ABSTRACT: Diabetes affects more African American (AA) women and disease outcomes are more severe than in other ethnic groups. Faith and beliefs often play a significant role in AA women's lives and management of disease. This study shares the experience of an African American, female, Methodist pastor who faced health, spiritual, and life challenges related to diabetes. Her narrative offers rich information to healthcare providers for improving caring practices. Specific implications for practice are offered to help patients deal with the challenges of diabetes self-management.