Botanical Oil Supplementation in Diabetic and Metabolic Syndrome Subjects

Inclusion criteria

• adults, aged 21 years or more with either diabetes or metabolic syndrome. metabolic syndrome defined by NCEP/ATPIII criteria; must have 3 out of 5 of the following risk factors: 1.central obesity, men-greater than or equal to 40 inches, women-greater than or equal to 35 inches; 2.fasting blood TG greater than or equal to 150mg/dl or be taking TG lowering medications; 3. blood HDL cholesterol, men less than 40 mg/dl, women less than 50 mg/dl; 4. blood pressure greater than or equal to 130/85 or on HTN medication 5. fasting glucose greater than or equal to 100 mg/dl.
• participants on statins or glucose lowering drugs if dosages are stable for 3 months

Exclusion criteria

• children/young adults less than 21 years of age
• currently using anti-inflammatory drugs including NSAIDS, oral/IV steroids or injection antiinflammatory drugs(for RA), aspirin greater than 100mg/day
• taking leukotriene receptor antagonists ( montelukast), tylenol or nasal/inhaled steroids OK.
• currently using niacin, fibrates or fish oil
• blood pressure greater than 170/100
• HB1Ac greater than 10%
• TG greater than 500 mg/dl
• myocardial infarction/vascular surgery/stroke within the past year
• any stage II,III,IV heart failure
• prior cholecystectomy
• end stage renal disease
• BMI less than 23 or greater than 45
• pregnancy
• alcohol use greater than 14 drinks per week
• current self reported tobacco or illicit drug use
• intolerance or allergy to fish oil
• participants taking insulin on QD or BID doses, stable for 3 months