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Can dogs do the same job as advanced medical testing equipment? When it comes to blood glucose meters for diabetes, it appears they can. Thanks to dogs’ incredible sense of smell, diabetic alert dogs can function as blood sugar level detectors.

In This Article

Although dogs can’t provide exact measurements like a blood glucose meter, they can alert their owners when those levels are out of range.

Understanding Diabetes and Its Challenges

Diabetes is a serious, chronic disease affecting the body’s ability to regulate blood sugar levels. It involves the hormone insulin, which has the role of controlling the amount of glucose (sugar) present in the blood stream.

Diabetic people either cannot produce insulin or cannot properly use the insulin their body produces. This results in blood sugar levels that are too high, a condition known as hyperglycemia. Hyperglycemia results in severe, and sometimes life-threatening complications, such as chronic kidney disease, eye diseases that can lead to blindness, nerve damage, and heart attack or stroke.

As of 2021, diabetes was the eight leading cause of death in the United States. Over 38 million Americans are living with the disease. Diabetes has no cure, and requires careful management, including regular monitoring of blood sugar and sometimes treatment with insulin.

Though insulin is essential for some diabetics, it can occasionally result in hypoglycemia, a condition where blood sugar levels go too low. Low blood sugar has complications just as dangerous as high blood sugar, making blood sugar monitoring even more critical.

German Wirehaired Pointer getting attention.
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How Dogs Detect Blood Sugar Changes

Interestingly, low and high sugar levels both release chemicals into the body that have distinct smells. Humans can’t detect these odors, but dogs can. So, just as a dog can be trained for bomb or drug detection, diabetic alert dogs are trained to sense this change in a diabetic person’s breath or sweat.

When the dog detects the target odor, they’ll alert with a specially trained behavior such as pawing, licking, vocalizing, or even fetching a blood glucose meter. As a service dog under The Americans With Disabilities Act, diabetic alert dogs can do this for their owner in almost any location.

Scientific Support for Diabetic Alert Dogs

In a study published in 2013, Dr. Nicola Rooney, an Associate Professor in Wildlife Health and Conservation at the University of Bristol, and her colleagues found that diabetic alert dogs could accurately detect both hyperglycemia and hypoglycemia. The 17 diabetic patients they observed had fewer calls to the paramedics and fewer unconscious episodes. They also had improved independence after getting a diabetic alert dog. The study concluded that alert dogs are potentially valuable for increasing patients’ ability to control their blood sugar levels, decreasing healthcare costs, and providing enhanced quality of life.

Shetland Sheepdog service dog laying next to its owner at the airport.
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Emotional and Practical Benefits of Diabetic Alert Dogs

There are physical signs that can alert people when their blood sugar levels are outside of the expected range. However, constant anxiety is a common symptom of diabetes because patients worry about missing the warning signs. Shifting blood sugar levels during sleep are of particular concern for some people with diabetes. This anxiety can impact a patient’s quality of life and emotional well-being.

Here is where a diabetic alert dog’s true value comes in. Diabetic alert dogs are trained to monitor their owner and can detect blood sugar changes before they reach dangerous levels. This detection allows the patient to take appropriate measures, such as using their blood glucose meter or injecting insulin. Alert dogs will even monitor their owners while they’re sleeping, and will wake them if they sense anything amiss. That provides emotional security and confidence to those struggling with such a serious condition.

These amazing dogs offer all the joys of canine companionship, and better diabetes management, too.

Related article: NIH Study Underscores Benefits of Service Dogs for PTSD Veterans
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