Jump to section

What are Diabetes with Ketone Bodies?

Studies show that female dogs (particularly non-spayed) are more prone to DKA, as are older canines. Diabetic ketoacidosis is best classified through the presence of ketones that exist in the liver, which are directly correlated to the lack of insulin being produced in the body. This is a very serious complication, requiring immediate veterinary intervention. Although a number of dogs can be affected mildly, the majority are very ill. Some dogs will not recover despite treatment, and concurrent disease has been documented in 70% of canines diagnosed with DKA.

Diabetes with ketone bodies is also described in veterinary terms as diabetic ketoacidosis or DKA. It is a severe complication of diabetes mellitus. Excess ketone bodies result in acidosis and electrolyte abnormalities, which can lead to a crisis situation for your dog. If left in an untreated state, this condition can and will be fatal.

Diabetes with Ketone Bodies Average Cost

From 12 quotes ranging from $300 - $4,500

Average Cost

$3,000

Symptoms of Diabetes with Ketone Bodies in Dogs

Some dogs who are suffering from diabetic ketoacidosis may present as systemically well. Others will show severe illness. Symptoms may be seen as listed below:

  • Change in appetite (either increase or decrease)
  • Increased thirst
  • Frequent urination
  • Vomiting
  • Abdominal pain
  • Mental dullness
  • Coughing
  • Fatigue or weakness
  • Weight loss
  • Sometimes sweet smelling breath is evident
  • Slow, deep respiration.

There may also be other symptoms present that accompany diseases that can trigger DKA, such as hypothyroidism or Cushing’s disease.

arrow-up-icon

Top

Causes of Diabetes with Ketone Bodies in Dogs

While some dogs may live fairly normal lives with this condition before it is diagnosed, most canines who become sick will do so within a week of the start of the illness. There are four influences that can bring on DKA:

  • Fasting
  • Insulin deficiency as a result of unknown and untreated diabetes, or insulin deficiency due to an underlying disease that in turn exacerbates the illness because there is an inadequate amount of insulin being taken
  • Dehydration
  • Stress hormone levels increasing (i.e. cortisol and glucagon).

It is important to note that concurrent diseases are a factor in DKA as well. Studies show the most common coexisting illnesses are hyperadrenocorticism, bacterial urinary tract infection, and pancreatitis.

arrow-up-icon

Top

Diagnosis of Diabetes with Ketone Bodies in Dogs

Prompt and aggressive treatment is necessary for untreated cases of DKA due to the variety of complications that result from untreated cases. The veterinarian will use various methods to diagnose diabetes with ketones, starting with a complete history of findings as described by you. It is important to relay all symptoms and behavioral characteristics seen of late.

Whether your pet has already been diagnosed with diabetes will be an important consideration for the veterinarian as well. Checking for ketones involves a standard urinalysis. A urine culture is a relevant tool also because urinary tract infections are very common in patients who have DKA.

A thorough blood analysis is essential. The veterinarian will verify if there are reduced serum bicarbonate concentrations and elevated serum glucose concentrations, and check the serum kidney values, pancreatic enzyme measurements, and electrolyte levels. The measurements of venous carbon dioxide and blood gas elevation will be taken.

A liver function test is likely, as is a chest x-ray and an abdominal ultrasound. The veterinarian will listen for a heart murmur and unusual lung sounds. She may find skin abnormalities or cataracts, both common signs of DKA.

arrow-up-icon

Top

Treatment of Diabetes with Ketone Bodies in Dogs

The treatment of mild diabetes with ketone bodies will vary from the treatment of a severe case. Often, dogs who have a serious crisis as a result of the ketones will be very ill, and in many instances near death.

A dog who appears healthy or has minimal symptoms can present with high serum glucose and ketones in the urine. Often, the treatment for mild DKA is regular insulin therapy in the form of injections of short-acting insulin to get the serum glucose levels back in order. This may take a few days, but the prognosis is good.

When treating severe DKA, veterinarians must take a more aggressive approach. Of utmost importance is diagnosing and treating any underlying cause that may be adding to the crisis. Dogs in an emergency situation will be hospitalized, generally for a period of five to six days. Aggressive treatment will commence with intravenous fluids, which have been shown to bring rapid improvement to the condition of dogs suffering from DKA. Balancing the electrolyte levels is the second, very important step. Phosphate and potassium supplements are given. The veterinarian may choose to give bicarbonate to correct acid based upset.

