Glucerna® Shake is a complete, balanced nutrition shake with slowly digested carbohydrates clinically shown to help minimize blood glucose response in people with diabetes. Medical food for use under medical supervision as part of a diabetes management plan. Contains: unique blend of slowly digested carbohydrates, plant-based omega-3 fatty acids, phytosterols, DAG oil, essential vitamins and minerals including chrominum ( as chromium picolinate), Carb Choices 2 per serving.