How to make insulin injections less stressful for you and your dog

The good news is that with practice, patience, and the right approach, injections can become just another part of your routine — quick, calm, and even bonding. 

We were needle novices when Parker became diabetic in the winter of 2023. It’s become as routine as making a cup of coffee in the morning.

Start with your own confidence

Dogs are experts at picking up on our emotions. Most of the time that is a wonderful thing, but If you’re nervous about the shot, your pup may become tense too. 

But cut yourself some slack in the beginning. If you’re like the average pet owner, you’ve never given your pet a needle. It’s unfamiliar and can feel daunting as there are risks.

What we did

• Practice without the needle: rehearse the motions of holding the syringe, lifting the skin, and “pretending” to inject so it feels natural.
• Have everything ready: set up your supplies in the same place every time — syringe, insulin, treats. Familiarity builds confidence. I use the lid of the plastic bento box that stores Parker’s insulin in our fridge as my injection staging area. 
• Stay calm and steady: take a breath before you start. The more relaxed you are, the easier it will be for your dog. I find that holding Parker close to me and showing affection helps both of us.

Create a 'safe injection site'

Most dogs receive insulin injections under the skin (subcutaneous), not directly on top of their back in the scruff but along the side of the chest or belly.

• Rotate injection sites: switching spots helps avoid irritation or scar tissue.
  
• Check the area first: make sure there are no bumps, redness, or soreness where you plan to inject. Also make sure that it’s dry to avoid confusion with a ‘fur shot.’
• Use a gentle pinch: lift a fold of skin to create a tent — it makes the injection smoother and less noticeable.

Make the experience a positive one

For your pup, injections are easier to accept when paired with something enjoyable.

• Use high-value treats: give a small piece of a high-value, high protein treat immediately after the injection.
• Add praise and affection: a calm “good dog” and a cuddle go a long way.
• Stick to routine: same place in your house, same order of steps, same reward — predictability helps your dog relax.

Some dogs even begin to look forward to their “insulin time” because it means treats and attention. After Parker finishes his meal he gets an eye drop and small treat. He waits around for his injection and high-value treat.

Keep the process quick and simple

• Don’t linger: once you’ve prepared the syringe, go ahead with the injection. Drawing it out only adds stress for both of you.
• Dispose safely: use a sharps container for used syringes. Having a system avoids fumbling and frustration.
• Move on immediately: once it’s done, shift focus to something positive — food, a walk, or play. Parker, being an independent terrier, heads to the living room area rug for some post-meal grooming.

If things don’t go smoothly

Even experienced dog parents sometimes have hiccups — maybe your dog pulls away, or you realize you didn’t inject properly. That’s okay. Shot happens. Stay calm. Don’t scold or make a big fuss.

You don’t know if your dog received any insulin and this is not the time to guess. This instance is sometimes called a ‘fur shot.’  It’s safer to discard the needle and not try again.

Giving your dog more insulin than they need could lead to dangerously low blood sugar, coma or even death. It’s that serious. 

Encourage your dog to drink a lot of water to avoid high blood glucose numbers later in the day. They may not feel good as their blood glucose rises, but it’s a safer option that giving too much or an unknown amount of insulin.

It’s get easier

Insulin injections are a big part of life with a diabetic dog, but they don’t have to be a source of stress. With patience, consistency, and lots of positive reinforcement, what begins as an intimidating task can become a simple daily routine — even a moment of connection. For us, insulin time with Parker has shifted from worry to routine, and now it’s just one more way we show him our love and care.