Glucose levels will be adjusted gradually. Regular crystalline insulin, which is the shortest acting form, will be given either by injection or intravenously. Administration by intravenous is the chosen method for canines in critical condition. The blood glucose will be measured every two to four hours at treatment onset. The veterinarian will monitor your pet carefully because complications like hypoglycemia, brain swelling, and anemia can occur. Once your dog is stabilized, a longer acting insulin will be given.

Antibiotics may be given to treat infection, even if not yet identified. Drugs may be given to encourage urine volume, with a catheter inserted in order to track more easily urine production. Vital signs will be carefully audited, and often an electrocardiogram is done.

arrow-up-icon

Top

Recovery of Diabetes with Ketone Bodies in Dogs

The prognosis for DKA is good, but, of course, depends on if an underlying disease is present and can be treated successfully. It has been reported that many dogs hospitalized with this condition will be able to go home and enjoy a productive life. It must be noted that 70% of dogs have been known to have a recurrence. Therefore, watching for signs of trouble must be part of your pet care regimen. Checking of insulin levels, and communication with your veterinarian on a regular basis will be advised. Your dog should be on a low-fat diet, with high levels of fiber and complex carbohydrates.

arrow-up-icon

Top

*Wag! may collect a share of sales or other compensation from the links on this page. Items are sold by the retailer, not Wag!.

Diabetes with Ketone Bodies Average Cost

From 12 quotes ranging from $300 - $4,500

Average Cost

$3,000

arrow-up-icon

Top

Diabetes with Ketone Bodies Questions and Advice from Veterinary Professionals

Need pet health advice? Ask a vet

question-icon-cta

Ask a Vet

dog-name-icon

Ms.Coco Bean

dog-breed-icon

Cockapoo

dog-age-icon

12 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

thumbs-up-icon

1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

Has Symptoms

Orange Urine
Bile In Urine

Coco was diagnosed with Diabetes Mellitus a little over 2 years ago. When the diagnosis was presented and the diet and medication protocol given I did everything both vets recommended. I was very blessed to have one Integtative Vet outside of Milwaukee and the other in Neenah WI. They actually went to medical school together so they shared information, so my situation was very unique onto itself. I can’t stress enough to find an alternative practice. Anyway, she was fine on Saturday and ate like usual. Sunday she was trembling and kept quiet and slept through the day, but ate well and I administered her raw protein diet along with her medication as I have been doing for the past two years exactly 12 hours apart. Monday however was a completely different shift. She was trembling and didn’t want to eat. I looked at her nose and it was dry, symptoms of dehydration. I did administer her shot and hand fed her to get the energy to balance her insulin and she promptly threw up her food 15 minutes later. I took her into the vet and after assessing the situation, she gave me the diagnosis which included bike in the urine, hence the orange color. Three hours later I was walking into the vet clinic to lay her to rest. To give you an idea of how absolutely sick she was, and how I made the correct decision, she fell asleep as they were giving the sedative and as they were giving the medication her heart stopped | in approximately 2 seconds before they finished giving it to her. My question to the doctors is: Was the bile in the urine the trigger to begin the process of Ketoacidosis developing in my Ms. Coco Bean

May 26, 2018

Ms.Coco Bean's Owner


answer-icon

Dr. Michele K. DVM

recommendation-ribbon

1611 Recommendations

I"m sorry for your loss of Coco Bean. That is very sad. Bilirubin in the urine is typically a sign of liver disease, and it may not have been at all related to her diabetes. Without knowing more about her, I have a hard time commenting on what may have happened, but if you are not sure, a phone call to your veterinarian will allow them to more fully explain what they think happened. Again, I am very sorry for your loss.

May 26, 2018

Thank you. I do have a call into my local Veternarian regarding this situation. I know I read that sometimes, a stressful event such as liver disease can cause the trigger of Ketoacidosis. It came upon her very quickly. Again, every situation is unique to itself.

