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What is Diabetes in dogs - what to look out for and how it is treated

Diabetes in dogs, also known as diabetes mellitus, is a condition where the body doesn't produce enough insulin or can't properly use the insulin it produces, leading to high blood sugar levels in the blood stream.  

It can be caused by genetic or lifestyle factors and affects dogs in a similar way to us, causing several unpleasant effects.  

Causes of Diabetes in dogs:  

  • 'immune-mediated’ disease where the body attacks the cells in the pancreas that produce insulin and destroy them

  • after suffering from pancreatitis

  • obesity contribute to insulin resistance which can lead to diabetes 

  • long term steroids medications 

  • hormonal imbalance such as Cushing's Disease or un-spayed female dogs are more at risks due to hormonal fluctuation 


Written by Dr. Mariella Roberts, Veterinary Surgeon, Animal Trust Vets CIC | Published September 2025 | Review date September 2028 | This advice is for UK pets only and is not a replacement for seeing a vet

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Symptoms of Diabetes in Dogs

  • Being thirsty and drinking a lot  

  • Urinating a lot  

  • Unexpected weight loss  

  • Tiredness  

  • Breath smells sweet  

  • Poor eyesight  

Very sick pets may struggle to walk and vomit.  

When to contact your vet  

If your dog shows any of the signs listed or if your dog shows signs of a diabetic emergency like vomiting, diarrhoea, or loss of consciousness, immediate veterinary care is essential.  

Diagnosis

  • Clinical examination of your dog by your vet  

  • Blood test, particularly glucose test (sugar test in the bloodstream)  

  • Urine test for the presence of glucose (not present in non-diabetic dogs) and ketones (toxic elements)  

Treating Diabetes in Dogs 

Treatment with insulin will be the starting point:

  • Typically, dogs will start off on insulin injections twice a day, around their feeding times. 

  • Insulin types are prescribed by your vet (commonly use Caninsulin) depending on what is the best for your dog 

  • Veterinary staff will explain how to handle and store insulin, and how to correctly use the syringes. 

  • You will learn how to give the injections under your dog’s skin at the back of the neck.  

  • Additionally, a specific, balanced diet that is high in protein, low in fat and low in carbohydrates or a prescription diet  

  • Monitoring your dog’s glucose levels  

  • Also neutering your female dog make the diabetes condition easier and achieving better blood sugar control by removing the hormone progesterone which can interfere with insulin; occasionally diabetes caused by progesterone, can go into remission. 

Preventing Diabetes in Dogs 

While not every case of diabetes in pets can be prevented, the good news is that there is a range of things that you can do to minimise your animal’s risk of developing this debilitating and potentially life-threatening condition:  

  • Feeding your dog with a balanced and healthy diet  

  • Avoiding overfeeding or giving him/her fatty foods  

  • Keeping your dog active and healthy  

  • Regularly seeing your vet for check-ups  

  • Careful use of long-term medication 

Outlook

The outlook for dogs with diabetes depends on several factors: 

  • Identifying and treating diabetes early can significantly improve a dog's long-term survival 

  • Managing canine diabetes is a lifelong commitment requiring strict routines for insulin injections, diet, and exercise 

  • Younger dogs often have a more promising outlook than those diagnosed in old age 

  • Presence of other conditions, such as Cushing's disease or pancreatitis, can make diabetes harder to regulate and affect prognosis 

  • Most dogs respond well to insulin therapy; some are more difficult to regulate and may have a more guarded long-term prognosis