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The orderChipsGuacSour creamSalsaWalking inMargaritaFajitasAdd the fatTacosGemini vs. ChatGPT
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Bolus 4 · Episode 1865

Mexican Food

A listener sent in a whole restaurant night: chips with guacamole, sour cream and salsa, a margarita, steak fajitas with rice and refried beans — and could you talk about tacos and enchiladas too? Scott runs it through the Bolus 4 estimator a piece at a time. The carbs alone say 15.58 units. Count the fat and protein and it's 20.

Scott Benner and Jenny Smith, RD, CDCES, LD
Open the Bolus 4 estimator
Carb ratio1:10
Sensitivity50
Target90
Fat + protein50%

Scott runs the live estimator on the recording: carb ratio 1:10, sensitivity 50, the default 50% fat-protein factor, and a stable line with no blood sugar entered for the appetizer. For the full meal he enters a blood sugar of 99; the 15.58 up front only works out with a target of 90, so that's the target used here. 8:34

01 · Bolus 4 · Episode 1865

Chips, guac, sour cream, salsa

The appetizer, built one dip at a time. Scott adds each one to the estimator as they go and reads what it does to the bolus.

6:20
1Tortilla chips2 ounces — about 20 chips36carb · 4protein · 14fat
2Guacamolea quarter cup5carb · 1protein · 9fat
3Sour creamtwo tablespoons — “good luck”1carb · 6fat
4Salsaa quarter cup4carb · 1protein
The appetizer, as run
0carb0protein0fat
Gemini's breakdown, read on the recording · each piece added to the estimator in turn  ·  Click any piece to hear that moment
The request6:20

The whole table, and a margarita.

Tortilla chips with guacamole, sour cream and salsa. Steak, pepper and onion fajitas with a side of rice and refried beans. What happens with a margarita on top of all that. And could you talk about tacos and enchiladas? Scott's warning going in: this one is going to be a lot more art than science.

Jenny's rule of thumb7:54
Restaurant tortilla chips. How many carbs a chip?
2g
Twenty chips at 36 carbs is right on it. Count them onto your side plate; another handful, count again. And if they're made at the restaurant, they're fried — the 14 grams of fat is real.
Watch the bolus grow, one dip at a time8:51

1:10 · sensitivity 50 · 50% factor · stable, no blood sugar entered.

  1. 20 chips: 3.6 up front, 0.7 over three hours36 carbs, 4 protein, 14 fat.
  2. Plus a quarter cup of guac: 4.1, and 1.14 over four hoursAvocado, a spicy pepper, garlic, lime, salt — the avocado is the carb and it's really high in fat. The extended wave stretched from three hours to four. Jenny: whoever sent this in is hearing “a quarter cup” and thinking you're ruining their chips.
  3. Plus sour cream: “didn't change a ton”Two tablespoons, pretty much all fat. A little more back-end insulin. Scott has never eaten sour cream in his life.
  4. Plus salsa: 4.6 up front, 1.43 over four hoursTomatoes, peppers, garlic, onion — maybe pineapple or mango if it's the fruity kind. Jenny would eat the bowl of it with a spoon. The hotter, the better.
Portion versus serving12:42

The ramekin is about half a cup.

Jenny: those little dishes the dips come in — souffle cups, about the size of Scott's fist, two inches high — are usually about a half cup, flat-topped. The quarter cups on this page are servings. What you actually scoop is your portion. Go ahead and have 40 chips instead of 20, Scott says, and it's nine units up front and three extended, over more hours.

The appetizer · 1:10 · 50 · stable line13:17
46carb6protein29fat
Up front
4.60u
Scott: “4.6 up front”
Then, over 4 hours
1.43u
2.9 fat-protein units
Theoretical requirement
6.02u
24% of it is not carbs

As read on the recording: 4.6 up front, 1.43 stretched over four hours — the estimator's math lands on the same numbers. The four pieces as read add to 7 grams of protein; Scott's running total and the estimator run carried 6, so the sour cream's gram is left out here to match the tape.

Offset the timing13:44

If you don't pre-bolus coming in the door, you're chasing it.

Scott: unless you really crush it hard, or the food takes a while to come, he doesn't see how you catch up. Jenny: it's grazing in a short window, chatting and laughing, before you've even ordered — a fair amount of carb with 29 grams of fat behind it. Then, Scott says, you shovel tortillas and rice on top of that slowed-down stomach.

