Naturally and artificially flavored. Delicious shake designed for people with diabetes. To help minimize blood sugar spikes (clinically shown to help minimize blood sugar spikes when compare to a standard nutritional beverage. Study BK02. Abbott Laboratories, 2007). 2 carb choices. 220 calories. Carbohydrates contribute 82 calories; sugar alcohols and dietary fiber contribute 21 calories. Gluten free; suitable for lactose intolerance. Glucerna Shake has carb steady, including a unique blend of slowly digestible carbohydrates, to help minimize blood sugar spikes. Minimizing blood sugar spikes over time can help lower A1C.