Pet diabetes is more common than you may think. Statistics show that up to 1 in 500 dogs and up to 1 in 200 cats become diabetic. Whenever I diagnose a pet with diabetes, I discuss the costs of ongoing care with clients, as they will likely need to budget for diabetic supplies.
In general, there are monthly costs (insulin, syringes, test strips, perhaps an increased cost of food relative to the prior food), and there are the initial costs of diagnosis and equipment (glucose meters, test strips, sometimes urine strips). If a pet is diagnosed when ill with a complication, such as diabetic ketoacidosis, the initial costs could escalate quickly. Each situation is different. Each patient is different.
Medicine is an art. You are unlikely to find 2 veterinarians who will treat any given patient exactly the same way. Some veterinarians (like me) ask clients with a diabetic pet to get a glucose meter and do the blood glucose curves at home. I find the results can be more accurate at home as the pet typically eats more normally at home than in a clinic setting. In addition to the improved results, the cost of glucose curves goes down significantly. I’ve worked in many practices over the years and have seen a blood glucose sample cost anywhere from a mere $8 to a whopping $49 per blood glucose sample. Most veterinary clinics charge somewhere between $10 and $20 per sample. By the time a vet has checked 6 to 8 blood glucose samples and hospitalized a pet for the day, it could end up costing up to $200 for a glucose curve. A client can purchase a glucose meter and 50 test strips for about the cost of one glucose curve in a hospital setting.
Some diabetics are relatively simple uncomplicated patients. Others may make their veterinarians want to pull their hair out! If your diabetic pet is relatively easy to regulate, you can expect that the monthly costs will be anywhere from $50 to $150 per month. If your pet suffers from complications, each complication will add to your tab. Urinary tract infections – which are not uncommon with diabetes – will cost you the exam fee and the cost of a urinalysis and antibiotic, plus a possible urine culture. Owners with large pets will need to pay more for antibiotics than owners with tiny pets.
Insulin and diagnostic tests are likely the biggest costs of diabetes. The size of the pet (therefore how much insulin is used before the bottle is empty or must be discarded), number of complications, and whether the pet is easy or difficult to regulate all affect the cost of diabetes care. Even a client with a well-controlled diabetic pet can expect to run a full blood profile and urinalysis at least annually. The family veterinarian will likely run a glucose curve at least twice yearly. Sometimes veterinarians also choose to run fructosamine blood tests and urine cultures, depending on the situation.
I guess it all comes down to priorities. If finances are tight, I think there are 2 main ways for clients to save money if they have a diabetic pet. They should consider doing the blood glucose curves at home, and they should become very well educated about diabetes. Education is key to preventing mistakes and potentially costly complications of diabetes.
NOTE: Consult your Veterinarian first to make sure my recommendations fit your special health needs.
Do you typically charge to review the blood sugars from a glucose curve done at home? My vet wants to charge 80+ dollars just to review the numbers of my curve I did at home and I find this a little extreme not sure if it’s the norm
Most veterinarians do charge some sort of consult fee for reviewing a curve, but I’m not sure what the typical fee in the average clinic would be. I guess it depends on how long the visit or chat would be and if your sweetie has other issues. I would think an email or phone consultation would be less expensive than an in-clinic visit. Veterinary care has certainly increased since the pandemic.
I really like your article. Do I need a vet prescription to buy the meter and test trips for my old cat.Thanks
Thank you for this information. My 14 y/o cat was diagnosed with diabetes yesterday. The vet told me I can do the curve checks at home or bring to the office, especially if the pet stresses out coming to the vet, which mine does not…but it costs $120 per curve and I am on a fixed income. I am getting conflicting advice on whether to buy a human at-home monitor or one desgined for cats and dogs. What is your recommendation and do you have certain brands that you find are more accurate?
Thanks!
I strongly prefer the alphatrak 2 meter for its ease of use, accuracy and the small sample size needed. Pet meters are more accurate than human meters on pet blood. Do please home test. It will save you money and give you point of care information! Curves are more accurate at home without the potential for stress hyperglycemia from being in the clinic all day.
Are other pet glucometers also acceptable? Like the advocate pet test? You can switch from a dog vs a cat. Thank you!
Yes, the Advocate Pet Test is a very good pet blood glucose meter. It uses the same itty bitty amount of blood that the Alphatrak meter. The Pet Test is in my hands just as “user friendly” as the Alphatrak. The Alphatrak has been widely used in vet clinics for a long time, and your veterinarian is more likely to trust Alphatrak results simply because they probably use an Alphatrak themselves in their vet clinic. Nonetheless, the Pet Test has been around at least a dozen years with a good track record. The Pet Test glucose test strips are certainly more affordable than the Alphatrak test strips. Both the Alphatrak and the Pet Test meters are good pet blood glucose meters and can be used on dogs and cats.
Yes, you can switch between testing for a dog versus a cat with the Pet Test. After inserting the test strip, you simply press the M button to see the dog or cat icon to which ever species you are testing.
My poor 12 year old Golden Retriever was just diagnosed with diabetes, hypothyroidism, and high kidney and liver counts. She is currently staying at the vet to try and get her insulin level down (it was over 700). They managed to get it to 440 and overnight went back up to 770. They said this bill will be anywhere between $600-800 dollars. I’m wondering when it’s the best time to decide she has had enough (she can barely walk, lays around with no energy and just had her female parts removed 6 months ago due to a cancerous tumor)? The vet hasn’t even discussed this option with us and I’m beginning to wonder if it’s just because they want money?
You must chat with your vet about your concerns. It is extremely doubtful that your vet is doing what you fear. Your vet likely feels there’s is a good chance of successful treatment. Additionally, some clients would be offended by such a conversation. Start the discussion. Best to your doggie, Dr Joi
I have had four different vets dealing with my dog’s diabetes. Our family vet finally gave up after months of trying to regulate him. I took to another vet who said she specialized in diabetes but really she didn’t–although as a primary vet she was great. We took him to a specialist that she recommended and it was more months of testing and glucose curves (even though I had all of his previous records). Finally we settled on a type insulin that I had been requesting all along and it worked great. Unfortunately we had to move and find a new vet. Knowing he needed a blood glucose curve, I took him in to this new vet. I was shocked when the bill for the BGC was over $250 and they only did three blood draws. I previously paid between $90 and $135 for these types of tests at the other four vets and some of the tests had fix to six draws. There is definitely a value in asking around. I don’t want to short change our pup on care but there’s also a limit to what we can afford. I have tried the at home testing kits with poor success. Maybe it’s just my dog but it was really hard for me to get the sample. The one curve somewhat successfully did at home I had to stop after the fifth draw and I completely skipped one of the times because he was just not having it. I should just man up a bit more I suppose. I honestly don’t know how people who can’t afford medications or doctor visits or who are elderly and can’t give the shots are able to handle all of this.
Did you ever try my sock trick? Put some uncooked rice or uncooked beans in a sock. Maybe 1/4 cup or so. Tie a knot in the sock so the rice or beans are a little ball at the toe of the sock. Yo7 can then put this warm pack into the microwave. You don’t want it hot, just warm. You can hold it against the ear (or whatever body part you are using to get the sample of blood). The warmth causes vasodilation of the blood vessels. This makes collecting blood much easier. Home testing is so much better for you financially.