Diabetic Alert Dogs: A Preliminary Survey of Current Users

Methods for monitoring blood glucose (BG) levels play many essential roles in diabetes management, and one of the most important is alerting individuals to the occurrence of hypoglycemia. A growing number of individuals with diabetes are turning to the use of Diabetic Alert Dogs (DADs) for hypoglycemia detection, despite their high cost. Testimonials fromDAD owners and trainers have reported in the media that the accuracy of trained canine alerts matches that of BG monitoring technology (1,2) and described other benefits attributed to DADs, including improvements in glycemic control and quality of life (QoL). However, with the exception of one abstract from a case study (3) there is no scientific evidence that confirms the ability of DADs to detect hypoglycemia accurately or to improve clinical outcomes and QoL. We have recently conducted an exploratory study based on a survey of DAD owners from a Virginia-based nonprofit organization, Service Dogs by Warren Retrievers, Inc. (SDWR). To gain information about their clients’ experiences, SDWR conducted an online survey, which was completed by 36 DAD owners—23 parents of children and 13 adultswith type 1diabetes (means/standard deviations of child/adult age 8.4/3.1 and 36.4/14.1, respectively). Data were deidentified by SDWR then sent to the University of Virginia for analysis, and the study was approved as exempt by the University of Virginia Institutional Review Board. Survey items inquired about the accuracy of DAD alerts, as well as frequency of hypoglycemia, diabetes control, and QoL prior to and since DAD placement.