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The rising prevalence of type 2 diabetes (T2D) in Africa, exacerbated by urbanization, changing diets, and limited healthcare resources, underscores the need for effective dietary interventions to manage the condition. This review evaluates the impact of culturally tailored nutritional interventions on glycemic control and the quality of life (QoL) of diabetic patients in African healthcare settings. Traditional African diets, rich in fiber and locally available foods such as legumes, whole grains, and vegetables, offer promising alternatives to Western dietary models, which may not align with local cultures or economic realities. The review explores the effectiveness of integrating indigenous foods like moringa and baobab, as well as community-based programs that address food insecurity, to enhance adherence and optimize blood sugar control. Comparative analyses reveal that culturally adapted dietary interventions improve patient satisfaction, long-term adherence, and clinical outcomes. However, challenges such as poverty, food insecurity, and limited healthcare resources persist. Recommendations for policy and practice include expanding access to culturally relevant nutritional counseling, promoting local and affordable foods, and fostering partnerships to strengthen food security. Ultimately, the review advocates for regionally tailored approaches that consider both local food systems and socio-economic barriers to provide sustainable and effective diabetes management in Africa. 

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