Wondering if you are seeing signs your dog with diabetes is dying can be difficult. How do you know if this is just a bump in the road, or if you are nearing the end of your sweet dog’s life? To help provide some comfort and clarity, integrative veterinarian Dr. Julie Buzby invited end-of-life-care veterinarian Dr. Dawnetta Woodruff to share her perspective.
Diabetes is a disease that many people are aware of, partly because it is common in humans as well as in pets. But that doesn’t mean that finding out your dog has diabetes is any less life-altering, not to mention, emotionally overwhelming.
If your dog has been diagnosed with diabetes, you may have a lot of questions. Some probably center around the logistics of managing the disease itself—how to administer insulin to your dog, what to do if your diabetic dog won’t eat, etc. Others are much more painful to consider. In the back of your mind, you may be wondering how you will recognize the signs your dog with diabetes is dying. Or you might be asking yourself if you will know when it is time to put a diabetic dog down.
These are hard questions, and there are no simple answers. But understanding a bit about canine diabetes, learning how to recognize the signs your dog is declining, and knowing how to assess his or her quality of life can help guide you in this difficult decision-making process.
A quick overview of diabetes
Dogs with diabetes cannot properly utilize the sugar (i.e. glucose) in their bloodstream because their pancreas doesn’t produce enough insulin. Without insulin, glucose can’t move into the cells of the tissues and organs. This means the glucose that the cells need to use for energy is stuck in the bloodstream, and therefore unavailable to them.
Symptoms
As a result, dogs with insulin-deficient diabetes seem “dull” or “listless”—they are lethargic dogs without much energy. Plus, diabetes causes dogs to have polydipsia and polyuria (meaning they have increased thirst in dogs and urinate a lot). Often, these dogs are losing weight but eating and may be constantly hungry.
Additionally, some diabetic dogs will show other signs like vomiting, diarrhea, or rapid vision loss from cataracts in dogs. And dogs with advanced diabetes may also experience some mental confusion.
Diagnosis
If your dog is exhibiting any of these signs, it is important to schedule a visit with your veterinarian as soon as possible. He or she will perform an examination and use diagnostic tests (e.g., blood work and urinalysis) to determine if your dog has diabetes (or another condition, such as Cushing’s disease in dogs, that has similar symptoms).
Treatment
Managing diabetes typically involves twice-daily insulin injections (and often switching to a diabetic-friendly dog food) for the rest of the dog’s life. Plus, some dogs have chronic skin or urinary tract infections (UTIs in dogs) secondary to their diabetes. These concurrent conditions can mean your dog needs more medications, special shampoos, and daily maintenance activities (e.g. cleaning skin folds or wiping after your dog goes potty).
For many dogs (and their people), the new routines simply become a part of daily life. But for other dogs (and dog parents), the new food, medications, and changes can be quite stressful. It probably goes without saying, but dogs who take the changes in stride are more likely to tolerate long-term care for their disease.
How long can a dog live with diabetes?
How well a dog adjusts to the new care routine can definitely make a difference in how long a dog lives after diagnosis. But so can the severity of diabetes, how easy it is to manage diabetes if your dog has other life-limiting conditions (e.g., kidney failure in dogs), and what sorts of diabetic complications your dog might develop.
Therefore, it is difficult to place a specific timeline on your dog’s life expectancy and quality of life-based solely on the diagnosis of diabetes. The veterinary literature reports a mean survival time after diagnosis that ranges from 17 months to 30 months (depending on the paper). But so many factors come into play that I hesitate to even give you those numbers.
For example, sometimes the symptoms of diabetes may gradually appear. And they may be so subtle that you don’t notice them, or you chalk them up to aging. It isn’t until your vet performs senior bloodwork that you discover your dog has developed diabetes. When this is the case, it may be possible to manage the disease for several years while your dog continues enjoying life.
In other cases, diabetes progresses rapidly or the dog experiences dangerous complications like diabetic ketoacidosis in dogs. At the time of diagnosis, the dog’s diabetes is already severe. And he or she may not have more than a few weeks or months of good-quality time left.
Therefore, rather than relying on the published average lifespan of a dog with diabetes, I recommend talking to your regular veterinarian (or a hospice veterinarian) who is familiar with your dog. He or she may be able to give you a better idea of what to expect in your dog’s situation.
What are the signs your dog with diabetes is dying?
No matter when the diagnosis is made, or what sort of survival time your vet predicts, you may find yourself asking “How will I know that it is time for euthanasia?” or “What signs will I see in the final stages of my dog’s diabetes?”
Each dog will be different. This means there is no easy answer to the question of when (or if) your dog will die from diabetes. However, there are things to watch for that can let you know your sweet companion is struggling and nearing the end of his or her life.
Signs of the final stages of diabetes include:
- Severe increases in drinking and urination
- Dehydration despite drinking a lot of water
- Lack of appetite or disinterest in normal food
- Nausea, drooling, dog keeps licking lips
- Vomiting
- Sudden weight loss (even if your dog is still eating well)
- Blindness (sudden worsening of vision, presence of cataracts)
- Sudden weakness or severe lethargy
- Change in the smell of your dog’s breath (may smell like nail polish or garlic)
- Dog breathing fast (when your dog is at rest and not hot or excited)
- Sleeping much more than normal
- Periods of time when your dog seems unresponsive, or can’t easily be woken up
- Collapse
- Dog seizures
Take action if you notice these signs
If you are seeing signs of advanced diabetes, it is time to have a recheck appointment with your vet. He or she may be able to add medications, adjust your dog’s insulin dosage, or suggest a diet change if your dog is otherwise medically stable. Sometimes that is enough to get your dog back to feeling good again.
On the other hand, if your veterinary team determines your dog is experiencing diabetic ketoacidosis (DKA), that is a life-threatening emergency. Your vet may need to hospitalize your dog in order to hopefully save his or her life. Therefore, don’t delay in seeking veterinary care, especially when your dog is showing severe or concerning symptoms.
How do you know when “doing everything” isn’t the right decision anymore?
At some point though, you may realize your dog is getting tired of the blood draws to check blood sugar levels, the insulin injections, and the vet visits. Or, the financial burden of caring for a diabetic dog may become too much to handle. Also, it is understandable to experience caregiver fatigue. Keeping up with all your dog’s needs requires a huge investment of time and energy.
Diabetes is not an easy disease to manage. It can be very frustrating for you, your dog, and their entire care team. When the strain of the treatments becomes too much, some people consider hospice care for their diabetic dog.
What does hospice care for diabetic dogs involve?
Starting dog hospice care might mean having an official consultation with a hospice veterinarian. Or it may simply involve having a conversation with your normal vet.
In hospice, the focus changes from extending your dog’s life to keeping him or her comfortable. You may decide to continue insulin injections, but not do the recheck visits and blood work as often (or at all). Perhaps you will still give your dog the diabetic prescription diet. But you may also offer whatever foods it takes to get your sweet pup eating again. And you may give your dog daily anti-nausea medication, like Cerenia for dogs, to prevent vomiting and nausea.
How do you measure the quality of life for diabetic dogs?
Whether or not you decide on hospice care, your focus will shift to evaluating overall quality of life (QOL) toward the end of your dog’s life. You may want to fill out a quality-of-life scale for dogs regularly. This is a good way to see if his or her days are gradually getting worse. Or, it can be helpful to use a calendar to track QOL. Marking the good days (green), ok days (yellow), and bad days (red) provides a visual representation of how the majority of your dog’s days are going.
