Diabetes mellitus in dogs requires lifelong insulin therapy, but well-managed dogs achieve excellent quality of life with appropriate owner commitment.
Uncontrolled diabetes causes progressive welfare compromise through weight loss, excessive thirst, cataracts, and susceptibility to infections. With appropriate management, diabetes does not need to significantly impair quality of life. Owner commitment to twice-daily injections, consistent feeding times, and regular veterinary monitoring is essential. Cataract surgery restores vision in dogs blinded before diagnosis, dramatically improving their welfare. The main welfare risk is inadequately monitored diabetes in owners unable to commit to the management demands.