In an effort to crack down on potentially harmful products marketed toward people with diabetes, the U.S. Food and Drug Administration has sent warning letters to 15 foreign and domestic companies involved in the illegal sale of such items both online and in retail stores.

Some of these items are labeled as dietary supplements with claims of being able to prevent, treat, and even cure diabetes and complications associated with diabetes, which affects nearly 26 million Americans.

These products may be harmful to users, or may be sold over-the-counter when they should be available only by prescription. The FDA is also concerned that use of these products may delay people from seeking proper medical help and guidance for diabetes management.

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“The FDA is committed to protecting consumers from the dangers of these illegally sold products,” Howard Sklamberg, J.D., director of the Office of Compliance in the FDA’s Center for Drug Evaluation and Research, said in a statement. “We will continue to take aggressive action against firms that sell illegal products claiming to treat diabetes.”

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