Jenny Smith I also think, you know, if pre bolus has been pretty well done, then on some of these systems, may actually see some pretty nice containment of your blood sugar.
Jenny Smith You started my blood sugar at 96, and if I pre bolus right and I eat this, I'm I'm also not one to, like, shove it all down my
Scott Benner might go slowly while you're eating.
Scott Benner Yeah. Yeah. Yeah. Right.
Jenny Smith If I'm gonna eat a donut, I'm gonna, like, enjoy the bites of the donut.
Scott Benner I would imagine if you're bolusing for this, you would wanna see, like, a down like, a diagonal down arrow or a falling blood sugar before you started to eat.
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Pre-Bolus Strategy with Total Sugars
Jenny Smith Yeah.
Jenny Smith I usually say, you know, if you were stable, like, a trend of one or two dots kind of already headed down, each dot on Dexcom at least is a five minute incremental shift.
Scott Benner Mhmm.
Jenny Smith And so you've got some visual of momentum from the insulin already. Right?
Jenny Smith Kind of that tug of war game that you talk about.
Scott Benner Yeah.
Jenny Smith It's the insulin's got a little more tug now. Great.
Jenny Smith I can put the carbs in because the insulin is definitely showing impact, and I know that these carbs, especially with glaze, they're gonna start to hit.
Scott Benner Yeah. The original glazed cake doughnut, Jenny, has 15 grams of fat in it and 40 carbs.
Jenny Smith Oh, see, there's where I probably was think I guessed originally 40 to 50. Yeah.
Jenny Smith So the doughnut you gave that was 22 isn't a isn't a cake doughnut.
Scott Benner No. It's a regular old just glazed doughnut. Yeah.
Scott Benner This is the the cake doughnut, which I prefer I prefer a cake doughnut over a regular doughnut if we
Jenny Smith I was thinking more of a cake doughnut, honestly.
Scott Benner Just to see what that does with Jenny's settings, that turns this into 3.46 up front, and then it wants 1.2 over three hours.
Scott Benner It's like four and a it's over four and a half units even for you.
Scott Benner K. And I say even for you because your your sensitivity is 85 and your your carb ratio is 12. So
Jenny Smith And that's also a lot of insulin at one time Mhmm.
Jenny Smith For me.
Scott Benner For you. Yeah. Yeah. What would that do?
Scott Benner Do you think you'd do you think you'd have success with this or do you think you'd struggle with this?
Scott Benner Think you'd get low?
Jenny Smith I think I'd have to have it as my first experiment.
Jenny Smith And evaluate. Again, a true experiment is always without an algorithm.
Scott Benner Yeah.
Jenny Smith It just is because you get the true action of your decision and timing and the true action of insulin that's just solidly there.
Jenny Smith There's nothing giving and taking. I've grown very much connected to my algorithm.
Jenny Smith I like it a lot, as do most people.
Scott Benner Yeah.
Scott Benner Fills in a lot of holes and takes away a lot of your thoughts later.
Jenny Smith Right.
Jenny Smith So as you ask about, do you think I'd get low?
Jenny Smith Do you you know, what do you think would happen?
Jenny Smith I expect because my system does a a pretty darn good job of preventing lows.
Jenny Smith I think it would try really hard given the load of insulin though being units.
Jenny Smith Mhmm.
Jenny Smith Right? And depending on what my assumed timing would be, I might actually dip a little bit initially that it maybe it couldn't pull back enough.
Jenny Smith That one has 15 grams of fat. Right?
Scott Benner Yes.
Jenny Smith And so I might also expect I mean, I like fat.
Jenny Smith I'm not like low fat by any means. So 15 grams is what I'm saying is 15 grams isn't really a concern to me either.
Jenny Smith Mhmm. But if it did do any pulling back, then the end effect might also be a little bit of a curve up.
Jenny Smith So I would view it as anything that's new. It's an experiment. Mhmm.
Jenny Smith And I see how it works.
Filled Donuts and Fast Hitting Sugars
Scott Benner You know, marketing is a thing because I, for some reason, in my head, thought Krispy Kreme doughnuts were, like, cleaner somehow.
Scott Benner And I know now as I'm looking at the ingredients, I'm like, this is ridiculous.
Scott Benner Why would I even why did I think of them as a better alternative than, like, say, Dunkin' Donuts?
Scott Benner I think it's just the colors. I think it's because they use green around I think it I actually think the marketing works.
