Type 2 diabetes is a significant health problem among middle-aged and older adults in the United States. Given the life-altering nature of this condition, examination of the psychosocial context in which people with diabetes live may enhance long-term diabetic care. This qualitative study aimed to understand the similarities and differences in spouses' beliefs about diabetes, the perceived effects on daily life, and the management of diabetes in the context of marriage. Data analysis revealed three themes: vulnerability, burden, and getting by. This descriptive study provides a unique perspective on couples' beliefs about diabetes, which have important implications for the nursing community in acknowledging spousal beliefs in the management of diabetes.