Dr. S. doesn't specifically deal with ECC -- but she is very clear that any grain based foods be high fibre -- i.e. whole wheat,brown rice etc. Carbs are only counted from her carb list and ECC isn't part of it. So if a slice of bread is 15 carbs you aren't supposed to deduct the fibre. I often did anyway by the way (more Ryvita's allowed then!).

Lisa