Jenny Smith That could be or it looks the the, logo Yeah. Also looks really old school.
Scott Benner Yes. I think Right? Yeah. Krispy Kreme says to me, hey.
Scott Benner We're gonna have a doughnut like a gentleman.
Jenny Smith Or your grandma baked it.
Scott Benner Right.
Scott Benner And Dunkin Donuts says to me, let's go. We're all gonna die together. Yeah.
Jenny Smith Yeah. Actually, Dunkin Donuts is kind of like it's like plastic doughnuts compared to crispy crispy creams.
Jenny Smith And because, you know, Dunkin Donuts, it's a very, like, bold. It's pink.
Jenny Smith It's like it's almost like
Scott Benner It's loud. Yeah.
Jenny Smith Loud. Yeah. Kind of.
Scott Benner It really I think that might be it.
Scott Benner I think Dunkin' Donuts says to me, like, let's get in this pickup truck, set it on fire, and see how long we can drive it before it blows up.
Scott Benner And Krispy Kreme does feel like, oh, my mom my grandma made it for me.
Jenny Smith Right?
Jenny Smith It's just the label and every I mean, I don't even know Krispy Kreme's clearly been around a lot longer, I think, than Dunkin' Donuts.
Jenny Smith I don't
Scott Benner even know. Alright. They have filled doughnuts.
Scott Benner You wanna do chocolate iced custard, or
Jenny Smith do
Scott Benner you wanna do original glazed cream filled?
Scott Benner Oh, there's also a New York cheesecake filled doughnut.
Jenny Smith Oh my gosh.
Scott Benner I can't even this stuff. Almost like
Jenny Smith Imagine what
Scott Benner Right.
Scott Benner Let's do the chocolate iced custard because that's really just Boston cream. Right?
Scott Benner Isn't that what that is, basically? Woo.
Scott Benner Let's go.
Scott Benner Not as much as I thought because you take the cake factor away. Oh, that's interesting.
Jenny Smith He's filling it with something.
Scott Benner Yeah. So it's 37 carbs, 17 sugar, 16 fat.
Scott Benner There's more fat than I thought getting away from the cake aspect, but still that's, you know, okay.
Jenny Smith So it's interesting and that's why I asked about the original doughnut that glazed kind of doughnut that you mentioned before in terms of total carbs versus sugars.
Scott Benner Mhmm.
Jenny Smith Most often, I've seen a lot of people doing it, and I think if you don't really know from a pre bowl strategy where to possibly start with a time is I've seen a lot of people having success
Scott Benner Okay.
Jenny Smith With taking the total sugars or the added sugars if it is on a label and using that as a default starting pre bolus.
Scott Benner Say that again for me.
Jenny Smith Yeah. I've seen so this one has what?
Jenny Smith 30 some grams of total carb?
Scott Benner Total carb, 37. Sugar, 17.
Jenny Smith 17. Yeah.
Jenny Smith So it's about half sugar.
Scott Benner Okay.
Jenny Smith Right?
Jenny Smith But what what I've seen people doing, again, this is not medical recommendation or anything disclosure, blah blah blah.
Jenny Smith I am just saying what I have seen people do and some people have real good success with a starting place.
Jenny Smith They need to tweak it, but as a starting place taking the total sugars, which are the hit point.
Jenny Smith Right?
Scott Benner Okay.
Jenny Smith And they're using that as a marker of how many minutes do I even need to pre bolus.
Jenny Smith Let's start with the total sugars as a pre bolus time. So this seventeen minutes. Right?
Jenny Smith I mean, you might just round it to fifteen to be easy, but
Scott Benner Is there a scientific reasoning behind that?
Jenny Smith I have looked and looked. I don't see a scientific reason.
Scott Benner But you see people have luck with it.
Jenny Smith I have seen people have luck with it, and I have seen commentary on people using that as a strategy.
Scott Benner That's interesting. I'm making a note about that. Okay.
Jenny Smith But I I wanted, you know, more about it just that when you do have a label and you can see, gosh, this is this many grams of carb, but, oh my gosh, 50% of it is added sugars or or the total sugar, you know, kind of added stuff in. I mean, donuts have flour, so that's carbohydrate from natural grain.
Jenny Smith Right?
Scott Benner It's
Jenny Smith processed, but that's another but at least it's not added.
Jenny Smith It's something that came with the flour that they use.
