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This review explains the protective value of traditional African diets that contain native grains and fermented foods, but are under threat of westernization and cultural transitions. Moreover, cultural beliefs, social practices, dietary limitations, and gender roles strongly influence diabetes prevention and management practices on the continent. Community-based programs, school nutrition initiatives, and fiscal policies aimed at promoting healthy food settings can be taken as promising interventions. In spite of these considerations, there is an urgent gap in quality research studies especially randomized controlled trials and rural population studies. Culturally sensitive multisectoral strategies are pivotal to reversing the diabetes epidemic in Africa and to achieve sustainable health results.<\/jats:p>","DOI":"10.1177\/22799036261430965","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:20:27Z","timestamp":1774527627000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Traditional diets and cultural beliefs affecting diabetes prevention and control in Africa"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4670-8609","authenticated-orcid":false,"given":"Zemichael Getu","family":"Alemayehu","sequence":"first","affiliation":[{"name":"College of Health Sciences, School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5293-2860","authenticated-orcid":false,"given":"Abenezer Shiferaw","family":"Keraga","sequence":"additional","affiliation":[{"name":"College of Health Sciences, School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1528-9692","authenticated-orcid":false,"given":"Yonatan Abbawa","family":"Zewdie","sequence":"additional","affiliation":[{"name":"College of Health Sciences, School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0325-0048","authenticated-orcid":false,"given":"Beamlak Getachew","family":"Woldeselassie","sequence":"additional","affiliation":[{"name":"College of Health Sciences, School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1366-1228","authenticated-orcid":false,"given":"Henok Wolde","family":"Nida","sequence":"additional","affiliation":[{"name":"College of Health Sciences, School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9091-2877","authenticated-orcid":false,"given":"Brook Lelisa","family":"Sime","sequence":"additional","affiliation":[{"name":"College of Health Sciences, School of Medicine, Addis Ababa University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5775-096X","authenticated-orcid":false,"given":"Yared Mezemir","family":"Tiruneh","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Sciences, Arba Minch University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6964-4660","authenticated-orcid":false,"given":"Yonathan Belay","family":"Kebede","sequence":"additional","affiliation":[{"name":"College of Medicine and Health Sciences, Arba Minch University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3780-6400","authenticated-orcid":false,"given":"Yeabsra Tewdrose","family":"Tsegaye","sequence":"additional","affiliation":[{"name":"Eka Kotebe Hospital &amp; Neuroscience Institute, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3717-4130","authenticated-orcid":false,"given":"Yafet Teklehaymanot","family":"Awaso","sequence":"additional","affiliation":[{"name":"College of Public Health and Medical Science, Jimma University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13366"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416791"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2025.1519248"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.14434\/gjte.v1i1.26141"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980024000752"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.748305"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-12724-w"},{"issue":"1","key":"e_1_3_3_9_2","first-page":"413","article-title":"Reducing food insecurity in Sub-Saharan Africa: the role of institutions and financial stability","volume":"119","author":"Rahman MMA","year":"2025","unstructured":"Rahman MMA, Khan AUI, Vergil H. 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