Evaluate yourself: how are you walking in?18:00
4.6u · stable line
No blood sugar entered. The estimator still asks for about a fifteen-minute pre-bolus.
5.6u · 144, diagonal up
Same appetizer, walking in at 144 and rising. The fat-protein wave stays at 1.43.
−5min · at 90
Take the blood sugar down to 90 and the pre-bolus comes down about five minutes. With this food, Scott figures, you could pre-bolus as far out as you want as long as you catch it.
?who's thinking about this
Scott: how many people walk into a restaurant thinking, am I 140 diagonal up? Jenny would be — they don't eat out often, so it's always a little more consideration.
02 · Bolus 4 · Episode 1865

The margarita comes with the chips

Jenny: nobody waits for the entree to have the fancy drink. It lands with the appetizer.

19:31

Margarita — classic, on the rocks, 8 ounces

24carb
2.40u up front0.00u no wave2.40u total
Scott doesn't drink, so he looked it up: 24 carbs, no fat, no protein. Jenny: fair. And it's going to hit sugary fast.
At 1:10, stable line · nothing to slow it down  ·  Click any item to hear that moment
How Scott would have done it20:14

Blindly throw some insulin in, then work out the rest at the table.

When Arden was nine, walking into a restaurant: look at her blood sugar, put some insulin in just to get it on their side, and figure out the rest once they sat down. Jenny's version: sit down and put in 30 grams as your pre-bolus. You haven't seen the chips yet, but you've had a margarita before and you know its hit. Once you can see the food, add more before the entree comes.

Chips, dips and the margarita · 1:10 · 50 · stable line20:56
70carb6protein29fat
Up front
7.00u
Scott: “seven up front” — pre-bolus now about nine minutes
Then, over 4 hours
1.43u
2.9 fat-protein units
Theoretical requirement
8.43u
17% of it is not carbs

As read: seven up front, 1.4 stretched over four hours. Same fat-protein wave as the appetizer alone — the margarita only moves the front.

03 · Bolus 4 · Episode 1865

Steak fajitas, rice and beans

The entree, Gemini's breakdown. Then the whole night in the estimator three ways — carbs only, add the protein, add the fat.

22:56
1Skirt or flank steak6 ounces40protein · 20fat
2Peppers and onionsa cup, sautéed15carb · 2protein · 7fat
3Flour tortillasthree, fajita size45carb · 8protein · 7fat
4Mexican ricehalf a cup28carb · 3protein · 3fat
5Refried beansas served20carb · 7protein · 4fat
The entree, on its own
0carb0protein0fat
Gemini's breakdown, read at 22:56 · the appetizer adds 46 carb · 7 protein · 29 fat to reach the meal total  ·  Click any piece to hear that moment
The part people skip22:36

There's way more protein in steak than you think about.

Scott: the delightful part of these conversations is hearing it — “oh, there's way more protein in steak than I think about. I don't even bolus for protein.” Six ounces of skirt steak is 40 grams of it.

The whole night, carbs only · blood sugar 9923:44
154carb0protein0fat
Up front
15.58u
154 carbs, stable at 99 — “wait ten minutes to pre-bolus”
No extended wave
0.00u
0.0 fat-protein units
Theoretical requirement
15.58u
0% of it is not carbs

Scott's first run: 154 carbs and nothing else. 15.58 units.

Add the protein · 67 grams23:56
154carb67protein0fat
Up front
15.58u
Same 15.58 up front
Then, over 4 hours
1.34u
2.7 fat-protein units
Theoretical requirement
16.92u
8% of it is not carbs

As read: 15.58 up front, 1.3 over four hours.

Add the fat · 70 grams · the whole night24:09
154carb67protein70fat
Up front
15.58u
Still 15.58 up front
Then, over 8 hours
4.49u
9.0 fat-protein units
Theoretical requirement
20.07u
22% of it is not carbs

As read: “15.58 up front, four and a half over now eight-hour window, and this whole bolus goes to 20 units.” The pieces Scott read add to 66 grams of protein; he read the total as 67, and the tape wins.