Scott Benner I see.
Jenny Smith Whereas the added is really what you're aiming to see the hit from Mhmm.
Jenny Smith Because it's so fast. And so it's often, like I said, it's often a starting place that I see people using and saying, gosh, I'm just gonna use the added sugars here as a marker.
Jenny Smith Now that also deeper level is where's your blood sugar? Where is it heading?
Jenny Smith Where is it come from? What insulin on board?
Jenny Smith I mean, there are many other factors to consider too, but it's a starting place.
Scott Benner I'm gonna do this just for this one.
Jenny Smith I can't believe you've never seen that, by the way.
Scott Benner I mean, I feel like I have, but, you know, as a good podcast host, I had you repeat it so that people could hear it for yeah.
Scott Benner Yeah. It's a trick of the trade, Jenny.
Jenny Smith Hopefully, I explained it well enough because
Scott Benner I think you did. Okay. Hey.
Scott Benner Here's the ingredients for this chocolate iced custard filled doughnut.
Scott Benner I'll only do this for this one doughnut, then we're gonna go do a couple more doughnuts from Krispy Kreme.
Scott Benner Oh. Enriched flour, wheat flour, niacin, reduced iron, thiamine, mono nitrate, riboflavin, folic acid, water, palm oil, soybean oil, sugar, yeast, hydrogenated soybean oil, soy flour, leavening, you know, baking soda, salt, mono monoglycerides, weak gluten, soy lecithin, skim milk, cellulose gum, ascorbic acid, calcium propionate to maintain freshness, egg yolk enzyme it says egg yolks, comma, enzymes.
Scott Benner In the filling, water, high fructose corn syrup, corn syrup. I like that there's two different corn syrups.
Scott Benner Right?
Scott Benner Hydrogenated coconut oil, modified food starch, sucrose fatty acid esters, salt, natural and artificial flavor, phosphoric acid, sodium benzenate, polysorbate 60, potassium sorbate to maintain freshness, colored with beta carotene.
Scott Benner Icing is sugar, water, cornstarch, cocoa, corn syrup, solids, palm oil, soybean oil, chocolate liquor, soy lecithin, salt enzyme modified soy protein, mono and diglycerides, polysorbate 60, sodium, and something called hexametaphosphate.
Scott Benner Enjoy your doughnut. Damn. That is a lot more in that than I thought there was gonna be.
Scott Benner What the hell?
Jenny Smith Wow. I yeah.
Jenny Smith I I mean, in doughnuts like, you've ever looked up, but doughnuts aren't that difficult to honestly make.
Scott Benner That's what I thought when I was looking at it. Yeah.
Scott Benner Like, it's just a little cake. It's a little piece of cake. Right?
Scott Benner With
Jenny Smith And the funny thing as you're going through them, I'm thinking like and you brought it up.
Jenny Smith Like, they've got not only high fructose corn syrup, which is really corn syrup that they've essentially added some enzymes to, and the fructose in it makes it a little sweeter than regular corn syrup, but they use both high fructose corn syrup and corn syrup.
Jenny Smith Because clearly, there's something fancy in the recipe that makes it taste the right way.
Oreo Cookies Deep Dive
Scott Benner Some of that in too. Alright. So I'm gonna do one more, one of their fancier donuts, and I almost did the I almost did the New York cheesecake one.
Jenny Smith I was gonna ask if, you know, tomorrow is Valentine's Day whether you celebrate it or not.
Jenny Smith Do they have anything special? I know a lot of times
Scott Benner Yes.
Scott Benner There are Valentine's donuts here. After we do this one, I'll look at one of the Valentine's sauce.
Scott Benner I instead of going to the New York, cream cheese or whatever it was, I went to the Oreo cookies and cream filled donut.
Scott Benner And those Oreos really throw on a little punch.
Scott Benner This one has 49 carbs, 28 sugars, 20 fat. That's that's that's a big jump.
Jenny Smith It's a loaded donut, man.
Scott Benner It's a loaded donut.
Jenny Smith I wish I could see what these things look like.
Jenny Smith You have
Scott Benner a you have the Internet know.
Jenny Smith I don't I usually like to let you
Scott Benner I know. I know.
Jenny Smith There's a way we do this. Yeah. Yeah.
Scott Benner The 49 carbs, 20 fat, four protein.
Jenny Smith How much sugar?