As you evaluate your dog’s QOL, ask yourself:
- Is he or she eating? Does he or she still enjoy treats?
- Does he or she seem nauseous or vomit on a regular basis?
- Is my dog still able to enjoy his or her favorite things? Does my dog still dislike the same things?
- Is he or she able to sleep well at night? And does he or she seem awake and alert during the day?
- Is my dog able to keep himself or herself clean? If not, does my dog allow me to clean him or her?
How do you know when it is time for euthanasia?
When you are performing the QOL evaluations and you see multiple areas of your dog’s life declining, it may be time to prepare for your dog’s euthanasia. The final stages of diabetes can be incredibly difficult for a dog, and incredibly difficult for us to witness.
When we know our sweet pup is nearing the end of his or her life, offering a way out of the suffering is a kind and merciful option. Our hearts never feel ready to let our beloved companions pass on. But at some point, watching them struggle is even harder than setting them free.
If your dog worsens suddenly, you may need to say goodbye during an emergency vet visit. I know this isn’t easy, and it may not be the way you pictured it. But in the midst of a rapid decline, quickly providing relief is the best thing you can do for your dog.
On the other hand, if your dog is declining more gradually, you may have time to make some plans. You can decide if you want an in-home dog euthanasia or if you want to make an appointment with your regular vet. And you can have a special day full of “bucket list” experiences for your pup. Maybe you allow your pup to eat whatever he wants. Or take him or her on a ride to the park or to see favorite friends and family members. You know what would make it meaningful to you and your dog.
Thinking about your diabetic dog’s final days
These are not easy things to think about or to plan. But taking a bit of time to prepare for your dog’s final days (if possible) allows you to make them the best they can possibly be.
But, whether you say goodbye to your diabetic dog unexpectedly, or at the end of a beautifully-planned day together, know this. Your dog loves you and knows you are doing your best for him or her. And at the end of the day, that is what matters.
How did you know it was time to put your dog with diabetes down?
Please share your experiences.
My best friend and companion passed away Saturday in my arms. He was diabetic and almost completely blind. I know it was his time but I fell like I could have done something to keep Buddie alive. I did CPR on him but he didn’t come back.. I will forever miss him 😪😪
Dear Angie,
I am so sorry for your loss of Buddie. Even though you were not able to save him, I am glad you were there with him during his final moments. May his memory stay with you always and be a blessing in your life. Wishing you brighter days ahead as you continue life’s journey.
Hello, my dog Sugar got diagnosed with diabetes over two years ago, and has been on about 6.5 units of insulin twice a day since then. She’s a chihuahua/terrier mix (about medium sized) and has been the sweetest dog I’ve ever had. She’s been with me since I was 4. I’m not sure when the right time is to let her go and perhaps euthanize her. She eats, but is blind, deaf, has no bladder control anymore, bumps into things, shakes, has wobbly legs, and is losing her mind a little bit (pacing around, asking to go outside a million times a day, etc). I know the average lifespan for a dog with diabetes is about 2 years, and I believe it’s been almost 3 for her. Like I said, she is still eating, but she seems just very weak and lost the last year. Would appreciate any advice (how to know when it’s time). Thank you.
Dear Madeline,
I am sorry Sugar’s health is declining and you are facing some difficult decisions about her quality of life. Many of the issues you mentioned sound like symptoms of dementia. It is ok to let go before all joy is lost and the only thing that remains is pain and anxiety. I would rather say goodbye one day too early than one day too late and allow unnecessary suffering. I will attach links to other articles that may offer additional information and guidance. Praying for clarity and strength as you navigate this emotional path. Bless you and your sweet girl.
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Hello All,
I’m so sorry for your heartaches, but so happy you were so loved by your babies. I made an appointment for tomorrow at 3:00 to be with my buddy and best friend as he painlessly goes to heaven and sees his brothers and sisters all healthy and happy. They will welcome and show him how they continue to watch over me. They play and be free from pain. He will be free from the diabetes and blindness. He will feel my love everyday, as he always has…just in a different mode. Yes, I am heartbroken. I have had him since he was a teenie tiny baby and promised him from day one that I would be there from that day until the end. I promised the best life ever on this planet and that is exactly what we had together. Today, was able to eat some hamburger (hasn’t eaten in a few days) and drank a little water. He is sleeping beside me peacefully and getting as much love as possible. Tonight, he will sleep right up against me as I sing him his song and pet his beautiful hair the entire time. Yes, I will cry…but not so he can hear…he is so sensitive to my emotions. I will be thanking God for allowing this boy in my life and answering my prayers for letting him live a good life after the diabetes diagnoses for so long. I was very lucky, I know.
When he drifts off with the angels, as they comfort me…I will be singing him his song….and he will know I am there…always.
Jackie momma of Mackie, my best friend and baby
Dear Jackie,
My heart goes out to you with the loss of your beloved Mackie. It is clear he was, and still is dearly loved. What a blessing you were able to be with him in his final moments. I am certain your presence was a comfort. Thank you for sharing his story with us. May his memory live on and always bring you joy. Wishing you all the best as you continue life’s journey. ♥
Heartbreaking to read the comments here. My situation is similar, my 12 year old buddy was diagnosed almost 2 years ago, been on insulin twice a day since then. Completely blind now and hasn’t adapted well, he’s constantly bumping into things or jolting in fear of walking into things. No longer seems happy, eats occasionally and drinks all the time, accidents in the house regularly, mostly sleeps and cries. I know it’s too early for him, I imagine he could have a year or longer, but the toll it’s taking on us both is getting unmanageable. I have no one else to help me with him, and his symptoms and daily jabs require that I’m never away from him for more than four hours at a time. It’s impacting my work and my life and I’m not sure what to do. I know it’s selfish of me, I know he’s not happy but I feel so guilty even thinking about euthanizing him because it’s become a burden for me. Not looking for anyone to tell me it’s okay, I’m going to have to make this decision on my own and live with it, but I guess just wondering if there are other parents who feel this way. Haven’t been able to talk to anyone about this for a long time now.
Dear Steve,
I am so sorry you are living with this difficult situation. You are absolutely not alone and there are TONS of other readers that have written in with almost the same story. I know you would never choose euthanasia out of convenience, but that is not how I see your situation. From what you describe, your boy is struggling and dealing with stress, anxiety, fear, and pain daily and no longer finds joy in his routine activities. It is ok to let go before all happiness is lost and the only thing that remains is hardship. I would rather say goodbye one day too early than one day too late and allow unnecessary suffering. I can only imagine how tough this must be and, please hear me when I say, your quality of life matters too! We focus on giving a beloved dog a wonderful life, but a peaceful passing is just as important. I will attach links to other articles with more guidance and great comments from other readers as well. Hoping you will find the comfort and support you need. Bless you and your sweet boy.
1. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
2. Using a Quality of Life Scale for Dogs
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
4. Dog Euthanasia: Knowing When to Say Goodbye
Steve-
It’s been nearly a month since you said goodbye to your sweet dog. I am wondering how you are doing. Your description fit my sweet Pepto nearly 100%. She is 11 yr old rescue (Pug, maltese, Pekingese mix) and we have spent thousands and have decided to just keep the injections up but not return to vet. Blind, emaciated, excessive thirst and urination, ravenous. We feel like we are torturing her with sticking to prescribed (very expensive) diet. I am considering upping the food to make her happy for as long as possible even though that might hasten death. So conflicted!!