May 27, 2018

Ms.Coco Bean's Owner

Was this experience helpful?

dog-name-icon

Oliver

dog-breed-icon

Dachsund Beagle mix

dog-age-icon

10 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Fair severity

thumbs-up-icon

3 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Fair severity

Has Symptoms

Trace Ketones In Bloodwork

I got Oliver 2 years ago. He was already diagnosed with diabetes. He's a strange case though. His blood sugar has always been high. Even with novolin n insulin every 12 hours, his curve starts at 500, scoops down to 150-200 at the 6 hour mark and moves back up to 500. It was far worse before we got his hypothyroidism treated if you can believe it. Even when he was over 600 BG for a month or two while tests were being done, he never showed ketones in his urine. At his 12 hour curve on this past Friday though, his numbers started at 510 and were done every two hours 399,447,139,313,581,587. His urinalysis that day also showed trace ketones. I used my keto-diastix urine strips yesterday to verify and the shade of the testing area never went above trace either. I also looked back at his history and in late 2016 trace ketones were detected and I was never even told. He has had two clean urine tests since then. His urinalysis in late 2017 had no ketones either. His complete blood panel also done on Friday shows no abnormalities, he has no urinary infections--high BG and cholesterol are the only stand outs beyond the trace ketones. The vet is now saying if he has trace ketones in a week, I need to do x-rays and ultrasounds. It's making me panic. What would those tests be done to show? Are trace ketones always a sign of impending definite KDA? If he has a weird curve where his numbers are high at points and he can only eat every 12 hours with his insulin--fasting can trigger ketones--is there really a way to avoid having at least small traces of ketones at all times?

May 20, 2018

Oliver's Owner


answer-icon

Dr. Michele K. DVM

recommendation-ribbon

1611 Recommendations

If Oliver has trace ketones in his urine, that does indicate that his body is in a ketotic state, and his diabetes is not well controlled. I'm not sure what your veterinarian is looking for with the x-ray, but an ultrasound of his pancreas to see if there are any larger problems going on would be a good idea, since his diabetes is so hard to control. He may respond better to a different insulin, and that might be something to discuss with your veterinarian if it hasn't already been considered. I hope that everything goes well for him, you sound like you are doing a great job taking care of him.

May 20, 2018

I don’t recommend any carbs at all. Pure protein and some fat can help lower the blood sugar numbers. My vet recommended this at the point of my girls diagnosis. I put her on the protein and pure healthy fat and she balanced out for two years.

May 27, 2018

Coco M.


Thank you. I appreciate knowing why the ultrasound would be important. As mentioned, Oliver has had trace ketones once before in late 2016--when I wasn't told and thus did nothing--and his body must have righted itself. So does trace ketones usually or mostly lead to KDA though? Finally two thoughts I want to run by you. 1) Oliver's rescue did a bunch of tests and changed his food in September 2017--it is now only 26% carbs. Considering that he's had BG in the 600s without showing ketones in urine, could he simply need to go back to a higher carb food with more insulin? 2) Could only getting food with insulin every 12 hours be triggering his body into a fasting state, thus producing the ketones? I appreciate you!!

May 20, 2018

Oliver's Owner

Was this experience helpful?

dog-name-icon

Pearl

dog-breed-icon

Labrador Retriever

dog-age-icon

13 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

thumbs-up-icon

0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

Acidketosis

Just two days ago I had to make the choice to give my dog a peaceful sendoff. She was 13 yr old lab named pearl.Her symptoms of Dka showed up a week ago. IIt hit her hard. I wish I would have brought her in that day. I'm devastated! ! She was family. Never knew she had diabetes. I keep questioning myself would she be here if I brought her sooner.

May 18, 2018

Pearl's Owner


answer-icon

recommendation-ribbon

3320 Recommendations

It can be difficult for pet owners to decide when the best time to get veterinary advice is since many times pets have good days most of the time with the odd off day, also some pets may be sick but after a car journey to the clinic their firing on all symptoms. However, with diabetic ketoacidosis, the earlier treatment begins the better since it is important to get the glucose under control; whether or not it would have changed the outcome I cannot say. Regards Dr Callum Turner DVM

May 19, 2018

I am a young man of 45 years now and was diagnosed with diabetes last summer. I was having lots of symptom like weak erection, weakness of the body, dry lips and palms, and even restlessness in the legs and shrinking of my general body build ups. My head was itching very much. I was seeking something to help regain my life to be able to do things for myself. Through my primary physician i learnt about a Diabetic disease herbal formula from NATURAL HERBAL GARDENS and their success rate with the treatment, i immediately started on the Diabetes disease herbal protocol, I am glad to report the herbal formula worked effectively and there was no side effects, I had a total decline in symptoms, the weak erection, restlessness and other symptoms stopped, my Diabetes disease is totally REVERSED, Here is a link to the website we ordered from ww w.naturalherbalgardens.c om This Herbal Protocol is Incredible!!

