 
 What is Hypoglycemia? 
Hypoglycemia (low blood sugar)  occurs mainly in toy breeds between six and twelve weeks of age.   Often it is precipitated by stress.   The first sign are those of listlessness, wobbling, glassy eyed,  depression and vomiting.   They are followed by muscular weakness, tremors (especially in the facial  muscles) and later convulsions, coma and death.   The entire sequence is not always seen, the dog may appear to be  depressed or may be weak, wobbly and jerky; or the puppy may be found in a  coma.   Hypoglycemia can occur without warning when a puppy is placed in a new  home or while being shipped.   It might appear after puppy missed a meal, chills, becomes exhausted from  too much playing or has a digestive upset.   These upset's place an added strain on the energy reserves of the liver  and bring on symptoms (if the dog is susceptible). 
Treatment
Treatment is directed at restoring blood  sugar levels of glucose.   Begin at once.   Prolong or repeated attacks can cause permanent damage to the brain.   If puppy is unconscious, place a dab, about 1/4" of NutriCal on their tongue and  hold their mouth closed for 1 minute. Use ONLY NurtriCal. The sugar  in this product will enter the blood stream through the veins in the  mouth.  Wrap the puppy in a warm  blanket and immediately take to the nearest vet or an after hours  emergency veterinarian hospital where an intravenous solution of dextrose can be  started.
Preventing recurrent attacks
Feed puppy a high quality kibble  diet.   I like lamb or chicken as it is easier for them to digest.   If your puppy isn't eating dry food, a good quality canned puppy food would be  suggested.  See that puppy eats at least every 4 hours.   If puppy skips a meal, give 1 tsp or 1" of Nutri-Cal in place of  meal.   Offer 1/4c whole milk a couple of times a day between meals. Do not let  your puppy become chilled or overtired.   Provide a quite area for naps throughout the day.
Anytime you have to take your  puppy to a vet for other than routine exams, I ask that you please call and tell  me what is going on. I am not a vet, but I have been watching every move your  puppy has made since birth and there is a good chance I can help.  
Remember, I am always just a phone call away. If you need me, don't hesitate to call anytime of day or night. When you get your puppy, I will also give you my cell
All those pictures are from my own puppies.
Alejandra Esquinca
 
 
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