T2DM (type 2 diabetes mellitus, or Maōri term "mate huka") is a major long-term health issue in New Zealand particularly among the Maōri community. Non-insulin drugs commonly used in New Zealand for the treatment of T2DM have limits to their efficacy as well as side effects, which are of concern for diabetics. As such, the potential for natural products such as traditional rakau rongoāare of interest for potentially preventing the development of T2DM or improving the treatment of the disease. In particular, antidiabetic effects have been reported for rakau rongoāsuch as karamu, kumarahou, and kawakawa. Natural products have been identified in karamu, kumarahou, and kawakawa that have documented potential effects on glucose metabolism that could contribute to the anti-diabetic effect of these rakau rongoa. As such, this could provide scientific insight into the matauranga (traditional knowledge) developed over generations by Maōri. However, detailed laboratory based and clinical studies would be required to understand and validate these properties of karamu, kumarahou, and kawakawa, and to understand how they can be used in T2DM treatment. Social determinants of indigenous health such as language, culture, traditional knowledge, and identity, are important in understanding the relationship Maōri have with their land and the matauranga they developed of the medicinal properties within their rakau rongoa, over many centuries. Interestingly, traditional Maōri views towards scientific research using animal models to test rakau rongoāare varied but supportive. Furthermore, cultural issues surrounding Maōri mana motuhake (self-determination) of traditional rongoāMaōri healing practices and the inequity faced by many kairongoā(rongoāMaōri practitioners) and tohunga (healers) compared to mainstream health are a current issue within the New Zealand health system. As such, a cultural holistic approach for T2DM care among Maōri would be advantageous. This review will outline the available evidence supporting the anti-diabetic efficacy of karamu, kumarahou, and kawakawa. Currently though there is a lack of molecular research to understand the mechanisms of this efficacy, as such this review will