For people with diabetes. Naturally and artificially flavored. Clinically shown to help manage blood sugar levels. Only Glucerna contains Chromium Picolinate to help your body's own insulin work better (among diabetic nutritional shakes). Introducing new, better-than-ever Glucerna Shake! Glucerna Shake now contains: A new and unique blend of carbohydrates clinically shown to help minimize blood sugar spikes. An excellent source of omega-3 fatty acids from plants to help support circulatory and heart health. 27 Vitamins and minerals for complete, balanced nutrition. Glucerna - Smart nutrition for people with diabetes. Exchanges: 1 Starch, 1 Low-fat milk, 1/2 Fat. 2 Carb choices.