Say this
Original Cheeseburger Double, no bun and no ketchup; keep the pickles and mustard. Ask for it in a bowl
Say "no ketchup": it comes on by default (3g carbs / 2g sugar). The bun is where almost all of the 38g carbs are.
Instead of a Original Cheeseburger - Double (8g sugar) · carbs added up from each ingredient
What's in it
Process cheese slices, 2 (assumed 3/4 oz each; USDA process American)
2g carbs
Dill pickle slices, assumed 4 (28g)
0.7g carbs
Verified against Dairy Queen's nutrition info on 2026-10-09. Drinks are made by hand, so amounts vary. Not medical advice.