Aug. 9, 2018

Alex B.

Was this experience helpful?

dog-name-icon

Winston

dog-breed-icon

Cockapoo

dog-age-icon

8 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

thumbs-up-icon

0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

Has Symptoms

Frequent Urination
Increased Urination
Breathing Difficulties
Fruity Breath

I have a 8 year old cockapoo. He has lately had excessive thirst and been needing to go to the bathroom constantly. Over the past week or so he started to have accidents in the house. He has never had an accident. His urine is thick, syrupy and sticky. A month ago he had been diagnosed with struvite crystals in his bladder and urethra but with changing his food to the vet approved food and pain meds, the crystals in the urethra passed. I had initially chalked some of these changes to the new food and feeling better, such as drinking more and going to the bathroom more but obviously things changed with further development. I contacted the vet on Friday and took in a Irvine sample in the afternoon, which they informed me tested very high for glucose and they could not confirm without examining him but thought he had diabetes. Fiy- he weighs 15 lbs. they told me to bring him in Monday. Knowing that he wakes us 3-4 times a night for more water or to go to the bathroom. And told me that it’s very expensive and time consuming to care for a diabetic dog. And that I would want to consider that. As the weekend has progressed he now has a very strong odor to him. It’s sweet fruity, slightly off. Is this possibly Keto? Are all dogs usually hospitalized when first diagnosed? If keto, how concerning is it that he’s not seen until Monday? If he isn’t, what should we watch for? Thank you for your assistance.

April 7, 2018

Winston's Owner


answer-icon

Dr. Michele K. DVM

recommendation-ribbon

1611 Recommendations

Diabetic dogs can quickly become ketoacidotic as their body tissues digest themselves as an energy source. Diabetes is not a disease to put off and treat later, and if he has become ketotic, he will need to be hospitalized until he is stable. I would not wait until Monday, but would find an open 24 hour clinic near you tonight or tomorrow to start therapy. I hope that he is okay.

April 7, 2018

I found way myself to save money. With careful administering, using gloves and keeping the vial sterile, her Humilin N lasted 3 months. I also gave her Gymnea and Corn Silk and that protected her pancreas. In the end, it wasn’t an inflamed Pancreas but her liver. Please do the research, the only thing you need to be right on about is being exactly on time every 12 hours, everyday. You can’t be late at required feeding times. I thought that Humilin N was a very excellent medication that my doctors chose. She never went blind and I was grateful for that. I was able to be with her as I worked from home but being able to put your baby in a kennel while out gives the pet an opportunity to rest and gives you the opportunity to catch a break. I also did frequent full blood curves which saved me money. Learning to do it really helped me be more in control of her health. I developed a bond between her and I as well as the vet. It was a labor of love and with these tips able to have her significantly longer than projected. It was hard work but I don’t regret any minute of caretaking.

May 27, 2018

Coco M.

Was this experience helpful?

dog-name-icon

GizzieLee

dog-breed-icon

Dachshund

dog-age-icon

11 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

thumbs-up-icon

1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

My dachshund started with a cough and vomiting. Put her on cough syrup, she got worse and I took her in, they said it was asthma and would let me know about medicine. She was truly sick all night, we were at the vets waiting for it to open next morning after asthma diagnosis. Once they diagnosed DKA how long of a delay until the first insulin is given? They refused any medication until I went to bank, I had 300 on me but they wanted 400. I figured out the money without leaving the office still they gave her no insulin. They kept her there and now I have no dog. If she had quicker insulin is there a possibility of her being alive now? How much of delay is normal for first insulin dose on newly diagnosed diabetes and DKA? Her glucose was over 575. Thank you for any help you can provide.

