Gall, AlanaButler, T. L.Lawler, SheleighGarvey, G.2025-06-302025-06-301753-6405RIS:urn:4E559A48A619C18CC7FB1A3C1E598D2CRIS:5ORCID:/0000-0001-6507-8157/work/172181972https://hdl.handle.net/1885/733765869OBJECTIVE: This systematic review aimed to describe traditional, complementary and integrative medicine (TCIM) use among Indigenous peoples with diabetes from Australia, Canada, New Zealand and the United States (US). METHODS: A systematic search following the PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) statement guidelines was conducted. Data were analysed using meta-aggregation. RESULTS: Thirteen journal articles from 12 studies across Australia, Canada and the US were included in the review (no articles from New Zealand were identified). Indigenous peoples used various types of TCIM alongside conventional treatment for diabetes, particularly when conventional treatment did not meet Indigenous peoples' holistic understandings of wellness. TCIM provided opportunities to practice important cultural and spiritual activities. While TCIM was often viewed as an effective treatment through bringing balance to the body, definitions of treatments that comprise safe and effective TCIM use were lacking in the articles. CONCLUSIONS: The concurrent use of TCIM and conventional treatments is common among Indigenous peoples with diabetes, but clear definitions of safe and effective TCIM use are lacking. Implications for public health: Healthcare providers should support Indigenous peoples to safely and effectively treat diabetes with TCIM alongside conventional treatment.8enGall, Alana Butler, Tamara L Lawler, Sheleigh Garvey, Gail eng TACTICS; #1153027/NHMRC-funded Centre of Research Excellence in Targeted Approaches to Improve Cancer Services for Aboriginal and Torres Strait Islander Australians #1041111/NHMRC-funded Centre of Research Excellence DISCOVER-TT SRP 13-01/Cancer Council NSW STREP Ca-CIndA #IN190100050/Australian Research Council Discovery Australian Aboriginal and Torres Strait Islander Award Australian Government #1176651/NHMRC Investigator Grant Systematic Review Australia Aust N Z J Public Health. 2021 Dec;45(6):664-671. doi: 10.1111/1753-6405.13120. Epub 2021 May 24.Canada *Diabetes Mellitus/therapy Humans Indigenous Peoples *Integrative Medicine New Zealand United States complementary therapies diabetes integrative medicine traditional medicine202110.1111/1753-6405.1312085106257185