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Short durations of study and small number of subjects studied is universal.

Crepe ginger has not been studied adequately in humans to draw conclusions.

During the last few years, even in the absence of good supporting evidence, the United States alone has recorded an increase of 380% in the use of herbal remedies [].

India, a country that is steeped in tradition and boasting a rich history of healing practices records a very high use of 67% among its diabetic population.

The majority of these patients (97%) used naturoapathy, which often included herbalism [].

This article will attempt to bridge the evidence for cellular mechanisms of action, and human studies for using some common CAMS such as Cinnamon and fenugreek and also attempt explore anti-diabetic properties of 2 herbs and the vegetable bitter gourd.

Cinnamon, one of the most widely used flavouring agents used in the food and beverage industry worldwide has also been well recognized for its medicinal properties since antiquity.

Traditional Ayurvedhic medicine has used cinnamon extracts for ailments such as arthritis, diarrhea and menstrual irregularities.

Ceylon cinnamon is the most potent inhibitor of pancreatic amylase and intestinal sucrase [].

Cinnamon also possesses the ability to increase glycogen synthesis and inhibit gluconeogenesis, by increasing the activity of Pyruvate Kinase (PK) and decreasing that of Phoshoenol pyruvate carboxy kinase (PEPCK) [ To date several Randomized Controlled Studies exist that studied the effect of Cinnamon in type 2 adult diabetics.

Clinical trials that studied the hypoglycaemic effects of Cinnamon, bitter gourd, fenugreek and ivy gourd showed conflicting results.