For dancer Zippora Karz, a rising young star with the famed New York City Ballet, being diagnosed with diabetes could easily have ended all her dreams. She was just twenty-one when she was plucked from the corps de ballet to dance solo roles like the Sugarplum Fairy in The Nutcracker. It was near the end of a grueling season when she became exhausted, dizzy, and excessively thirsty. Heavy pancake makeup covered the sores under her arms that would not heal, but still Karz neglected to return her doctor s urgent calls. When she finally went to the doctor, she learned that her blood sugar was excessively high. If she continued to ignore her symptoms, Karz risked heart disease, stroke, kidney failure, blindness, and amputation of toes, feet, and legs. Because she was over twenty, doctors misdiagnosed her with Type 2 diabetes, when in fact she had juvenile (or Type 1) diabetes. Her weight dropped and she became dangerously ill as a result of being prescribed the wrong treatment. Once correctly diagnosed and placed on an insulin regimen, she would inject herself with unsafe doses before going on stage in ill-judged attempts to obtain peak performance. The potentially fatal result of Karz s self-experimentation became all too real when she nearly put herself into a coma. Balancing ballet and her blood sugar would be a long and difficult struggle for Karz, but eventually she learned to value her body and work with it, rather than rage at its limitations. In The Sugarless Plum, Karz shares her journey from denial, shame and mis-education about her illness to how she lead an active, balanced, and satisfying life as an insulin-dependent diabetic and ballet star. Through her fascinating story, those struggling with diabetes and other serious illnesses can find encouragement and inspiration as well as practical advice on achieving physical and emotional wellness. After sixteen years with the New York City Ballet, Karz retired and took her passion and skills into a whole new arena as a diabetes educator and advocate, where today she inspires people to not just manage their illness, but to thrive and fulfill their passions. The Sugarless Plum takes readers deep into the heart and soul of a young dancer, and is a remarkable testament to determination and perseverance.