For the past forty years, the Pima Indians living in the Gila River Indian Community have been among the most consistently studied diabetic populations in the world. But despite many medical advances, the epidemic is continuing and prevalence rates are increasing. Diabetes among the Pima is the first in-depth ethnographic volume to delve into the entire spectrum of causes, perspectives, and conditions that underlie the occurrence of diabetes in this community. Arguing that the prenatal period could offer the best hope for curbing this epidemic, Smith-Morris draws on the narratives of pregnant Pima women and nearly ten years work in this community to reveal the Pimas perceptions and understanding of type 2 and gestational diabetes, and their experience as they live in the midst of a health crisis. An important contribution to the ongoing struggle to understand and prevent diabetes, this volume will be of special interest to experts in the fields of epidemiology, genetics, public health, and anthropology.