A narrative inquiry approach was used to explore the experience of Aboriginal people living with type 2 diabetes mellitus in a rural community. Narrative inquiry based on hermeneutic phenomenological philosophy was the methodology used to guide the research. A purposive sample of 4 persons of Nuxalk ancestry living in Bella Coola, Canada, were selected for their ability to present rich life narratives and to reveal meaning in their particular diabetes stories. Three key insights or overarching analytical interpretations emerged and could contribute broadly to Aboriginal health research. The focus of the article is the expansion of our understanding of diabetes within a specific cultural context. The discussion connects various philosophical, epistemological, and methodological orientations to research with Aboriginal people living with diabetes.