Scott Benner Sugar, 28. Now would you tell somebody to pre boast twenty eight minutes for this?
Scott Benner You Jenny's like, I might.
Jenny Smith Look at how much. So 49 grams of total carb?
Scott Benner Yeah.
Jenny Smith Is that what you said? And 28 of that is sugar.
Scott Benner That's a lot of sugar.
Jenny Smith That's added sugar.
Jenny Smith That is more than half of this doughnut is sugar.
Scott Benner Yeah. You know what?
Scott Benner That makes me feel like Do you
Jenny Smith know how many teaspoons of sugar that is?
Jenny Smith I gave you the math for this before.
Scott Benner Oh, you think I remember that? Stop it.
Scott Benner Go ahead. You tell me. Mhmm.
Scott Benner I don't know.
Jenny Smith It's seven teaspoons of sugar. Seven? Seven.
Scott Benner Measuring teaspoons of sugar. Goddamn.
Scott Benner Yeah. Yep. In one of those donuts.
Jenny Smith That's just added sugar. Right?
Jenny Smith That's just the added sugars. So just as a reference, you said I mean, you were very surprised, like, twenty eight minute pre bolus.
Jenny Smith I'm thinking, if there's nothing else in your stomach and you're eating this and
Scott Benner You might need the insulin to be running away to grab this when it hits you.
Jenny Smith Right? Absolutely.
Scott Benner By the way, this pushed me.
Scott Benner Know this was supposed to be about donuts, but this pushed me to oreo.com because those Oreos really shushed up those so chocolate.
Scott Benner Let's see. Chocolate sandwich cookie. I'm trying to just find a regular Oreo.
Scott Benner Wait.
Scott Benner This website is fancy as hell. You ready?
Jenny Smith Even know who makes is it who makes Oreos?
Scott Benner I mean, Nabisco, I Nabisco.
Scott Benner Think. Is that right? Isn't it all like some oil company now or a
Jenny Smith Oh, absolutely.
Scott Benner Or a missile manufacturer or something? A 100%.
Jenny Smith They're all people that you're like, yeah. You should make my food.
Jenny Smith That sounds like a great idea.
Scott Benner Honestly, I think listen.
Scott Benner I don't know a lot about a lot, but I think if you look into it, a lot of the big, like, agri companies are just owned by consortiums of finance of money that, you know, I think that Yes.
Scott Benner The same group that used to own cigarettes or maybe still does.
Scott Benner Like, it's possible RJ Reynolds is making your your bread or something like that. Oh.
Scott Benner But let's say that Jenny gets out of her mind and is gonna eat six Oreo cookies.
Scott Benner Jenny, it's all over. Life's gotten sideways. Alright.
Scott Benner You're
Jenny Smith I go to the store and I'm just gonna sit in my car and Yeah.
Scott Benner You're you're gonna sit and you're gonna eat six Oreo cookies. Now Okay.
Scott Benner Three Oreo cookies is sorry. This website, I think, is meant to is not to it doesn't want you to be able to read it.
Scott Benner So three Oreo cookies has seven grams of fat, so I'm gonna put in 14 grams of fat.
Scott Benner And I really have to pick through this trans wait. Wait.
Scott Benner I'm not put the carbs anywhere near the top.
Scott Benner Carbohydrate oh, it gives you total carbs 25. So six of them is gonna be 50.
Scott Benner Protein?
Scott Benner Is there a protein? Yeah. You're gonna get two grams of protein.
Jenny Smith Woo hoo.
Jenny Smith My muscles are saying, thank goodness.
Scott Benner Things are coming together now.
Scott Benner The my muscles are saying thank you. The added sugar for this is 14, but you're having six, so it's 28. The calculator, which by the way, I you know, the estimator is I don't think even able to take into account the idea of, like, how hard the sugar's gonna hit right away because Right.
Scott Benner It's still like, look, for you, it'd be 4.3 upfront, 1.12 over three hours, like a five and a half unit bolus Mhmm.
Scott Benner With a ten minute pre bolus. But I want you to talk more about it again from your perspective.
Scott Benner You're gonna eat six Oreo cookies. Mhmm. How are you gonna bolus for six Oreo cookies?
Jenny Smith Go for a run after I eat.
Scott Benner And he's like, I'm gonna eat them while I'm running.
Jenny Smith I'm sorry.
Scott Benner Would that work? Can you just eat them while you're running with that, like
Jenny Smith Oh my god.
