Diabetes Mellitus (DM) stands as a pressing global health concern, particularly in Uganda, where its prevalence mirrors global trends driven by urbanization, lifestyle changes, and genetic predispositions. This study delves into Uganda's rich heritage of medicinal plants, investigating their use in managing DM within local communities. A comprehensive review was conducted, exploring the epidemiology and pathophysiology of DM in Uganda, emphasizing genetic predispositions, lifestyle factors, and the healthcare landscape. The study unveils indigenous medicinal plants employed for DM management, detailing their usage, preparation, and potential therapeutic properties. Additionally, the pharmacotherapeutic landscape for DM management, encompassing oral hypoglycemic agents, injectable therapies, and adjunctive medications, is scrutinized in alignment with Uganda's healthcare policies. Moreover, the study aligns strategies for DM management with Uganda's National Development Plan (NDP), outlining an integrative approach for healthcare infrastructure, primary care strengthening, sustainable financing, health information systems, and collaborative partnerships. Keywords: Diabetes Mellitus, Medicinal Plants, Uganda, Ethnobotany, Pharmacological Evaluation, National Development Plan, Integrated Healthcare Strategies