Sarah
Dear Sarah,
My heart aches for you as you face this emotional situation with your senior girl. Hoping you can find the advice you need to make the best choice for Pepto and your family. Praying for strength and comfort for everyone involved. Bless you and your sweet girl.
Today a part of me died. My beloved Rottweiler/Lab mix Milo was unfortunately put to rest today. Me and my wife are devastated. We have loved him so much since the first moment we got him. He was so in love with my wife. We basically got him for her after her previous dog was taken after a previous break up. I loved Him so much though. I considered Him a son. He was basically our son before we had a child. He lived a great life up until the last few weeks to a month. He was always active and full of energy and excited barks. About a month ago now I noticed Him starting to be more and more thirsty and just chalked it up to not having water in his bowl for a while. Then started noticing it everyday for about a week or two and decided something was wrong. He was also peeing in the house multiple times and he never ever did that. Me and my wife decided it was time for a vet visit. Unfortunately it wasn’t good news and they said he has high blood sugar levels and probably has diabetes. We couldn’t get insulin right away that week and decided to get a second opinion almost a week later. Those vets said he does have diabetes and that he may have keto acidosis. A couple days later we got the results and it confirmed he does and that we should hospitalize him if we had the means to. Unfortunately we did not. We decided that we wanted him to spend whatever time left with us at home and our 8 month old. Each day he seemed to get a little worse and worse but was still eating some on his own and drinking water. He vomited a handful of times and peed in the house a couple more times. He was starting to get lethargic but still had enough energy to see and bark with his doggy friends outside. And would also still bark in excitement when I or my wife got home. In the last 4-5 days he just seemed to not wanna do much and was sleeping a lot more. And then the worst happened when he vomited in the middle of the night and it was a really large amount. Didn’t seem like his food was getting digested. He was also breathing in a weird way and kind of heavy here and there. I knew It was probably time for the inevitable. I talked It over with my wife and we decided that he was most likely suffering a good amount at this point and we didn’t want the seizures and worst symptoms to start. We had family members come by and say their goodbyes to him and give him love one last time. We fed him some human comfort food and took him around a ride for awhile which was one of his favorite things to do. Then the dreaded vet appointment came. It was one of the hardest things I’ve ever had to do. I don’t wish this pain on anyone. I feel like I wont ever get through it, I can’t stop thinking about him. Me and my wife cried so much. Cried again when we got home. Still can’t believe he’s not with us anymore. I feel like I wont be able to feel joy again right now and it’s hard for me to be the best dad I can be for my 8 month old son. He’s made it a bit better for sure but I’m still crushed. This website I stumbled upon today and reading other dog owners sad but loving stories has encouraged me to write mine today. I know It’s gonna be hard for me and my wife for a while as we work through this but I just love and miss him so much I just want to hold him forever. One day I believe I will. I love You Milo.
Dear Jordan,
I am sorry for your family’s loss of Milo. It is clear he was dearly loved and a very big part of your life. I am glad you were able to make his last day special and feel certain your presence was a comfort. Thank you for being willing to share your story with us as it helps others to know they are not along when facing a similar situation. May Milo’s memory stay with you always and be a blessing in your life.
Thank you very much for writing this brother. My basset hound is experiencing the exact same thing Milo did. And your story touched me and I feel comfortable with the next step, which will happen later this week. I take comfort in knowing my boy Griffey lived a full basset hound life. Like you, my dog Griffey was my son before my kids were born.
Dear Ernie,
I am sorry you are facing this emotional decision for Griffey but glad you have some peace with how to proceed. Wishing you strength and comfort. Bless you and your sweet boy. ♥
Dear Jordan,
I am crying for Milo. I’m so sorry for your loss. I have a 10 yr. old diabetic poodle. He is doing well, but it’s really hard giving the insulin. He won’t stop fighting. I don’t know what I will do when “that day” comes. I hope there will be someone who cares. Congratulations on the birth of your baby boy!
Dear Beverly,
I am sorry you are facing this difficult situation with your senior pup. Hoping you can continue to make things work and praying for clarity as you navigate this unknown path. Wishing you both many happy years ahead. Bless you and your sweet boy.
I am looking for advice. We have a 12 year old Kelpie who has had diabetes for 2 years. She is on insulin morning and night. She is blind in the right eye and the left eye now needs removing as the pressure is incredibly high. She is on incontinence medication, 8 eye drops a day and pain relief. We have spent literally thousands……
Tonight she fully attacked our little Cavoodle, which is completely out of character for her. So- I’m asking……Is it time???? It’s breaking our hearts trying to make this decision but it’s taking a toll on us as a family and the dog/s.
I read somewhere here about dogs hiding their pain. Our kelpie is still eating, loves a cuddle, plays with her ball (with a bell in it!!) and still wants to go for a walk.
Just not sure what to do……
Dear Anna,
I am sorry you are facing this difficult situation with your senior pup. Without examining her myself, it is hard to make specific conclusions about her health and quality of life. Her recent episode of aggression toward your other dog may have been due to pain but this can also be an early symptom of dementia and cognitive dysfunction in dogs. It may be a good idea to ask your vet to do a quality-of-life exam. They might be able to offer some helpful advice and guidance. I will attach links to other articles with more information and great comments from other readers. Hoping you can find the answers you need to make the best choice for everyone involved. Wishing you strength and comfort. Bless you all. ♥
1. Using a Quality of Life Scale for Dogs
2. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
3. Dog Euthanasia: Knowing When to Say Goodbye
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Our rescue pup Jack Russell cross who we have had since he was 5 is now 13 and started this year off with a cough which the vet thought was Kennel cough which after many tests it was Bronchitis and partial collapsed trachea so is on an inhaler twice a day , in May this year he stopped eating and lost 3kg in weight, the Vets did some blood work and he has diabetes and is on insulin twice daily. Last week he went completely blind he has already lost his hearing and is not coping well, he sleeps most of the day and drinks excessively, He will still perk up when I squeak his ball as he can hear high pitch noise and wags his tail but loses interest quickly , he’s not very interested in going for walks anymore. It breaks my heart how quickly he has deteriorated.
Dear Angela,
I am sorry your boy’s health is declining so quickly. I can only imagine how difficult this must be for you. Praying for your strength as you navigate this emotional path. Bless you and your sweet boy. ♥
Our dog had cataract surgery. It was a game changer and he was so happy again. Sugar doesn’t adhere to the lens used in cataract surgery. He has loved seeing for over 2 years and only 1 eye drop per day, no more pressure issues.
Hi Tina,
I am glad the cataract surgery was a success and allowed your boy to keep his eyesight. Thank you for sharing your experience with us. Best wishes to you and your senior guy!
Hi Tina thanks for sharing .my boy is 8+ n diagnosed with diabetic in this April since then he is on proper diet n insulin twice a day .for the past 10 days he lost his vision so we spoke to doc about his cataract surgery one by one .but his liver is malfunctioning so currently give him all the best n possible treatment n preparing him for his surgery.ur message gave me a hope that my boy can see things again . Thank u for sharing.
Hi Shilpa,
I am sorry your boy has lost his sight due to this terrible disease. I hope the cataract surgery will be successful, and recovery is smooth. Feel free to keep us updated on how things are going. Best of luck to you and your sweet boy!