25%
of the insulin — about five units — that nobody uses

Scott: this is how it happens. I didn't pre-bolus long enough, it got ahead of me, I didn't consider the fat and protein. Then at 280 you never have the nerve to do more than a unit. Even an automated system, if you don't tell it about that impact, pushes slowly and never gets ahead of anything.

Why it keeps going wrong25:19

Jenny and Scott, back and forth.

  1. Our eyes count less than is thereJenny: we always boil it down a little compared to the true count. And fat and protein still get forgotten, however long we've been talking about them.
  2. Then you blame your settingsAfter one meal like this, despite the advice to follow a trend first, you go in and change something. Nothing was wrong with the settings.
  3. “Diabetes is so unpredictable”Scott: yesterday it was 154 carbs with no fat in it. Today there's fat in it. Any Mexican restaurant worth its salt fills the food with salt and fat.
  4. It comes to the table in wavesJenny: like the bread at an Italian place, the chips just show up. You're hungry, down they go, and the fajitas you'd planned for turn into “I can make one fajita.” Now every macro you counted is different.
04 · Bolus 4 · Episode 1865

Tacos, enchiladas, and two AIs

The rest of the request, and what happened when Scott asked ChatGPT the same question he'd asked Gemini.

28:28
What was brought up28:28
28g carbs · 2 hard tacos
Beef, cheese, lettuce. 18 protein, 22 fat. Jenny: a hard shell is usually eight or nine grams, so two is probably closer to 18 or 20 — this might be a little heavy.
42g carbs · 2 enchiladas
Chicken, rolled, with sauce and cheese. 26 protein, 24 fat.
24g carbs · margarita
The same one from the chips.
94g carbs · all three
44 protein, 46 fat. Scott's bet: the person who sent this in didn't get the answer they were expecting.
Same meal, two AIs32:28
154 · 67 · 70
Gemini
Carbs, protein, fat for the whole night. Steak fajitas at 350 calories, 40 protein, 20 fat.
166 · 74 · 74
ChatGPT
Same measurements for the chips, two more carbs; guac one carb heavier. Steak fajitas at 420 calories, 45 protein, 25 fat.

Scott's read: it wouldn't change the bolus by more than a quarter or half a unit. Jenny's advice for anyone doing what Scott did: give it as much direction as you can — ask for the macro breakdown sourced from the USDA. And at a mom-and-pop place without standardized recipes, nobody knows the fat. She eyeballs her own olive oil.

Tacos, enchiladas, margarita · 1:10 · 50 · stable line33:10
94carb44protein46fat
Up front
9.40u
94 carbs at 1:10
Then, over 8 hours
2.95u
5.9 fat-protein units
Theoretical requirement
12.35u
24% of it is not carbs

Not run on the recording — this is the estimator's math on the totals Scott read, at the same settings as the appetizer.

Takeaway35:07

Timing and amount. That's it.

Scott: 1,800 episodes in, it really only needs to be about 25 episodes long. Count the fat, the carbs and the protein, understand the timing of the insulin, have your settings right. This is the Pro Tip series from a slightly different angle. Jenny: you come into a meal like this with history — you know what you order and about how much you'll eat. Use it.

Jenny, in high school35:55

The taco salad at the TWERP dance.

Two mixed injections a day, a sliding scale, a meter. She ordered a taco salad because she knew how to do a salad — and it came out in a gigantic fried tortilla bowl, the biggest plate at a table of eight. She picked through it, went to the dance and moved. “I am still alive after my taco salad.”

Take a picture of this one

Things to remember from this one

The numbers that transfer to the next one.

2gper chip
Jenny's count for restaurant tortilla chips. Count them onto a side plate.
½ cupramekin
the little dish the dips come in, flat-topped. The quarter cup is the serving, not the portion.
8–9gper hard shell
Jenny's number for a crunchy taco shell, package to package.
15.58 → 20units
the whole night, carbs only versus carbs, protein and fat. About a quarter of the insulin.

“Chips are just a method of getting like, I would just happily eat the bowl of salsa.”

Jenny Smith9:12

“If you don't pre bolus this meal coming in the door, I don't see how you catch up.”

Scott Benner13:44

“Our brains kind of calculate less than is truly there.”

Jenny Smith25:19

“In the end, it's timing and amount. That's it.”

Scott Benner35:04
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