For low carb/high protein living! 5g Effective Carb Count (Effective Carbohydrate Count (ECC) is determined by subtracting those carbohydrates that have a negligible effect on blood sugar level from total carbohydrate. Examples include fiber). 22 grams Protein. We designed delicious KETO Shells so we could enjoy delicious pasta shells while reducing carbohydrates. Now you can too! Each serving of KETO Shells contains 5 grams of effective carbs (Effective Carbohydrate Count (ECC) is determined by subtracting those carbohydrates that have a negligible effect on blood sugar level from total carbohydrate. Examples include fiber) or 75% less than regular pastas! Plus KETO Shells area rich source of 22 grams of protein for much longer-lasting hunger relief! Enjoy KETO Shells as a delicious, nutritious meal that is ideal for all low carb/high protein lifestyles or for anyone watching their blood sugar. Safe for diabetics. Diabetic Exchange: One serving equals 3 very lean meat exchanges and 1 vegetable exchange.