Jenny Smith I'd probably throw them. Like, there's nothing to drink along. Oh god.
Jenny Smith I can't even imagine doing that.
Scott Benner Have you had an Oreo in the last ten years?
Scott Benner They're not as good as they used to be. I just wanna say that.
Jenny Smith I probably the last time I honestly had an Oreo cookie was in college. Okay.
Jenny Smith Probably.
Scott Benner Yeah.
Jenny Smith Yeah. I mean, I know what an Oreo tastes like.
Jenny Smith Yes.
Scott Benner So these you think about how you're gonna bowl this for the 50 carbs for the regular six Oreo cookies.
Jenny Smith Which again
Scott Benner Well, I look at the double stuff.
Jenny Smith My estimate would be so it's 50 grams of carb because you said three has 25. Right?
Jenny Smith Right. And my expectation is that half of that total carb is coming from sugar would be my guess.
Scott Benner 28. Right. I
Jenny Smith think it was. 28. Okay.
Jenny Smith So I would absolutely let's say my blood sugar is in target, the unicorn number of 100, nice and level.
Jenny Smith Mhmm.
Jenny Smith Let's just say it is. It's not moving.
Jenny Smith I'm going to give this a minimum of a twenty minute knowing my response to a minimum of a twenty minute pre bolus.
Scott Benner Okay.
Jenny Smith And if in twenty minutes, I'm I should be seeing already a downward tick just with my knowledge of how insulin works with me in this situation.
Scott Benner Okay.
Jenny Smith I should be seeing I would give this it's coming down.
Jenny Smith I might even be hitting 80 before I take my first bite.
Jenny Smith So again, here is that time frame is an estimated pre bolus time Mhmm.
Jenny Smith But I'm really paying close attention to my CGM in a scenario like this where I've been eating Oreos since college where I didn't have a CGM and it was my best guess and I I don't have any clue what happened after I ate the Oreos in college.
Scott Benner Do you think it's a mistake that on the mega stuff Oreos, it's harder to find the nutritional information on the website because I don't think it's a mistake.
Jenny Smith Aren't they they're double stuffed. Right?
Scott Benner They're calling this one mega stuff.
Jenny Smith Oh, so they're more than double stuff.
Scott Benner It feels by the way, it feels funny to type in Oreo mega stuff and then nutrition afterwards.
Scott Benner It feels like those are two, two words that don't go together.
Jenny Smith I'm also curious what the portion size would be because the regular Oreos are three is a single portion.
Scott Benner Yeah. I'm finding a bag right now to look at the label
Jenny Smith on I'm curious if because they're mega stuffed, maybe only one is a portion, or are they telling peep or are they suggesting to people that it's two?
Scott Benner I see what you're saying.
Jenny Smith Do you know what I mean?
Jenny Smith Like, are they
Scott Benner Serving size is two cookies
Jenny Smith Okay.
Scott Benner On the mega stuff.
Scott Benner Total carbs for those two cookies are 25, and total sugars are 17. So because you're getting the same cookie amount.
Scott Benner You're just getting more of the cream inside. I mean, I'm calling it cream.
Jenny Smith Sugar actually goes up. You get one less cookie, but you get more stuffing.
Jenny Smith So the carbs remain the same as three regular Oreo cookies. Yeah.
Jenny Smith But the total carbs are actually the total amount of added sugars is slightly more.
Scott Benner Yeah.
Scott Benner And then if you had six of six of these, you'd have 75 carbs.
Scott Benner You'd have seventeen, twenty, 36, 46, 49, 54 sugars. Is that right? Is that 17 times three?
Scott Benner Fifty four? And I think I just let people in real time see my my poor math.
Scott Benner I could have just multiplied, but for some reason, that's not how my brain does it.
Scott Benner That in this three and a half. So three, six, nine, ten and a half.
Scott Benner It'd be 10 and a half if you had six of them. Yeah.
Jenny Smith So there's less fat in the double stuff? Yeah.
Jenny Smith Must just be all sugar then the cookies must have the fat because the other ones have more fat in three cookies.
Scott Benner Mhmm. That puts your balls up to about seven and a half, by the way, in case you're wondering.
Valentine's Day Donuts & Hidden Icing Carbs
Scott Benner Anyway, let's go back to the Krispy Kreme real quick because Jenny asked about the Valentine's.
