Insulin-secreting beta cell neoplasia in a 10-year-old dog

A 10-year-old collie-cross presented with intermittent episodes of pelvic limb weakness and collapse. Hypoglycemia, secondary to an insulin-secreting beta cell tumor, was suspected on the basis of clinical signs and serum biochemistry. Conservative dietary therapy consisted of multiple small meals, limited exercise, and avoidance of foods containing simple sugars.