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Dogs that help with diabetes? Let's find out about this! (Diabetic Service Dogs)

Dr. Priya Sammani (MBBS)
Medically Reviewed by Dr. Priya Sammani (MBBS) ✓ Medically Reviewed
📅 Updated: Aug 11, 2025 • ⏱ 7 min read • Editorial Policy
Dogs that help with diabetes? Let's find out about this! (Diabetic Service Dogs)
Table of Contents ▾
If you have diabetes , you probably know how dangerous it is to have your blood sugar levels drop or rise suddenly. How wonderful it would be if there was a way to detect this dangerous condition in advance, which sometimes happens without us even realizing it? Today we are going to talk about a special pet that can help you, be like your own best friend, and have special abilities. These are called Diabetic Service Dogs or Diabetic Alert Dogs (DADs).
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How do these dogs help diabetics?

If you have diabetes, it means that your body has difficulty using the food you eat properly and turning it into energy. As a result, your blood sugar levels can become dangerously high. This is medically known as hyperglycemia . If this condition continues, serious complications such as eye disease, kidney damage, heart attack, and stroke can occur. Insulin, a medication used to treat diabetes, is used to control high blood sugar levels. However, a common side effect of insulin is that blood sugar levels suddenly drop too low. This is known as hypoglycemia . This condition is also very dangerous. It can cause seizures and even coma. Therefore, it is very important to recognize and treat this condition quickly. Now, look, the symptoms of high blood sugar (Hyperglycemia) and low blood sugar (Hypoglycemia) are very similar. For example, things like dizziness, confusion, drowsiness. So, this diabetes service dog is trained to let you know when your blood sugar levels are starting to change dangerously, while you're still conscious. Then you can quickly treat it or call for help. The way these dogs let you know varies depending on their training.
  • Some dogs pat you with their paws.
  • You feel a nudge.
  • Lick you.
  • Or just looking at you.
  • Some other dogs have been trained to communicate this by barking and whining .
  • There are dogs trained to bring you your blood glucose monitor.

How do these dogs sense blood sugar levels?

This is a very surprising thing. The idea first came about after it was observed that ordinary pet dogs, without any training, changed their behavior when their owners' blood sugar levels were low. It was then that experts researched this and found ways to train dogs to do the same. Scientists think this is how: When our blood sugar levels change, the smell of the chemicals released from our breath, saliva, and sweat changes. Dogs have a very sensitive sense of smell and can detect this difference in smell. These dogs are trained using sweat samples from their future owners. That is, sweat samples taken when the owner's blood sugar is low and sweat samples taken at a normal time are used. During training, the dog is given a reward every time it correctly identifies the sample taken when the owner's blood sugar is low. This ability is developed through continuous training.

Can these dogs really be trusted?

This is a very important question. The results of scientific studies on this topic are really mixed. Some studies have shown that these dogs are more likely to correctly alert people to low blood sugar (hypoglycemia) than to normal blood sugar levels. A 2016 study showed that these dogs were able to alert people to low blood sugar even when their owners were not showing any symptoms and were therefore unaware that their blood sugar was low.
However, other research suggests that the accuracy of these dogs can vary greatly from one person to another, and that some dogs' performance is no more than a simple coincidence.
The most important thing is that compared to a wearable device called a Continuous Glucose Monitor (CGM) , which automatically measures our blood sugar levels throughout the day, the accuracy of these dogs is much lower.
Challenge Description
Problems at night Many people expect this dog to alert them if their blood sugar drops during sleep at night. But the problem is, dogs need to sleep too. It has been found that their accuracy is much lower at night.
Cost It can cost between US8,000 and 20,000 to acquire a trained dog like this, which is hundreds of thousands of rupees in Sri Lankan currency. Even with help from some organizations, this is a big investment.
Ongoing expenses After getting a dog, there are ongoing veterinary expenses and food and drink expenses. These can be more than for a regular pet.
Retraining To ensure that the dog's abilities are still there, you will need to have a trainer re-examine the dog from time to time. You may also need to provide additional training.

So, what are the real benefits of having this dog?

Although researchers have varying opinions about the accuracy of the dogs' actions, owners who keep these dogs report being very satisfied. They have great confidence in their dogs, and they feel that their diabetes control has improved because of the dog. Other reported benefits include:
  • Reducing the constant fear of low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia).
  • Being able to participate in physical activities like exercise without fear.
  • Helps in controlling blood sugar levels.
  • Reduced chances of fainting due to low blood sugar.
  • Reduced need to go to the Emergency Treatment Unit (ETU) or call an ambulance.
  • Increased confidence and independence in being able to work alone without anyone's help.
  • Overall improvement in quality of life.
The important thing is that a dog like this is just an additional help in managing your diabetes. It is never a substitute for checking your blood sugar levels daily and taking your medication as prescribed by your doctor.
If you're considering this type of service, be sure to talk to your doctor about your diabetes status, other monitoring methods, and alert options. He or she can help you choose the most appropriate and safest method for you.

💡 Take-Home Message

  • Diabetic Service Dogs are animals specially trained to alert people to dangerous fluctuations in blood sugar levels.
  • They do this by detecting changes in the chemical odors emitted from our breath, sweat , and saliva with their sensitive senses.
  • Although there are varying scientific opinions about the accuracy of these dogs, they provide their owners with great psychological comfort, security, and new energy for life.
  • Raising a trained dog like this can be very expensive, and requires ongoing expenses and retraining.
  • The important thing is, these dogs are just an additional help in your diabetes management. They are never a substitute for your daily blood sugar monitoring and doctor's advice.
Diabetes, diabetic service dog, diabetic alert dog, DAD, blood sugar, hypoglycemia, hyperglycemia, dog training, diabetes in Sinhala

❓ FAQ

Frequently Asked Medical Questions (FAQ)

Evidence-based clinical answers to common patient questions

How do these dogs help diabetics?

Key points include: Some dogs pat you with their paws.; You feel a nudge.; Lick you.; Or just looking at you..

So, what are the real benefits of having this dog?

Key points include: Reducing the constant fear of low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia).; Being able to participate in physical activities like exercise without fear.; Helps in controlling blood sugar levels.; Reduced chances of fainting due to low blood sugar..

When should you consult a doctor or healthcare professional?

If you experience persistent, worsening, or concerning symptoms, or before starting any new treatment or medication, always consult a qualified physician or healthcare provider for personalized medical advice.

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⚠️ Important: Medical articles and information on Nirogi Lanka are strictly for educational and awareness purposes and do not substitute professional medical advice, diagnosis, or treatment. Always consult a qualified physician for any medical concerns.