September 8, 2025
5 minutes
Rob Hyams
December 30, 2025
8 minutes

When our 14-year-old diabetic dog Parker recently went in for a dental checkup, we expected the usual conversation about plaque, tartar, and maybe a reminder to brush more often. What we didn’t expect was just how much emphasis the vet placed on diabetes and dental health — and how closely the two are connected.
If your dog has diabetes, their teeth and gums aren’t just a “nice to have.” They’re an important part of keeping blood glucose stable and avoiding preventable complications.
Let’s talk about why.
Diabetes affects the body’s ability to fight infection and heal properly. That includes the mouth.
For diabetic dogs, this means:
• Bacteria in the mouth can grow more easily
• Gum inflammation can become more severe
• Infections may develop faster and last longer
• Inflammation can affect blood glucose control
In other words, poor dental health can make diabetes harder to manage, even if insulin dosing and diet are otherwise spot on.
Here’s the part that surprised us most.
Dental disease isn’t just a mouth problem — it’s a chronic source of inflammation. When the body is dealing with ongoing inflammation or infection (like inflamed gums), it releases stress hormones.
Those stress hormones can:
• Push blood glucose higher
• Make insulin seem less effective
• Cause unexpected glucose swings
So if your diabetic dog’s numbers suddenly feel “off,” dental issues can sometimes be part of the puzzle.
Some dogs make dental pain obvious. Others… really don’t.
Keep an eye out for:
• Bad breath (more than normal “dog breath”)
• Red or bleeding gums
• Yellow or brown buildup on teeth
• Dropping food or chewing on one side
• Pawing at the mouth
• Changes in appetite or behaviour
If you notice any of these, it’s worth bringing up — especially for diabetic dogs.
This is a very common (and very reasonable) concern.
The short answer: yes, with planning.
Veterinary dental procedures for diabetic dogs are done all the time, but they require:
• Careful blood glucose management
• Thoughtful timing of insulin and meals
• Pre-anesthetic bloodwork
• Close monitoring before, during, and after the procedure
Your vet may adjust insulin doses temporarily or recommend specific feeding instructions the day of the cleaning.
The key takeaway: don’t avoid dental care because of diabetes. Avoiding it can create bigger problems down the line.
We noticed that the anesthetic costs are higher for diabetic dogs. This is because they have to manage the blood glucose levels during treatment, so it’s more complex for the anesthesiologist, which makes it more expensive.
Professional cleanings matter — but what you do at home matters just as much.
Helpful habits include brushing your dog’s teeth. Even a few times a week helps. Our vet told us that we can use a human toothbrush like you get at a dental visit and some water. You don’t need canine toothpaste. The purpose is to loosen the plaque build up.
Also:
• Using vet-approved dental chews (check suitability for diabetic dogs so low fat, and zero carb if not given at meal times)
• Dental diets or additives recommended by your vet
• Regular mouth checks at home
If brushing feels intimidating, start slow. Even touching the mouth and building tolerance is progress. They recommended we start with the back teeth as they are less sensitive in that part of the mouth.
Parker’s dental visit was a good reminder that diabetes management isn’t just about insulin and numbers.
It’s about:
• Reducing stress on the body
• Preventing hidden sources of inflammation
• Supporting overall health, not just glucose curves
Dental care is one of those areas that’s easy to overlook — until it starts affecting everything else. Having a solid routine can help avoid very expensive dental bills down the road. Having a diabetic dog already comes with extra costs, so a bit of time spent on prevention can save you thousands of dollars.

If you’re early in your diabetes journey, this might feel like one more thing to worry about.
Try to think of dental care as:
• A long-term stability tool
• Something that can make diabetes easier, not harder
• A preventative step, not an emergency one
You don’t have to do everything perfectly right away. Just being aware puts you ahead.
Diabetic dogs can absolutely have healthy mouths — and when they do, managing diabetes often becomes smoother and more predictable.
Parker’s checkup was a good nudge for us, and we hope it’s a helpful nudge for you too.
As always, you’re not alone in figuring this out. One step at a time is more than enough.

We’re a couple of pet owners who’ve learned firsthand what it takes to care for a diabetic dog. When our own dog, Parker, was diagnosed, we were overwhelmed, so we built this site to make things a little clearer for others starting out. Everything here is designed to help you understand, plan, and feel more confident managing your dog’s diabetes.