Diabetes mellitus in dogs requires lifelong insulin management. With appropriate treatment, diabetic dogs can have excellent quality of life for years.
Canine diabetes, while requiring lifelong management, is fully compatible with excellent welfare when managed appropriately. Uncontrolled diabetes causes significant suffering: the constant thirst and urination are distressing, cataracts develop rapidly causing blindness, and diabetic ketoacidosis is a life-threatening emergency. Well-controlled diabetic dogs who receive consistent insulin therapy and dietary management often live years with good quality of life and minimal apparent awareness of their condition. The welfare investment in consistent management — including the commitment to twice-daily feeding and insulin administration — pays dividends in the dog's daily experience.