April 1, 2018

GizzieLee's Owner


answer-icon

recommendation-ribbon

3320 Recommendations

There is no real acceptable delay, when blood glucose is elevated action should be taken to bring it down to a reasonable level; however there may be some other rationale for delaying treatment which I don’t know about. Diabetic ketoacidosis is a severe condition and it is difficult to determine whether treatment would have been effective if given at the time of diagnosis. Regards Dr Callum Turner DVM

April 2, 2018

I am a young man of 45 years now and was diagnosed with diabetes last summer. I was having lots of symptom like weak erection, weakness of the body, dry lips and palms, and even restlessness in the legs and shrinking of my general body build ups. My head was itching very much. I was seeking something to help regain my life to be able to do things for myself. Through my primary physician i learnt about a Diabetic disease herbal formula from NATURAL HERBAL GARDENS and their success rate with the treatment, i immediately started on the Diabetes disease herbal protocol, I am glad to report the herbal formula worked effectively and there was no side effects, I had a total decline in symptoms, the weak erection, restlessness and other symptoms stopped, my Diabetes disease is totally REVERSED, Here is a link to the website we ordered from ww w.naturalherbalgardens.c om This Herbal Protocol is Incredible!!

Aug. 9, 2018

Alex B.


I was diabetic for 13 years and was taking metformin 1000 mg twice daily. Last A1C was 15. My symptoms have always been stomach and bowels. I am a 54 year old male. the metformin wasn’t really working so this year, our family doctor started me on Natural Herbal Gardens Diabetes Disease Herbal mixture, With the help of Natural Herbal Garden natural herbs I have been able to reverse my symptoms using herbs, my symptoms totally declined over a 7 weeks use of the Natural Herbal Gardens Diabetes disease natural herbal formula. My diabetes is totally reversed! Visit their website www . naturalherbalgardens . com I am thankful to nature

July 17, 2018

James M.


Thank you so much, I feel a little better. The reason for the delay is because they wanted a deposit on the coming hospital stay of 400, I had 300 on me, not enough to give her insulin I guess. I appreciate your answer, I have almost worn google out searching but have no medical background. Her urn comes home today, maybe I can handle it better when shes home.

April 2, 2018

GizzieLee's Owner

Was this experience helpful?

dog-name-icon

Daisy

dog-breed-icon

Maltese x

dog-age-icon

8 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

thumbs-up-icon

1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

Polyuria
Elevated Bilirubin
Polydypsia

Hi, I would really appreciate if any vets could weigh in on this. Our little Maltese Daisy is 8 years old, and currently being hospitalized for DKA. We had no idea she had any issues with sugar, and when we tested it last December there weren’t any concerns. She has been struggling with chronic skin infections, and our vet has been suspecting an underlining cushings, even though she doesn’t present with too obvious of signs. Daisy’s sugars are coming down, however she does have an elevated bilirubin and liver labs in general. They will be doing an ultrasound today to see what is going on with her abdomen. I want to know, what are her chances of a good recovery without very long hospitalizations and further surgeries etc? We love her so much, and she’s more than just a pet to us, we would do anything for her if she can have more quality years with us! But there comes a point when vet bills are through the roof, and it’s hard to know if we are doing her any favors, or if this will just repeat in a short while again. What is your honest, and expert opinion on this? It sounds like dogs don’t do too well with a DKA based on everyone’s else’s experiences.

dog-name-icon

Bruce

dog-breed-icon

Alaskan Malamute

dog-age-icon

5 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

thumbs-up-icon

0 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Serious severity

Has Symptoms

Lethargic
Lethargic Excessive Urination
Lethargic Excessive Urination And Thirst

So my dog is critical having all same symptoms as most and it seems like it all started when I started feeding him kibbels and bits then all of the sudden he's diabetic and kio in his urine he's doesn't like the vet and wants to eat everyone in there do you think there's a link between the food and all of the sudden diabetic I am furious ,they just had a recall on the canned food with phenabaratal found in it and I'm not the only one who's dog fell I'll to this food and another woman found a wire in the dry dog food around the same time with same dry food as I was giving Bruce ,I'm thinking someone is trying to kill our animals I'm so furious I could scream and this happened so fast now my other dog is showing signs as well

