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Diabetes mellitus, a chronic metabolic disorder characterized by high blood sugar levels, has become a global health concern. However, indigenous knowledge systems, rooted in centuries of traditional wisdom, offer valuable insights into managing this disease through natural and holistic methods. Many tribal and rural communities have long relied on medicinal plants and lifestyle practices that help regulate blood glucose levels without synthetic drugs.Key plants such as Gymnema sylvestre (Gudmar), Momordica charantia (bitter gourd), Trigonella foenum-graecum (fenugreek), and Azadirachta indica (neem) are traditionally used for their hypoglycemic properties. These herbs work by enhancing insulin sensitivity, stimulating insulin secretion, or reducing glucose absorption. In addition to herbal remedies, indigenous diets—rich in whole grains, legumes, and fibrous vegetables—play a significant role in blood sugar control.Furthermore, traditional practices such as yoga, meditation, and regular physical activity contribute to overall well-being and stress management, indirectly improving glycemic control. Indigenous methods emphasize prevention, balance, and harmony with nature, offering a complementary approach to modern medicine. Recognizing and integrating these time-tested techniques can enhance community health and empower people to manage diabetes in sustainable, culturally sensitive ways rooted in nature’s wealth.