Jenny Smith If they had anything fancy.
Scott Benner Yeah.
Scott Benner Well, I mean, though, I think the Oreo one, looks it's fancy.
Jenny Smith It looks fancy.
Scott Benner Yeah. They put extra stuff
Jenny Smith on it.
Jenny Smith You know, the funny thing is that when consider this is where my brain goes in consideration of, like, my intake, which you can take it as it is.
Jenny Smith If I'm gonna eat 75 grams worth of carb,
Scott Benner it's gonna be donut. Yeah.
Jenny Smith Yeah. It's not gonna be a donut. It's not gonna be cookies.
Jenny Smith But again, that's me. Yeah.
Jenny Smith This is not a you should do this or whatever.
Jenny Smith It's a if I want that, I'm going for really good sushi someplace.
Jenny Smith And I like want this to be food that I can enjoy, that I'm
Scott Benner sitting on next you.
Scott Benner A year Jenny sends me a picture of her plate from a restaurant. She's like, I'm doing it.
Scott Benner Like like, look at me look at me eating. You know what?
Scott Benner I take your point about the Valentine. It'll be beyond Valentine's Day, obviously, when people get this.
Scott Benner Also, you're reminding me that tomorrow is Valentine's Day.
Jenny Smith There you go.
Jenny Smith Lovely for your wife that you remember now.
Scott Benner She was gonna get flowers.
Scott Benner I love you, chocolat. Oh, I love you chocolat doughnut, teddy bear cookies and cream doughnut, your berry sweet doughnut, and sprinkled with love doughnuts.
Scott Benner So they have four here's why I'm bringing this up because if someone ends up at Krispy Kreme tomorrow or this week, they're gonna go, oh my god.
Scott Benner It's Valentine's Day.
Scott Benner And there's gonna be one in there.
Scott Benner And then it's gonna come home and it's gonna go on your counter. Right?
Scott Benner And then your gonna walk by and there's gonna be a Red Heart donut with a bow on it.
Scott Benner They'll be like, mom, I'm gonna have a donut, the thing.
Scott Benner And you yeah. Yeah.
Scott Benner And then the Red Heart donut has 44 carbs in it and 26 sugars and 18 fat. Okay.
Scott Benner Yeah.
Scott Benner It's not getting crazy beyond what they're No. What they're doing with most actually, will say they do seem to keep their donuts.
Scott Benner They're all pretty similar. Like, the stuffed ones are
Jenny Smith Okay.
Scott Benner Hitting nutritionally about all the same. Like, one doesn't seem oddly different than the other.
Scott Benner The teddy bear is 46 carbs, 28 sugar, nine fat. Yeah.
Scott Benner These these are all sort of, like, you know
Jenny Smith If I was to pick one, honestly, I don't even know I don't know what they look like.
Jenny Smith You said there's like a red heart one. Right?
Scott Benner Mhmm.
Jenny Smith And then the I'd probably pick the teddy bear one, honestly.
Jenny Smith Like, if I was gonna pick one just out of cuteness and but then I'd feel bad eating it if it had a face
Scott Benner or something.
Scott Benner I'm gonna send it to you so you can see it. Hold on a second.
Scott Benner And then they have a a regular it looks like they're glazed donut, but with icing on top and just up with, like, red and sprinkles and stuff.
Scott Benner That's 37
Jenny Smith Okay.
Scott Benner And 15. That's interesting.
Scott Benner Like so so their glazed donut with icing on top is 37 carbs, and it really does look like that's all it is.
Jenny Smith Okay.
Scott Benner Right? And 50. So the glazed donut says 22. You put icing on top of it, it takes it up 15 more carbs just for the icing.
Scott Benner Anyway, I think that's
Jenny Smith partly heavy.
Scott Benner Yeah.
Scott Benner I partly, I feel like that's some of the value in these conversations actually is that yeah.
Scott Benner I just don't know that our brains do the math real quick when we look at things.
Scott Benner Like, oh, donut. It's Valentine's Day.
Scott Benner Like, you know, that kind of stuff.
Jenny Smith Or underscore I know I I think a lot of people unconsciously undercount for things like frosting.
Jenny Smith Like, it I know that there's sugar there, but Mhmm.
Jenny Smith Gosh, it can't have 25 extra grams worth of carb in it. Yeah.
Scott Benner Right? Yeah.
