Ethnobotanical Survey of Phytotherapeutic Management of Diabetes and Hypertension Diseases in Mpigi District, Uganda

Diabetes and hypertension are escalating global health challenges, affecting over 500 million and 1.3 billion people respectively, and significantly contributing to mortality, especially in less developed regions. The prevalence of these diseases is rapidly increasing underscoring the urgent need for effective prevention, management, and treatment strategies. Various allopathic medicines have been produced but with low curative efficiency and side effects. On the other hand, medicinal plants have been a key alternative form of treatment for human ailments including diabetes and hypertension. Despite their importance, the majority of them have not been studied and documented. This study was conducted to assess the use of medicinal plants in the management of diabetes and hypertension diseases in the Mpigi district, Uganda. Semi-structured interviews were conducted with traditional herbalists followed by field visits for taxonomic classification of the plants. Data was analysed using Atlas.ti software and IBM SPSS Statistics 29 was used to calculate frequencies. Fifty-four herbalists were interviewed, and 64% of them had an experience of more than 6 years in treating diabetes and hypertension. One hundred and twenty plant species were mentioned to be used by herbalists to manage diabetes and hypertension. Forty-seven percent (47%) of these plants treat diabetes, 24% treat hypertension and 29% treat both diabetes and hypertension. These plants were distributed to 52 different families, key among them include Asteraceae, Solanaceae, and Euphorbiaceae. The most frequently used parts included leaves (38.7%) and bark (20.6%). Highly mentioned plants included Tithonia diversifolius, Aloe vera, Catharanthus roseus, Kigelia africana, Prunus africana, Momordica foetida, and Centella asiatica. Key threats and conservation strategies were also mentioned. It is concluded that traditional healing knowledge still plays a key role in managing human ailments and therefore these findings are key for the management of diabetes and hypertension and for future research in drug development.