I have a 9-year-old GSP with diabetes. He has had diabetes since August of 2022. About 8 months ago he lost his sight . Some of his “trigger” words like treat, outside, walk, don’t seem to interest him much now. If I ask if he is hungry his ears perk up but he doesn’t move to the bowl like he use to. Even if he gets to the bowl at times he sniffs it and leaves his food for several hours and might go back to it. About a week ago he started to walk real gingerly and his legs were wobbly. Even after he went blind he seemed to walk ok with no issue up to this point. his back legs almost look like they might go out. His front paws are now almost pidgin toed, stands bow legged if that makes sense, and this is a new trait. HE intakes a lot of water and had to constantly go outside to pee. When he is outside he struggles to go number 2, even goes through the motion but does not complete his task. He shakes and whines at time, but he has always whined a little so its hard to tell if he is in pain or not. Recently he started to have weird not normal breathing patterns. He has small spurts of energy, doesnt great people coming in the house anymore. but if you walk up to him his tail will wag. Not really sure what to do with him at this point. I dont what to take him in if its too early but I dont want him to suffer. I also dont want our last memories of him being weak and suffering.
Dear Kyle,
My heart goes out to you as you face this difficult situation with your senior boy. I know you want to do what is best and I wish I had some specific advice to offer. While your pup may have entered the window of time where saying goodbye is a loving option, it may not necessarily be urgent. You have to trust your intuition as you know your boy better than anyone. I hope you can find the answers you need to make the best choice for everyone involved. Wishing you clarity and strength as you navigate this emotional path. Bless you and your sweet boy.
My Chihuahua is 11 just been diagnosed with diabetes. He was in ketidosis and was hospitalized for 2 days. He doesn’t have any energy doesn’t want to play acts like he is hungry all the time.. I feel he is suffering but it is killing me to think about putting him down. Our other dog doesn’t understand why he doesn’t want to play or go on long walks with her anymore. She acts depressed. he is my shadow wherever I go he goes with me usually but he isn’t able to do that now. He is starting to act like he is afraid of me. What should I do
Dear Jerri,
I am sorry your senior boy is struggling and understand how worried you must be. If you truly feel he is suffering, then saying goodbye may be the most loving option. You hear a lot of talk about giving a beloved dog a good quality of life, but a peaceful goodbye is just as important. It is hard to think about allowing your own heart to break so you can offer your sweet boy freedom from his suffering, but there is no greater act of selfless love. I will attach links to other articles with more information and great advice from other readers. Praying for your comfort and strength. Bless you both.
1. Using a Quality of Life Scale for Dogs
2. Dog Euthanasia: Knowing When to Say Goodbye
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Hi, We have a mini pincher mixed we saved from being euthanized 12 years ago at the animal shelter that has been the best dog we could have ever been blessed with. 😊 Last year he was diagnosed with diabetes and our life changed forever. We plan everything around him needing to eat and get his insulin shot every 12 hours, but he is our little fur baby and I wouldn’t change that for anything. When Rascal got diagnosed everything happened so fast. He became blind about 2 months after and our vet has struggled with getting his units where they needed to be. He is now on human insulin because the vet believes he may be insulin resistant. He will be ok for a month or so then start drinking water excessively again and panting. He is so high in numbers he actually takes 34 units every 12 hours. The problem is that isn’t even helping him like it should either. I took him into our vet a couple weeks before Easter and the vet said all of a sudden his blood sugar was low instead of high and that if there was another underlying problem it can cause that. They did an x-ray and found a mass in his chest. My vet I do love because he doesn’t try to shove test and $1000’s of dollars for us to pay. He told me that if Rascal was his baby and already having diabetes with what he already has been dealing with to just let him live out his life happy like he is until it is his time. We had already decided we are not going to put him through all the test and pay $1000’s when we can’t guarantee he will live so we were on the same page. He said his insulin had to be lowered from what it was, so he went to 28 units and Rascal seemed to get worse not better. He did another blood glucose check when I took him in again, and all of a sudden his numbers were higher again so we are back to our normal units now. This is taking such a toll on our family my husband was waking up to pee all over the house and frustrated, so now I sleep on the couch so if Rascal has to go out I let him out. He wakes me up almost every 30 minutes to an hour I am exhausted. Since I have my business that allows me to work at home that is my life right now. I don’t want to feel like I’m just holding on because I don’t want him in pain. 😢 He is incontinence now, so I put diapers on him at night because he sometimes doesn’t wait for me to let him out the door and in day time when I have to leave to pick our kids up. I change his male doggy wrap at least twice through the night and he poops every time he goes out. About 2:00 am he starts panting and is very antsy, so our vet told me to give him some of his metabolic food when he does that so I do and it helps to make it to the morning for insulin. He still gets up for peeing and pooping though but panting stops. He still loves his scratching behind his ears and petting and kisses, still eating, drinking excessively, but sleeps through the day more then night. I feel like am I just holding on would it be humane to let him rest now or wait I just don’t know. As I was typing this he just did something weird we have never seen him do. His body was like in convulsions and I went over to him and said his name and started petting him and he stopped. Also today for the first time we are seeing him having a harder time getting up mostly his hind legs. I just don’t know what to do anymore I don’t want him to suffer, but I don’t want to let him have peace too soon instead of letting him live out his life. I just wish God would just take him peacefully in his sleep this is so hard.. Any advise would be welcomed because I’m at a loss here.
Dear Angela,
My heart aches for you as you face this emotional decision for Rascal. From what you describe, it sounds like he has entered his “window of time” where saying goodbye may not be urgent but is definitely a loving option. I would rather let go one day too early than one day too late and allow unnecessary suffering. It is ok to offer a peaceful goodbye before all joy is lost and the only thing that remains is struggling and pain. I will attach links to other articles with more information. Hoping you can find the advice you need to make the best choice for your boy, and everyone involved. Bless you. ♥
1. Using a Quality of Life Scale for Dogs
2. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
I said goodbye to my best friend Shiloh on Friday. Had him just over 10 years. He had been diagnosed with diabetes sometime I think in 2020, maybe even 2019. He was still such a happy boy, and I know that was in part because he was with me. He was obsessed with me. But despite him being overall happy, I decided I wanted him to go when he was happy and still could enjoy our walks and his days. On top of being diabetic he had had chronic pancreantitis, had gone blind or almost entirely blind in one eye, had arthritis in his arm…. he got a total 3-4 types of medication a day. Sometimes more. Raglan, Insulin, I would IV transfuse him, he had his special dog food, probiotic, and sometimes a pain pill / anti nasuea pill to help calm his stomach further.
He was my everything and he was happy. We’d go 2 miles on a walk and other days, half a mile seemed all he could do. I know some of it was age, but I didn’t want him to get to the point where he was lethargic, and visibly dying. I wanted him to go where he could still sniff the air and go to the bathroom on his own and enjoy life. It made saying goodbye to him hurt all the more because he was such a huge part of my life. He saw me thru losing both parents, the lockdowns, etc, and I fear I wasn’t as patient or quite the same after mom, dad and everything. But he loved me all the same.