Scott Benner Especially you make a good point because if somebody's eating the the glazed doughnut as part of their life with 22 carbs, then you're like, oh, this glazed doughnut has icing.
Scott Benner There's no way you're gonna add 15 carbs in your mind to
Jenny Smith Right.
Scott Benner To that.
Scott Benner I sent you the the teddy bear so you can see it. Oh.
Scott Benner I know it's a little I don't know if it's cute or odd. You like it?
Scott Benner Jenny likes it.
Jenny Smith It's kinda it is kinda cute. Honestly.
Scott Benner Aw.
Scott Benner Yeah. Well, you'll eat that cute teddy bear and it'll go inside you and try to kill you from the inside out.
Scott Benner That's
Jenny Smith right. There
Scott Benner you go.
Jenny Smith I was so cute.
Jenny Smith You shouldn't have eaten me. Yeah. You
Scott Benner you'll you'll experience your own bear attack.
Scott Benner Not the way you see in the YouTube videos.
Jenny Smith You're right.
Episode Wrap-Up & Closing Remarks
Scott Benner Jenny, thank you for doing Krispy Kreme doughnuts.
Jenny Smith Thank you.
Scott Benner I appreciate it.
Scott Benner I'll talk to you soon. And happy Valentine's Day.
Jenny Smith You too.
Scott Benner Is that why you're wearing red?
Jenny Smith Kinda. Yeah? Yeah. Yeah.
Jenny Smith I mean, we don't really do anything for Valentine's Day, honestly.
Jenny Smith I mean, Nathan will usually bring me flowers or something, but honestly, it's truly is just like a money making.
Jenny Smith No. I I It's like, you know, it's so
Scott Benner I expect my wife to apologize to me tomorrow around 03:00.
Scott Benner And she'll go, I did not get you anything from Like,
Jenny Smith she says I didn't get you anything, and you're like, great.
Jenny Smith Here are your flowers.
Scott Benner I got flowers for you. And then she'll say thank you.
Scott Benner Actually, Jenny, I think this is a good point to place.
Scott Benner I don't think I've ever said this before. I'll just slide this in at the end of the episode.
Scott Benner On all occasions, birthday, Valentine's Day, anniversary, those sorts of things.
Scott Benner I go out on the morning of, I hand select flowers and come home and arrange them myself.
Scott Benner Oh. I think it's a nice little addition. It's like, it's not just here I bought flowers.
Scott Benner It's like I saw these I
Jenny Smith took time.
Scott Benner They look like they were nice together. I put some time into it.
Scott Benner She's never once seemed impressed by that, but I think it's a big deal.
Jenny Smith I think that's lovely. It really is.
Scott Benner Don't don't marry an Irish Catholic girl.
Scott Benner They their their hearts are buried under ice. That's all.
Jenny Smith I'm just saying I married an Irish Catholic boy.
Scott Benner Yeah.
Scott Benner He knows what Jenny knows what I mean. Okay. Alright.
Scott Benner No shade on the rest of you.
Scott Benner I'm sure some of you are very warm and cuddly.
Scott Benner Not as cuddly as that donut. Right. On it though. See you guys.
Scott Benner A huge thanks to US Med for sponsoring this episode of the Juice Box podcast.
Scott Benner Don't forget, usmed.com/juicebox. This is where we get our diabetes supplies from. You can as well.
Scott Benner Use the link or call (888) 721-1514.
Scott Benner Use the link or call the number, get your free benefits check so that you can start getting your diabetes supplies the way we do from US Med.
Scott Benner Today's episode is also sponsored by Omnipod. Check out the Omnipod five now with my link, omnipod.com/juicebox.
Scott Benner You may be eligible for a free starter kit, a free Omnipod five starter kit at my link.
Scott Benner Go check it out.
Scott Benner Omnipod.com/juicebox. Terms and conditions apply.
Scott Benner Full terms and conditions can be found at omnipod.com/juicebox. (38:45) Okay.
Scott Benner Well, here we are at the end of the episode.
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Scott Benner My diabetes pro tip series is about cutting through the clutter of diabetes management to give you the straightforward practical insights that truly make a difference.
Scott Benner This series is all about mastering the fundamentals, whether it's the basics of insulin, dosing adjustments, or everyday management strategies that will empower you to take control.
Scott Benner I'm joined by Jenny Smith, who is a diabetes educator with over thirty five years of personal experience, and we break down complex concepts into simple, actionable tips.
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