HYPOGLYCEMIA
HYPOGLYCEMIA (Low Blood Sugar)  THIS IS A CENTRAL NERVOUS SYSTEM DISORDER, CAUSED
BY LOW  BLOOD SUGAR.  IT OCCURS MAINLY IN TOY BREEDS BETWEEN SIX AND TWELVE
WEEKS OF AGE.  OFTEN IS PRECIPITATED BY STRESS.  THE FIRST SIGNS ARE LISTLESSNESS
AND DEPRESSION.  THEY ARE FOLLOWED BY MUSCULAR WEAKNESS, VOMITING OR DIARRHEA,
TREMORS (ESPECIALLY IN THE FACIAL MUSCLES), AND LATER CONVULSIONS, COMA AND
DEATH.  THE ENTRIE SEQUENCE IS NOT ALWAYS SEEN.  THE SMALL PUPPY MY SIMPLY APPEAR
TO BE DEPRESSED OR HE MAY BE WEAR, WOBBLY AND JERKY; OR HE 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 A PUPPY MISSES A MEAL, CHILLS,
BECOMES EXHAUSTED FROM TOO MUCH PLAYING, OR HAS A DIGESTIVE UPSET.  THESE
UPSETS PLACE AN ADDED STRAIN ON THE ENERGY RESERVES OF THE LIVER AND BRING ON
SYMPTOMS, IF THE PUPPY IS SUSCEPTIBLE.  TREATMENT:  TREATMENT IS DIRECTED TO
RESTORING BLOOD LEVELS OF GLUCOSE.  BEGIN AT ONCE.  PROLONGED OR REPEATED
ATTACKS COULD CAUSE PERMANENT DAMAGE TO THE BRAIN.  IF THE PUPPY IS AWAKE, GIVE
HIM KARO SYRUP, HONEY OR SUGAR IN WATER BY MOUTH. *NUTRA-CAL AND NUTRA-STAT ARE
GOOD FOR THIS ALSO.  IT IS A GOOD IDEA TO KEEP A TUBE OF THIS ON HAND.  HE WILL BEGIN
TO IMPROVE WITHIN 30 MINUTES.  WHEN HE IS UNCONSCIOUS, IT WILL BE NECESSARY TO GIVE
HIM A DEXTROSE SOLUTION INTRAVENOUSLY.  IT MAY BE NECESSARY TO TREAT FOR
SWELLING OF THE BRAIN.  A VETERINARIAN SHOULD BE CALLED ONCE, REGARDLESS IF THE
PUPPY IS AWAKE OR UNCONSCIOUS.  PREVENT RECURRENT ATTACKS BY FEEDING A HIGH
QUALITY FOOD DIET AND ADDING TO IT SUGAR, SYRUP, HONEY, *NUTRA-CAL OR *NUTRA-STAT.  
SEE THAT THE PUPPY EATS AT LEAST EVERY 4 HOURS AND RECEIVES  DAILY VITAMINS.
OWNERS OF TOY PUPPIES SHOULD NOT OVER TIRE THEM OR ALLOW THEM TO CHILL.  PLAY
TIME SHOULD BE CONTROLLED AND LIMITED TO PREVENT UNDUE STRESS AND TIRING.  
HYPOGLYCEMIA MUST BE OFFSET BY FREQUENT FEEDINGS.  A PUPPY, WHO DOES NOT EAT
FREQUENTLY, FOR WHATEVER REASON, IS HEADING FOR TROUBLE.  *My added information  
Source:  DOG OWNERS HOME VETERINARY HANDBOOK                 DR. DELBERT G. CARLSON,
D.V.M.                 DR. JAMES M. GRIFFIN, D.V.M.