Nature"s Hollow Sugar Free Ketchup is a great tasting, healthful, all natural blend of fresh tomatoes and spices sweetned with Xylitol. Xylitol is a 5-carbon sugar alcohol that is ideal for diabetics and those concerned about sugar intake. Unlike sugar, Xylitol has a very low glycemic index, has fewer calories, and is beneficial for your teeth. An amazing naturally sugar free, gluten free ketchup. Bring this out at your next BBQ and you will not be disappointed.