My vet said last spring it might be time. He called again in the fall. In January the one vet at the clinic who gave me hope said he noticed Shiloh was slowing down. And then a 3rd vet when I brought him in Friday said I was doing him an act of kindness. Which made me be at peace with my decision but shattered my heart when I heard the words that he was gone. I hope there really is more for our friends and family members since they are so much more than dogs. And I hope Shiloh if somehow you can hear or read or understand me buddy how sorry I am
Dear Stewart,
My heart aches for you with all the loss you have endured over the last few years. I can only imagine how much you miss Shiloh, but I am certain he knew how much he was loved. What a blessing you were able to be by his side in those final moments and offer him comfort with your presence. May his memory stay with you always and be a source of joy in your life. Wishing you brighter days ahead as you continue life’s journey. ♥
I stumbled on here today, 10 days after I lost my baby girl, Mishka. She was diagnosed with diabetes in early 2022. I noticed it progressed towards the end RAPIDLY. I had set up an appointment on Monday for her final day here…she didnt want to eat, she drank a little, but didnt want to move..She decided to leave that night..I found her in her bed exactly how I left her..tucked in her blanket with my pillow under her head…she lived 2 years past her predicted death. She was 14 years old.
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I’m still in shock and still numb but I know she’s better now. no longer sick. no longer blind.
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so anyone reading this, if your gut feels tight..make the trip. If your dog (like my baby girl) hides all pain, but acts ‘off’ take them in. Don’t wait like I did.
Dear Marishkinov,
My heart goes out to you with your recent loss of Mishka. I know her passing was not what you had planned, but what a blessing she was at home in her own bed where she found comfort and peace. I hope with time your grief will fade. May Mishka’s memory live on and be with you always.
I am very glad I found this page. In doing so I have learned a great deal not only from the article but from others experiences as well. I came in search of answers, I’m sure just like everyone else did, but also just a feeling of not being alone with it all. My heart goes out to each and every single one of you, they are not just pets but actual members of the family. The dog I came to learn more information on is my niece <3 She is my brothers beautiful one blue eye Border Collie with so much love, happiness, kindness, charisma, joy, beauty… she is the best dog I’ve ever known besides my own boy, Autzen, who I had to put down last year after old age and was unable to get up, eat, drink or even lay down without collapsing. Anyways, my niece, Dish, was diagnosed with diabetes not even a year ago. I think she may have had it for quite some time but all the symptoms went overlooked or unseen, just assumed it was age. We all now wish we would have known sooner, even with the expense it had been with buying the needles, insulin, special food, all the trips to the Vet, etc.
The vet informed us not very many are able to afford to do what we have done and that destroys my heart, it shouldn’t be a question if you can afford it, this world has become such a cruel place.
I sit here in the early morning hours with my Niece Dish, as she continues to breathe as if she has a stuffy nose, continuous trips to the water dish, almost completely blind now, she looks and feels almost swollen in her belly, and just isn’t her normal upbeat happy self. This is what kills me the most. She has been going blind for quite some time and never has she seemed to mind, it never broke her spirits and she continued to strive to do all the things she did before even if she had to take a different approach. I told my brother that I was envious of her and her demeanor/frame of mind/attitude/outlook and so forth… he seemed confused so I explained. How majority of people, that I know anyways, would become bitter, angry, hopeless (myself included) if they were given the path that she has been given, and yes, I know it’s a dog, but to still be such a happy amazing dog with the hand she’s been dealt, makes me envious. I’m rambling now, just heartbroken knowing the days maybe hours coming are going to be hard and even harder to say goodbye to one of the most amazing, charismatic, kind, beautiful, happy souls on this Earth. I was blessed and I am grateful to have had her in my life at all. She will be deeply missed when she’s gone, by our whole family. My poor brother, he doesn’t have any children so this is basically his daughter. Oh my heart 💔🥺😭🐾
Dear Angie,
I am so sorry for your loss of Autzen and now the grief you must be facing as you watch Dish’s health decline. She sounds like an amazing pup, and I am certain she knows how much she is loved. Try to make the most of the time you are gifted and spoil her rotten. Here is an article that may be helpful for this emotional journey you are facing: Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
May her memory be with you always and continue to be a source of joy in your lives. I’ll be keeping you in my thoughts. Bless you all. ♥
Hello, I don’t normally do this but it’s hard to confide in people about this. I was reading this last night because I knew my Shiba Inu chihuahua was close to the end but I thought for sure we had more time to give him a bucket list day. He was only 11 but on his 2nd or 3rd year after the diabetes diagnosis. I only stumbled on this page out of curiosity because he wasn’t eating his dinner last night but I figured by morning I’d know for sure the timeline we had left. Well, I did. He wouldn’t get off the ground and was puking in the early morning hours. The labored breathing was how I knew it was time. I had never seen him like this. I knew he was sick a few days last week but I was at college and when I came back, he would perk up. I chalked it up to doggy depression but clearly that wasn’t it. I’m happy we had a semi-local vet to help him go peacefully without having to suffer any longer. I miss my beautiful boy Gus. He was too perfect for this world and I regret not staying with him last night when I knew he was struggling.
What I hope you take away from this if you are like me and don’t know the signs to look for because having a diabetic dog means they’re always thirsty or going potty, look for lethargy. That was his first sign. Then came puking, both not something normal for him. And when he all together stopped eating, it was clear I needed to look for what was causing this. Please notice the signs sooner than I did. When they start to have labored breathing and struggle to lift their head or stand, you know it’s time.
If it is not too much to ask I just hope someone out there can think of me or pray for me. I have never cried so much in my life and it is taking a toll on my health. Dogs are our children.
Dear Lexi,
My heart aches for you with your loss of Gus. I am so sorry he declined so quickly, and you had to make the heart wrenching decision to say goodbye. Try not to carry the burden of guilt for not being with him during that last night. I am certain he knew how much you loved him, and it is clear he was a major part of your life. I hope with time your grief will fade and you can find joy in all the great memories you shared. Praying for your strength and comfort as you continue life’s journey. Bless you. ♥
We lost our precious boy today at 14 after nearly 3 years of diabetics. His last 12 hours or so,his breathing was extremely fast and labored.He couldn’t get comfortable or even lay down. I am troubled because he still felt warm hours after and was limp when we buried him. I pray he wasn’t in a coma but there was no sign of breathing and his eyes were slightly opened. If he was,I don’t think he would have recovered. What a horrible ordeal for all of us. Forever heartbroken.
Dear Rob,
I am so sorry for the recent loss of your senior boy. I can only imagine how much you miss him. What a blessing you were home with him and able to stay by his side until his last breath. May his memory live on and bring you comfort as you continue life’s journey.
I will definitely pray for you baby. You are strong and brave and such a good mama to your fur baby. What you wrote eased my mind and heart over my puppers. Letting him go will be so hard!
Dear Lexi
Praying that God will comfort you at this time of loss. I have three little dogs. 2 yorkies snda chiwawa and was looking for info because our 14 year old Yorkie is drinking much more than before.
I understand how upset you must be xx Our dogs really are our family. I hope and pray that you can give thanks for the years you had with your little dog and keep remembering the lovely times. God bless you in Jesus name Amen x🙏
Hello Lexi, let me start by saying I have no idea what you’re going through, but I know it must be utterly painful. I took, have a Gus who was diagnosed with diabetes a week ago. There’s just something in me that wants a second opinion. If you would have known would you have done that Once again, I’m so so sorry for your loss and will send calming of your heart, comfort and healing thoughts your way.
hi my little dog he’s only 6 years old chihuahua just took him to vets today vet said he has diabetes or organ failure don’t know yet had blood test today 16/4/24 I have to make a big decision my heart is broken do I keep him knowing he’s going to get worse or put him to sleep he’s so young
Dear Cheryl,
I am sorry you are facing this difficult situation with your little pup. I am not sure you can truly make an informed decision until you have the blood test results and get a definitive diagnosis. If your boy has diabetes, then it is possible to start treatment and offer him a good quality of life for several years to come. I can only imagine how worried you are for your sweet boy, but try to stay calm and be patient with the testing process. Praying for favorable results and a clear path forward. Bless you and your little guy. ♥
Im so sorry for your loss and I’m praying for you 🙏🏼💔
Junior (10.5 yo Maltese) was being scheduled to have ACL surgery. At the pre-op testing he was diagnosed with diabetes with ketones in his urine. Treatment plan was Insulin injections 2x a day. On top of his ACL issue it’s been very difficult getting Junior to cooperate with the diabetes treatment. .
