Naturally and artificially flavored. Use under medical supervision. For people with diabetes. A delicious way to help manage hunger as part of your weight loss plan. To help minimize blood sugar spikes. Manage hunger. Has Carb Steady. Glucerna Hunger Smart is specially designed for people with diabetes and to help manage hunger. And staying in control of hunger can be a real help in managing a weight loss plan. Minimize spikes. Glucerna Hunger Smart has Carb Steady, which includes slowly digestible carbohydrates designed to help minimize blood sugar spikes. Minimizing blood sugar spikes over time can help lower A1C. Specially designed for people with diabetes as a partial meal or snack replacement. Carbohydrates contribute 44 calories; sugar alcohols and dietary fiber contribute 21 calories. (Use as part of a diabetes management plan. Has Carb Steady, which includes slowly digestible carbohydrates).