Hello Thank you for trusting HCM Dear Alfa Lipoic Acid is a fatty acid present in the mitochondria. It is involved in energy metabolism and may decrease blood glucose acutely. ALA provides a short but potent reduction of oxidation by increasing anti-oxidant enzymes. In supplement form, it has shown benefit for various forms of oxidation and inflammation. These effects protect against heart diseases, liver diseases, diabetes, and neurological decline associated with aging. Dear possibly no side effects to this drug, But with diabetes should be careful to check their blood sugar levels because alpha-lipoic acid might lower blood sugar. I think I answered to your question if you have more questions feel free to ask. Take care