Initially I wasn’t able to get any shots, but the vet was very patient and helpful teaching me and letting me bring him in so I was able to get a few days worth of shots in. His levels went down a little (still very high though) and he got a little spunk back. Then Junior became very aggressive and we have not been able to give him shots. He’s tried to bite me so I began to use a muzzle. He was even able to get that off. Real spunky doggie. Then he stopped trusting me altogether and would try biting me just for a face or butt wipe. End result…now he is in full blown ketosis. His breathing is being affected as well. He’s not eating. Lethargic 24/7. In crying all day. I think it’s time to put him and my family at rest with this ordeal because no one has quality life anymore. So sad. He brought us so much happiness over the years, but the last month has been complete sadness, stress and anxiety.
Dear Erika,
My heart breaks for you and this tragic situation you are facing with Junior. I agree, it sounds like saying goodbye may be the most loving option and only way to offer your sweet boy freedom from his suffering. I am sorry the stress is affecting the whole family and understand why this is such a difficult decision. Praying for strength to make this emotional choice and wishing comfort and peace for everyone involved. Bless you all. ♥
Thank you for the article, we adopted a chihuahua mix 5 years ago at age 7-9. She is about 12-14 now. We adopted her because she was a uncontrolled diabetic and years in foster/shelters. I couldn’t stand seeing it despite already having 2 dogs. our previous dog that died of old age at 13 we managed her diabetes for 7 years after diagnosis. She received diabetic care right from the start.
Our chihuahua however was not taken care of well by the doctors / shelters (sadly not given correct instructions how to treat her, not the shelters fault). When we adopted her at 7ish she already had cataracts and glucose levels were really all over the place and high.
fast forward 5 years later. She is spunky and still runs around and plays. However we have noticed when given her usual 3cc’s insulin for years it now can be too for her. we had to even give her corn syrup and more food. Her sugar was 50-60 when we checked. I also throw away the insulin vial if it gets low because I want to make sure the insulin stays consistent and doesn’t loose potency
50:/: of the time now she needs only needs 2cc’s but other times she’s too high a needs 3cc’s. Same food, no cookies, we use a measuring cup to keep it consistent. Why all of a sudden a change? I also noticed her good eye now seems to have cataracts in it. I’m fearing her organs may be failing with the glucose fluctuation changes and rapid eye change. What is the reason why all of a sudden sometimes a dog doesn’t need as much insulin after years at that dose?
Thank you!
Hi Kim,
Thank you for being willing to take in a dog with special needs. You are such a blessing! I am not sure I have a definitive answer for why your girl’s insulin needs have changed. It could be that with a consistent diet and good control of her blood sugar, some of her body’s insulin resistance has decreased and is allowing her cells to respond to her body’s own insulin better. I do think it would be good to keep your vet updated on this new development. They may want to do some lab work just to make sure nothing is getting missed. Your girl is very lucky to have you taking such good care of her. Wishing you both all the best for many happy days ahead and keep up the good work!
Hi,
My lab/ terrier mix is 9 1/2 years old. She was diagnosed with diabetes almost 5 years ago. I have been giving her 9 units of vetsulin 2 twice a day. She’s been doing fine. Then all of a sudden, 4 days ago, she started turning down her food (which she would do once in a while). But the next day she seemed less energetic and still not wanting food (I did manage to get her to eat a little though). But she wasn’t excited about going on her walk like usual. The next day she was completely lethargic. I took her to urgent care and her kidney and liver results had gone up since her last blood work six months ago. That Dr wants me to follow up with my regular vet. He seems to think this is the beginning of the end. She’s still struggling. She’s slightly more alert, but can’t jump up on the couch, she seems to not be steady when walking, still doesn’t want to eat and hasn’t had a bowl movement in 2 days. This has happened so fast and so severe it has blind sided me. I know I have to wait and talk to her Dr, But I’m lost with what is going on.
Thank you for the info you provided. It is both painful and comforting.
Hi Colleen,
My heart goes out to you as you face this difficult situation with your senior girl. It does sound like her body is struggling and her days may be limited. I wish there was a way to restore your dog’s health, but sometimes saying goodbye is the most loving option. I think it is good you are planning to discuss things with your vet. Hoping you can get the answers you need to make the best choice for you and your sweet girl. Wishing you both comfort and peace. Bless you.
Last month my 9 year old corgi was drinking a lot of water and kept having accidents I gave him leftover amoxicillin thinking he had a UTI and he did better. When we ran out of the medicine it started again so I brought him to the vet and they said that he had a UTI but he had a little bit of glucose in his urine and recommended blood work, but it was at Christmas time so I didn’t have the funds. I just did the blood work on Wednesday and he was diagnosed with diabetes and is in DKA, he also has developed cataracts since the last visit and lost 6 lbs. He is home and very lethargic, I started him on insulin Wednesday night, but he didn’t eat at all yesterday and is having a hard time standing. I just lost my job and we don’t have the $5k for hospitalization. I’m so heartbroken and not sure what to do, but I hate seeing him so sick. It’s crazy because he was himself last weekend other than the incontenence and excessive drinking. This is all happening so fast. What’s potentially happening in his body with the DKA, 4 doses of insulin, water and no food in 24 hours? When is it time to reach out to hospice? I feel guilty even asking that but he’s visible not well.
Dear Jessica,
You are dealing with so much and I understand your concern for your Corgi. I admit, this does not sound good. Honestly, there is no way to know if you boy will be able to keep fighting except to give it time. It is never wrong to reach out to hospice care, and they can let you know if your pup is at this stage. How are things today? Hoping your senior guy was able to get stabilized and praying for healing. Bless you and your sweet boy.
Our 11 year old mini schnauzer has been being treated for diabetes since mid September and we have not been able to get her stabilized. We have had 2 ER visits in the last two months for high ketones. During the last visit, her ER Dr. found heart to be enlarged and that her heart murmur is now categorized as a #4. She felt that the insulin will just not work and she suggested we should think about euthanasia. We are keeping her comfortable and continuing her shots. We also left the ER with Vetmedin. She continues to drop weight and feels like a bag of bones. She is a trooper though and still eats her food with gusto. We are loving on her and will go ahead and let her go soon. This disease is awful and the hardest ending to what was a beautiful life with our pup.
Dear Karen,
I am so sorry you are facing this difficult decision for your beloved pup. I am glad she is still feeling ok and has kept her appetite through it all. Make the most of each day you are gifted and spoil her rotten. Wishing you both peace and comfort. Bless you and your sweet girl. ♥
My mini schnauzer Maisie was diagnosed in July 2022, she took a while to regulate on caninsulin, several months. There is other insulin you could try before you do anything…. Ensure you give insulin 12 hrs apart, check her blood glucose daily if possible, and give her low fat, low carbohydrate food. I hope your furbaby gets better soon.
