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Low Blood Sugar in Dogs

Low blood sugar in dogs, referred to as Hypoglycemia, can lead to medical complications, including loss of function, and in severe cases, death. Learn about the symptoms and available treatments, as advised by our veterinary specialists.

Low Blood Sugar in Dogs, Examined by Wailani Sung, DVM, and Reviewed by Rhiannon Koehler, DVM, MPH...
Low Blood Sugar in Dogs, Examined by Wailani Sung, DVM, and Reviewed by Rhiannon Koehler, DVM, MPH on February 28, 2025. Originally published on February 04, 2020.

Low Blood Sugar in Dogs

Hypoglycemia, a condition characterised by low blood sugar, can affect dogs just as it can humans. This article aims to shed light on the causes, symptoms, and treatment of hypoglycemia in our canine companions.

Hypoglycemia can be caused by reduced glucose intake, overuse of glucose, endocrinological disorders, liver disease, or ingestion of toxins like xylitol. Puppies may experience hypoglycemia due to not eating often enough, while overexertion can cause the body to use up glucose. Endocrinological disorders such as insulinoma, extrapancreatic paraneoplasia, hypoadrenocorticism (Addison's disease), and certain pancreatic cancers can cause excess insulin production and hypoglycemia. Ingestion of xylitol, found in sugar-free gum, candies, and peanut butter, can lead to hypoglycemia and liver damage in dogs.

Dogs with infectious or inflammatory disease, diabetic dogs, and dogs with certain conditions and liver diseases may need to have their food intake and medical condition closely monitored to prevent hypoglycemia. Certain conditions and liver diseases may require medications, special diets, supplements, and management for the rest of a dog's life to prevent hypoglycemia.

Symptoms of hypoglycemia in dogs may include lethargy, increased appetite, exercise intolerance, changes in behaviour, seizures, collapse, weakness, depression, loss of motor coordination, muscle twitches, and irritability. If you notice any of these symptoms in your dog, it is crucial to seek veterinary attention immediately.

A veterinarian can diagnose hypoglycemia in dogs by taking a detailed history, performing a physical examination, and performing baseline diagnostic tests such as blood work and urine tests. Depending on the results, a veterinarian may recommend more specialized bloodwork and an abdominal ultrasound to determine the exact cause for the hypoglycemia.

Treatment for hypoglycemia may involve outpatient treatment or hospitalization for several days, with intravenous catheter and dextrose solution administration. If you have a diabetic dog, make sure that they are eating, and then administer the correct type and amount of insulin.

Preventing hypoglycemia is key, and pet owners should be aware of potential risks. Make sure any food item that contains xylitol is out of your dog's reach. Small-breed puppies and dogs with certain medical conditions, such as cancer, endocrinological diseases, or infectious and inflammatory diseases, are at risk for hypoglycemia.

It is essential to remember that early detection and prompt treatment can significantly improve a dog's chances of recovery from hypoglycemia. If you suspect your dog may have hypoglycemia, do not hesitate to contact your veterinarian. A veterinarian can spot-check blood glucose with one blood drop, similar to how a person with diabetes checks their own blood sugar.

In conclusion, hypoglycemia is a serious condition that can affect dogs. By understanding the causes, symptoms, and treatment, pet owners can take proactive steps to prevent and manage this condition in their dogs.

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