The dried fruits of Amomum tsao-ko were first revealed to have hypoglycemic effects on db/db mice at a concentration of 200 mg/kg. In order to clarify the antidiabetic constituents, 19 new flavanol−fatty alcohol hybrids, tsaokoflavanols A−S (1−19), were isolated and determined by extensive spectroscopic data and ECD calculations. Most of the compounds showed α-glucosidase and PTP1B dual inhibition, among which 1, 2, 6, 11, and 18 exhibited obvious activity against α-glucosidase with IC 50 values of 5.2−9.0 μM, 20−35 times stronger than that of acarbose (IC 50 , 180.0 μM); meanwhile, 6, 10−12, and 19 were PTP1B/ TCPTP-selective inhibitors with IC 50 values of 56.4−80.4 μM, 2−4 times stronger than that of suramin sodium (IC 50 , 200.5 μM). Enzyme kinetics study indicated that compounds 1, 2, 6, and 11 were α-glucosidase and PTP1B mixed-type inhibitors with K i values of 13.0, 11.7, 2.9, and 5.3 μM and 142.3, 88.9, 39.2, and 40.8 μM, respectively. Docking simulations proved the importance of hemiacetal hydroxy, the orientation of 3,4-dihydroxyphenyl, and the length of alkyl in binding with α-glucosidase and PTP1B.