dog-name-icon

Maddie

dog-breed-icon

Peekapoo

dog-age-icon

11 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

thumbs-up-icon

1 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

Sadness, Weakness And Vomitting

My precious peekapoo Maddie started looking sad last Wednesday, but was eating and drinking fine. Thursday at 12pm she started throwing up. I thought it was a stomach bug. She continued to look weak and throw up thru the night 630am on Friday I had her at the vet. They said she was in Keto acidosis I didn't even know she was diabetic. That night the vet said they did a snap test and she was also battling pancreatitis they would continue with the fluids and hospitalization. We went to visit her Sat and the other vet said we needed to take her to a 24 hour clinic if she were to have a shot. We did just that. When we get there the vet says she is very sick and in pain and gave her less than a 50% chance of survival even after weeks of treatment. He said euthanasia was not the wrong decision. We were devastated that's my baby. I didn't want her in pain she was to good of a baby for that. I asked them to give her pain meds so we could put her to sleep at her local vet where my mom also wanted to be present. They brought her back and she was sleeping from the medicine. On the ride back to the vet she was burning up and breathing very rapid and heavy, but still sleeping. We went to make the turn and my husband was petting her and said I think she just passed. I got out and looked at her and could see my baby was gone. We took her into the vet so we could have her cremated. I am just having such a hard time with this because I never knew she was diabetic, then what if I just left her at the 24 hour clinic for treatment would she have survived then? Why wouldn't her sugar come down even with the insulin and treatment? The vets are not so sure it wasnt a pancreatic tumor or cancer even. I have so much guilt right now though.

dog-name-icon

Biscuit

dog-breed-icon

Puggle

dog-age-icon

9 Years

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

thumbs-up-icon

6 found helpful

pill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filledpill-rating-filled

Critical severity

Has Symptoms

Lethargic, Vomiting, Diareah

On Thursday my dog Biscuit was breathing hard and throwing up his food late at night, but I didn't think too much about it because he always got into our trash and I thought he had just gotten sick because of that. I tried to make an appointment with my vet, but they were booked until 6 days out. I made the appointment because although he had had extreme thirst lately, I just thought it was because he had gained weight. On Friday he looked a little lethargic, but wasn't throwing up anymore and was still moving around. Saturday early in the morning he barked, so my husband went to go check on him and there was bile, throw up, urine and poop all over the floor. My husband took Biscuit outside and he just plopped down on the grass and wouldn't get up even though it was raining on him. At this point my husband raced him to the vet. The vet took his blood and it came back that his GLU was 604 and she said the she knew for sure that he had diabetes and that possibly ketones in his urine. She told my husband that it was going to be a long road, a lot of money and that she would not judge us if we decided to put him to sleep. My husband and I said we would pay whatever we needed to and that we just wanted the vet to take action. She told us she would start Biscuit on an IV and test him also for pancreatitis. She said that he would most likely stay there for 5 days and we could visit him to see how he was doing. We left that morning and came back to bring Biscuit his bed 6 hours later hoping to see him better and not in pain. When we arrived the vet told us that we needed to take Biscuit to a specialty hospital because he had spiked a fever to 105 and it would not come down along with vomiting.She confirmed that he had diabetes and ketones from a urine sample she took. We rushed him to the specialty hospital and after talking to the vet we felt that yes, it would be a long hard road, but Biscuit would recover. An hour later the vet told us that she had found fluid in Biscuit's belly and that when she looked at the sample under the microscope there were many cells that looked abnormal.The specialty vet said that she recommended that we put Biscuit to sleep because he was in a lot of pain already and in unstable condition. Also she said that since he already had diabetes and ketones that having surgery to see what had ruptured in his stomach would slim his chances of surviving the surgery. We made the hard decision, hardest decision either of us has ever had to make, to put him out of pain and put Biscuit to sleep. It all happened so fast that I was shocked when the vet came in with the injection to but him to sleep. As we were putting Biscuit to sleep he was breathing extremely hard, but right before she injected him, he raised his head up as if he knew what was about to happen. Up until that point he had been breathing with his eyes closed. I am in agony of thinking I should have not listened to the vet and went ahead with the surgery to try to save his life. I guess my question is do you think the vet should have tried all that she could have before recommending we put Biscuit to sleep? She had only been with him for an hour before making that call. Did I make the right decision for a puggle that was 9 years old, but just that day had been diagnosed with everything? I am sure that he had diabetes maybe for a while, but how is it that he acted normal up until the day that we mad the decision to put Biscuit to sleep?

Diabetes with Ketone Bodies Average Cost

From 12 quotes ranging from $300 - $4,500

Average Cost

$3,000