10-year-old boy with diabetes got a dog who monitors his blood-sugar levels

Ten-year-old Eli O’Bryan gets companionship from his canine friend, Einstein, plus a lot more.

The black labrador helps to keep Eli healthy.

Eli was diagnosed at 4 years old with type 1 diabetes, a disease formerly called juvenile diabetes in which the body does not produce insulin.

Einstein is trained as a medical-service dog to detect when Eli’s blood sugar spikes or crashes, and to signal -- with a bark or by placing a paw on Eli -- when Eli and his family need to check his blood-sugar levels.

Before Eli got the dog, he had to wear a sensor that would monitor his blood sugar throughout the day, which he said was awful.

“[The sensor] was stuck in my leg with a giant needle and it hurt so much,” said Eli. “It beeped all the time and it malfunctioned.”

But no longer.

“Now we have Einstein,” Eli said.

PHOTO: Einstein, a Newfoundland that is trained to detect and alert when Eli Nichols blood sugar is spiking or crashing, suits up in his service dog vest. ABC News
Einstein, a Newfoundland that is trained to detect and alert when Eli Nichols' blood sugar is spiking or crashing, suits up in his service dog vest.

A living dog over a technological device

The sensor Eli wore before Einstein was not only uncomfortable, it interrupted his education, sometimes beeping as many 12 times a day during school.

“He wore a pump all the time, he wore a sensor all the time," Amy O’Bryan, Eli’s mother, told ABC News. "We tracked him with an app through his sensor because he's so brittle that he has to be constantly monitored for him to stay functioning.”

PHOTO: Eli Nichols hugs his dog, Einstein, who is trained to detect and alert when Elis blood sugar is spiking or crashing, in Arlington, Tenn. ABC News
Eli Nichols hugs his dog, Einstein, who is trained to detect and alert when Eli's blood sugar is spiking or crashing, in Arlington, Tenn.

But one of the worst things about the sensor is that it gave Eli more control over his blood-sugar levels, which meant he could hurt himself.

A mother's fear

“The scariest for Eli is when he was in fourth grade, he very calmly told me that he didn't want to live anymore,” O'Bryan said. “And to hear that as a mom and for him to be so casual about it, it was just matter of fact.”

Amy feared that Eli could harm himself with the devices and medicine he used to maintain his blood-sugar levels.

So she sought an alternative.

"That's really what started our journey with Einstein," O'Bryan said. "Not only was he suicidal, but he also wore a device on him 24-7 that would have made it very easy for him to end his life."

Amy reached out to CARES Inc., a non-profit based in Concordia, Kansas, that trains service dogs.

PHOTO: Eli Nichols tests his blood sugar with a meter besides his medical service dog, Einstein. ABC News
Eli Nichols tests his blood sugar with a meter besides his medical service dog, Einstein.

The organization works with a prison system that uses the dog training as a work program for the prisoners. And then, the dogs are sent to families to get used to being in a home and school setting.

A dog’s expert nose is what allows Einstein to be trained to pick up on Eli’s blood-sugar changes.

“They say it's actually one of the hardest things to train a dog to do because it's not a constant smell,” said Amy.

The waiting list for dogs from the organization is so long that Eli's family had to wait almost three years from when his mother first inquired before he was approved to get a dog. Even then, it wasn’t a guarantee.

“Eli has to certify that he can handle him in public,” explained Amy about the process of getting to keep Einstein after a week of training and bonding at the Kansas organization. “They have to show that they can handle them in restaurants or social situations …[Eli] was really nervous, ... we didn't want to leave without Einstein from Kansas.”

Eli and Einstein now

In October 2017, the O’Bryan family welcomed Einstein into their home, and Amy considers him another one of her children now.

“It helps having a dog,” said Eli. “Just in general, even if it's not a service dog. Just feels like having a best friend.”

PHOTO: Eli Nichols takes his medical service dog, Einstein, to school with him every day in Arlington, Tenn. ABC News
Eli Nichols takes his medical service dog, Einstein, to school with him every day in Arlington, Tenn.

Now, Einstein goes with Eli almost everywhere from school to band practice. The lab knows when it is time to be serious and work, but when the vest comes off, Einstein acts like the 2-year-old pup that he is.

”It's greatly impacted our life,” said Amy. “Just his quality of life, that he doesn't have to wear the sensor, I think it's helped me be more confident that Eli is independent and he can handle it.”