My Maisie crossed the rainbow bridge yesterday, it wasn’t the diabetes, she was diagnosed with a mammoth sarcoma in December 24, the tumour just grew so fast in a few weeks, it was a size of a grapefruit, or slightly bigger! She was 14, she has been such a trooper and a fighter the last 20 months since being diagnosed with cancer!
Dear Emma,
I am so sorry for your loss of Maisie. Thank you for being willing to offer advice and support to others even while working through your own grief. May the memories of the good times you shared stay with you always and continue to be a blessing in your life. ♥
Our lab mix girl is about 17 (we think that is her age – we rescued her 14 years ago) and was diagnosed with diabetes 3 years ago. She developed cataracts very quickly and is now nearly completely blind, but she adjusted quite well. She has been doing well on her insulin dosage until the last couple of months and despite the vet upping her dosage, we are now dealing with significant confusion, lethargy, diarrhea, weakness, and increased urination. She has been part of my daughter’s life since she was a toddler, and I know losing her will devastate my daughter. I guess I just don’t know how to determine when we are keeping her with us for our sake and not thinking of her quality of life. She can no longer go on walks which was her favorite thing, now we just do laps around the yard. She still seems to enjoy her food, though, which I have always used to gauge quality of life. We have had to euthanize beloved pets before, and it is never an easy decision. I just don’t know what to do.
Dear Tammie,
I am sorry you are facing this difficult decision for your senior girl. I understand how hard it can be to decide when the time is right for saying goodbye. I will attach links to other articles with more information and great advice from other readers. Hoping you can find the answers you need to help navigate this emotional path. Bless you and your family. ♥
1. Using a Quality of Life Scale for Dogs
2. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Our 11 year-old Pom was dx about 2 years ago. She’s on insulin 2x day and in the past couple of months her decline was swift and sudden. One day she was walking in the morning but come evening she couldn’t stand up. She could stay up and walk after propping her up and lots of trying and patience. Then over the days/weeks she stopped walking altogether. Now, her muscles are stiff and painful. Her hind legs are bent and crooked and her front legs stick straight. We are massaging and doing a bit of gentle stretching to help. She is drinking lots of water and still eats her food, albeit less than the normal (she used to jump, bark and beg whenever we were eating and now she just look at us disinterested). We have to hold her up to go potty and pain medication didn’t help. Our vet told us what to expect when she was diagnosed and now after her symptoms worsened.
We are waiting for the new years so we can decide what we will do. A few years ago our old Pom died suddenly at 14 during the holidays and it was traumatizing for the kids so we are hoping to be able to wait a bit more.
Dear Fernanda,
My heart goes out to you as you face this difficult decision for your senior pup. I understand why you would want to wait till after the holidays and think this could be the best way to lessen the emotional impact on your family. Of course, this all depends on whether your girl is in a state of suffering or not. I encourage you to stay in close contact with your vet and update them regularly on how things are progressing. It may be a good idea to reach out to a hospice/house call vet so they can guide you through this process and ensure your girl remains comfortable for the time she has left. Praying for comfort and peace for everyone involved. Bless you and your family.
My mini pincher dog has 13yrs.. two years ago was diagnosed with diabetes the cancer. I give her the insulin twice a day. She’s been ok. But today she got her first seizure.. she was disoriented, she was trying to vomit, her back legs were giving up on her and she was scare. I give her a little of syrup and she got ok.. 3 hours later she was sleeping and we just got her so she can eat and happen again.. but this time she was just not able to stand and her head was shaking.. went she see her food it was like she didn’t care about what was happening.. she started to eat.. and she didn’t stop..
Dear Deyanira,
I am so sorry your senior girl is having such severe issues. What you describe has me very concerned and I am worried this may be an emergency situation. Please contact your vet right away. Praying your pup has stabilized and things have improved.
My Yorkie was diagnosed with diabetes when he was about 2 years old in 2017, since that day he has been on a low-fat diet and receiving twice daily insulin/Novolin N shots at 5 AM and 5 PM. He is still doing well although I notice that his spine is starting to stick out. He cannot seem to get enough calories, we have the low-fat dry food out for him to eat all day long and the wet low-fat dog food is given to him right before each shot daily. He still likes to run after his ball even with his cloudy eyes and limited eye-site. I’ve lived in the same home since his birth so when I notice he occasionally seems lost and cannot find his way to the dog door I worry if it’s his eye-site or if dementia is setting in. I work hard to keep him happy and as healthy as possible and my biggest fear is if I will know when he’s in pain and it will be time to let go.
Dear Marcela,
I understand your concern for your senior pup and can only imagine how difficult it must be to watch his health start to decline. It is common in older dogs to notice signs of lean muscle loss. This may be why his spine is becoming more prominent. Have you discussed this issue with your vet? They might want to schedule an exam just to make sure nothing more serious is contributing to his condition. From what you describe, I do think your boy is experiencing some dementia symptoms. I will attach links to other articles with more information and great advice from other readers. I am certain you will find the answers you need to help navigate this unknown path. Hoping your sweet boy has many happy days ahead. Bless you both.
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Using a Quality of Life Scale for Dogs
3. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
My rescue pitty was diagnosed February 7th with diabetes. The news shocked my husband and I since we were unaware dogs could develop diabetes. She is not yet regulated. Today she has been increased from 8 units to 11 units. She has lost so much weight, she is skin and bones and breaks my heart to see. Initially, she was doing well the first 3 weeks but now she’s weak, sleeping a lot more, urinates excessively, thristy all the time, and lethargic, The vet said she is anemic (this is new since the diagnosis). Today she went to the vet for more testing and the vet said she can’t figure out why our Bella has started to lose weight after she was gaining for the past 3 weeks. She said she doesn’t know why her body is rejecting the insulin and referred us to Internal Medicine. At this point, I’m so confused. Normally, our dog (Bella) eats her food in a hurry, but she did not eat tonight. We are so sad, confused, and unsure if we should take her to Internal Medicine. After reading multiple post, it sounds like we should prepare ourselves to loss her.
Dear Kendra,
My heart aches for you as you face this tragic situation with Bella. I can only imagine how worried you must be and understand your hesitation to put her through unnecessary stress. I do think it would be good to at least hear what the specialist has to say. Even if you decide not to pursue further testing and treatment, you could gain valuable information that might make your decision making a bit easier. I’ll be keeping you all in my thoughts and praying for Bella’s comfort and peace. Bless you.
Marcella, my yorkie is on Vetsulin and I’ve been told that Novolin N is half the price. He takes 10 units of the Vetsulin. Do you know what the ratio would be for the Novolin N ?
Thank youth
Hi Kitty,
I understand your concern with how expensive insulin products can be. It is ok to ask about alternatives, but this is really a discussion that needs to take place with your vet. All insulin is not the same and you even have to ensure you have the correct syringe to prevent an accidental overdose. I strongly recommend you talk with your vet or even schedule a consultation with a specialist. That is the best and safest way to find out all your options. Best wishes and good luck!
