Tina, some of my patients have used a premixed concoction they purchased overseas, but the correct home remedy (based upon direct interviews with several people who regularly make this concoction) appears to be to cook the 4 cups of ingredients (1 cup each of ACV, lemon juice, ginger juice and garlic juice) on medium flame down to 3 cups (which usually takes 30 minutes), then add 2-3 cups of organic honey (some have mentioned 1 cup).
3-4 tablespoons need to be taken in the morning on an empty stomach. About 15-30 minutes should pass before eating anything else, depending upon how fast one's digestion and metabolism is.
I'm an internist in NJ. I've tried this concoction on a limited number of patients and found that it did not reduce their cholesterol levels, but it does reduce glucose levels.
So now I am suggesting this to my diabetic or borderline diabetic patients. Will have more experience and results in a few months.