Which statement best describes the typical long-term management plan for diabetes mellitus in a senior dog?

• A. Diet changes alone without insulin therapy
• B. Diet, insulin therapy, glucose monitoring, and periodic fructosamine testing
• C. Glucose monitoring only
• D. Fructosamine testing alone

Answer: (B)

Long-term management of diabetes mellitus in a senior dog hinges on an integrated plan that includes diet, insulin therapy, glucose monitoring, and periodic fructosamine testing. Diet provides consistent, steady carbohydrate intake to help prevent big glucose swings and supports overall metabolic health. Insulin therapy is usually essential to control blood glucose levels, and the dose is tailored and adjusted over time as the dog's weight or health changes. Regular glucose monitoring, ideally at home, is needed to track daily control, detect hypoglycemia or hyperglycemia, and guide dosing. Periodic fructosamine testing offers a longer-term view of glycemic control over the past two to three weeks, helping refine insulin adjustments when frequent glucose curves aren’t feasible. A plan relying on diet alone won’t control blood sugar; relying on glucose monitoring or fructosamine testing alone won’t provide day-to-day management.