Due to medical conditions I was advised to do sugar free, high protein & high fat. OKkk... That isn't easy. I have tried some of the so called sugar free goodies & often am disappointed. These do not disappoint. Caramels have heavy cream & butter with sugar. So when these came & they are made with cream & butter just changed to a sugar alcohol I was hopeful. Others are pure chemicals. One taste & I knew I found caramel heaven in sugar free form! & they don't affect the blood sugars. Just be careful how frequently eaten since they can have an effect on your bowels. But they taste & feel like real homemade caramels I have made using real sugar. Amazingly good!