Diabetes in dogs: treatment cost and insurance

Lifelong insulin, monitoring and diet; cost per year.

Samoyed

What diabetes costs to treat

Treatment for diabetes typically runs $1,500 to $5,000 per episode in the US[1]. Where your bill lands depends on how advanced it is when diagnosed, whether it needs surgery or a specialist, and local vet prices.

What will it cost for your dog?

Pick your breed, age and ZIP code to see the estimated monthly price from the insurers we compare.

Model updated Sep 2026 · No phone calls · Independent

Does pet insurance cover diabetes?

All 8 insurers we compare cover hereditary and congenital conditions, as long as it is not pre-existing: if your dog showed signs before the policy started, or during the waiting period, it will be excluded. The practical rule is to enroll before any symptoms appear.

Diabetes usually needs care for the rest of the dog's life, so the cost repeats every year. Look at how the deductible works: most insurers apply it once a year, while Trupanion uses a deductible per condition, paid once for the dog's life for that condition. Some plans also cap how much they pay for a single condition, so read the limits section.

Compared by insurer: Pet insurance deductibles explained · How to switch pet insurance

What you would pay on a diabetes bill

With an 80% reimbursement plan and a $250 deductible not yet used this year:

Vet billInsurer paysYou payYou pay, uninsured
$1,500$1,000$500$1,500
$3,300$2,440$860$3,300
$5,000$3,800$1,200$5,000

Assumes the condition is covered and the bill is within the annual limit. How deductibles and reimbursement work.

Costs updated Sep 2026 · Where these numbers come from

Check how this applies to your breed

Breeds most at risk of diabetes

Most at risk first. Each breed page has its estimated premium and insurers.

Illness waiting periods, shortest first

A diabetes diagnosis during the waiting period counts as pre-existing, so this is how long you are exposed after buying.

Questions about diabetes and insurance

How much does diabetes treatment cost?

Typically $1,500 to $5,000 per episode in the US, before insurance.

Can I insure a dog that already has diabetes?

You can buy a policy, but diabetes itself will be excluded as pre-existing. It still covers new, unrelated accidents and illnesses. How pre-existing conditions work.

Which breeds get diabetes most?

Among the breeds we cover: Samoyed, Australian Terrier.

Pre-existing condition. Anything diagnosed or showing symptoms before coverage starts or during the waiting period. No insurer we list covers it. More in the glossaryWaiting period. How long after the policy starts before accidents, and then illnesses, are covered. Anything that begins during the wait is excluded. More in the glossaryReimbursement. The share of an eligible vet bill the insurer pays back after your deductible. At 80%, a $1,000 covered bill returns $800. More in the glossaryDeductible. What you pay yourself before the insurer starts paying. Most reset every policy year; some insurers charge it once per condition. More in the glossaryHereditary and congenital. Conditions a dog inherits or is born with, like hip dysplasia. Covered only if they were not diagnosed or showing signs before you enrolled. More in the glossaryOrthopedic waiting period. A longer waiting period some insurers apply specifically to joint and ligament conditions, such as cruciate ligament tears, often around six months. More in the glossaryAnnual limit. The most the policy pays in one policy year. "Unlimited" means there is no yearly cap. More in the glossary

Sources

  1. Diabetes Mellitus. Embrace Pet Insurance, 2021.
  2. Health Issue - Metabolic System. Samoyed Club of America.
  3. Australian Terrier. VCA Animal Hospitals.

How we choose and check sources: Sources we use.

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