My 13 year old Jack Russell was recently diagnosed with pancreatitis and diabetes. After a week of antibiotics, the pancreatitis subsided. But his glucose still tested over 400. The vet put him on 2 shots daily of 7 units vetsilin. It made him very sick. Beginning about 3 hours later he began to have what looked like seixures – drunk, unsteady, rapid heart beat, irregular breathing. Be that as it may, the vet wanted to raise his insulin. Which we did… which made him just as sick. I asked to switch to Novolin which he tololerated much better. (I was very careful to adjust the dosage from. 7 units of vetsilin to 3 units of Novolin.). But he still becomes lethargic about 5 hours after the injection. In either case, the closer we get to the next meal – i.e. 10 hours later – the better he feels. In fact – no symptoms at all. However the whole process repeats after he eats and I give him his insulin again. 24 hour blood sugar curves have been done – which are high but otherwise unremarkable. I understand that high blood sugar is bad, but his sight, weight, appetite, water drinking, peeing, pooping are normal. Is it possible to live with high blood sugar regardless of the numbers? Thank you, Ron
Hi Ronny,
I am sorry your senior guy is having so much trouble with his blood sugar and insulin therapy. It can be a tricky process to get diabetes controlled. The 24-hour glucose curves that were done- was that performed at home or in the clinic? I ask because sometimes stress in a clinical setting can alter results. There is the option to use a continuous glucose monitor (just like in human medicine) for dogs to get an accurate reading when having trouble regulating a dog with a more complicated case. You could talk to your vet to see if that is an option. From what you describe, I am suspicious that your boy is battling low blood sugar after his insulin is administered. And while high blood sugar levels can cause issues, it is much safer for blood sugar to be high rather than low. This may also be a good time to reach out for a consultation with an internal medicine specialist. I hope you can find the answers you need to ensure your pup lives a long and happy life. Best wishes to you both!
Hello, my chihuahua mix is almost 13 and was diagnosed with diabetes when he was 9. He got cateracts real early like a month after being diagnosed. He eats great and i take him for walks everyday and give him his insulin 2 times a day religiously. I take him periodically to vet for glucose count. I took him about 2 weeks ago and he was at 570 so vet told me to up insulin a half unit every 12 hours. Everything was good, when i called him he used to follow my voice and come slowly. Now when I call him he looks in every direction and looks confused and starts walking away from me then stops and walks a different direction. Also has some sores on him that he licks alot. Should I be worried. Thank you
Hi Charles,
I am glad your dog has done so well with his insulin injections over the past 4 years. I understand why you are concerned and think any sudden change in behavior is significant and should be discussed with your vet. The confusion you have started to notice may be an early sign of dementia/cognitive dysfunction that is common in dogs as they reach their senior years. Here is a link to an article with more information: Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
As for the sores, your vet may have some ideas about ways to treat them at home to allow healing and give your pup some relief. It sounds like an exam would be a great place to start. Hoping you can get some answers and ensure your boy remains happy and continues to love life. Wishing you both the best!
My dog is diabetic and she’s lying here with me on her last breath. I don’t have money to pay a vet and I am totally devastated watching her die.
Dear Michael,
My heart breaks for you as you face these last moments with your sweet girl. You are not alone. Praying her passing will be smooth and peaceful. Wishing you strength and comfort for your heart. ♥
I’m so very sorry about your pup just know your pup knows you were there loving and caring until the end prayers 🙏💓
I just found out that my 8 year old Maltese has Cushing disease, heart murmur, cataracts, really bad diabetes and keystones in her urine and I can’t afford all the testing and hospitalization that is needed, so I’m going to watch her die also. And I’m so upset.😭
Dear Lorraine,
My heart aches for you and this tragic situation. Please know that hospice care is always a good option. It is ok to make your girl comfortable for the time she has left. It is also ok to choose to say goodbye before things get worse and all the joy and happiness is gone. Wishing you comfort and strength. Bless you and your sweet girl.
My dog is nearly 10 and was diagnosed with diabetes a year ago. One of his early symptoms was confusion. He would pant and/or retreat to a corner of our yard for hours. This behaviour eventually disappeared but has suddenly started again. His confusion behaviour includes panting, isolating or lying against me. I will have blood work done again but wonder if there is something (meds?) I can give him to calm him down?
Thanks, Dale Boyd
Dear Dale,
I am sorry your senior guy is struggling with these symptoms of confusion again. While they could be a sign that his diabetes is no longer well regulated, these can also be symptoms of dementia/cognitive dysfunction. There are mediations and supplements that can help manage dementia and anxiety. Here is a link to another article with more information: Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
I agree having some lab work checked is the best first step. Make sure to talk to your vet about your concerns and see what they recommend for treatment. Hoping for a clear path forward. Best wishes!
My 11 year old shih tzu-chihuahua mix has diabetes for about 3 years now. He gets 2x day insulin injections and regular blood checks. He has a collapsing trachea for which I give him Trazodone 3 x day and theophylline 1x day. He also gets dermax 1 x day. He has now developed an extensive cataract on one eye and is developing a cataract on the other eye. His eyes are constantly inflamed and I give him Keterolac drops 2 x day, and tobramycin drops when his eyes get mucosy. He is now refusing food and losing weight. My vet refuses to euthanize him, she said she will “rehome” him. I think this is cruel in view of the fact of his poor vision and that i have been his sole owner. It would be hard for him to adjust to somewhere new with his illness and blindness. I am at a loss for what to do. Can you help me? Is it time for him to be euthanized?
Dear Gloria,
I am so sorry you are in this difficult situation. I can only imagine how hard it must be to keep up with all those medications and treatments and it has me concerned that your pup has started refusing food and losing weight. Without examining your dog, myself, it is hard to get a feel for what his quality of life truly is at this point. My best advice is to find a house call vet in your area that specializes in hospice care and in home euthanasia. They can take a look at your boy and let you know if saying goodbye is the most loving option or if there are things that can be done to make him more comfortable for a while. Ultimately, the choice is yours and it is never wrong to seek a second opinion if your intuition is telling you your boy is suffering. I hope you can find the information and help you need to make the best decision for everyone involved. Wishing you and your sweet boy peace.
We have a 13 yr. old Yorkie poo.she has lost so much wt.is skin and bone she has been on diabetic meds a couple months .tonight I noticed she was walking funny Then I noticed she was not opening her eyes and they seemed a little crusty is this an effect of diabetes an what should I do to get her to open them she is stubborn and don’t want me to see what’s wrong..should we use warm compresses on them to see if they are stuck shut? it doesn’t look bad but feel a little crusty
Hi Betty,
I am sorry your little pup is struggling with eye problems. A warm compress should be ok just to see if it helps. Ultimately it would be best to have your vet take a look at your girl. She may have an eye infection that would require antibiotic drops to resolve the issue. I am hopeful this can be resolved quickly, and your girl can get back to her normal routine. Wishing you both the best.
My dog was diagnosed with diabetes and is in DKA but is home and at this point stable. We have started insulin. After reading the literature on diabetes in dogs I see the symptoms that my dog has. Excessive drinking and urinating always hungry. He is on prednisone so I thought these symptoms were from that but after doing some blood work and urine he was diagnosed with diabetes. At his last visit we found out that he’s has cataracts to both eyes. I would like to know is this near the end of his life??
Hi Tonya,
I am sorry your pup is dealing with such severe symptoms but glad to hear he is stable and at home. While some dogs may not be able to recover from DKA others can wind up making a full recovery and have many years left to live. There really is no way to know how things will progress other than to keep administering the appropriate treatment and give it some time. How is your boy doing today? Hoping all is well and praying this troublesome event is now in the past. Feel free to leave an update if you have a chance.