Hypoglycemia 

Hypoglycemia in Puppies
HYPOGLYCEMIA, the medical term for low blood sugar, is the NUMBER ONE cause of DEATH in toy breeds.  Buyers, please read this information CAREFULLY because you can PREVENT a hypoglycemic death. 

Because Hypoglycemia is PREVENTABLE; it is NOT covered on my guarantee.  It is YOUR responsibility as a new puppy owner to READ THIS INFORMATION and become educated on how to properly care for your new Yorkie baby. 

If you are buying a small breed puppy you need to know about the risks of Hypoglycemia. It is always easier to PREVENT than to treat it. Hypoglycemia is a condition where the blood sugar drops to an abnormally low level. This usually occurs when the puppy uses up all it’s stored energy by playing for extended periods of time without resting and having time for it to replenish.

Small puppies and puppies less than 4 to 6 months are more prone to this. They have tiny digestive systems and can only store a little bit of food (which is energy) in their bodies at a single time. Always make sure your puppy is eating, even if only small amounts, around every 3-4 hours.

Too much playing for a long period of time isn’t good for smaller puppies. They tend lose their energy very fast, possibly causing low blood sugar. Small puppies must replenish their energy more frequently than larger puppies! Play with your puppy for short periods at a time, and then let them rest. They need it just like babies. Tiny puppies tire more easily. Sometimes a puppy may play so much that it gets too tired to even eat!! Your puppy must be eating well. If your puppy is not eating his dry puppy food give him can food, cooked liver, baby food WITH meat, or chicken breast (rotisserie chicken). Your puppy can not go hours without eating. It is your responsibility to see that your puppy is getting enough rest and eating several times a day - At least every 4 hours. If your puppy is Not eating good, please contact me 

It is not a good idea to show your new baby off too much and let him/her be handled a lot or travel for long periods with them until they get older. These are babies and must be treated as such. Puppies can sometimes get stressed from leaving their litter mates and the only home they know so don’t be startled if they will not eat right away (see be-prepared section if this happens).
Symptoms of hypoglycemia: (will vary depending on how low and how fast the puppy’s blood sugar level drops)
Lethargy - sleeping too much, Weakness, Head tilting, Restlessness, Trembling, Disorientation, Slow breathing, Convulsions or seizures
Just Be Prepared!!!
Always have something on hand like Nutri-Cal and fits in your purse. You can also warm some bottled water and add a heaping teaspoon of sugar - then mix with cold water for drinking water. 
If your baby is acting strangely or not eating, you should assume it is due to hypoglycemia and treat it accordingly…NO DAMAGE CAN BE DONE BY TREATING POSSIBLE HYPOGLYCEMIA! If your puppy is not hypo, your treatment may raise the blood sugar for a few hours, but if your puppy is hypoglycemic, you just saved its life! If your puppy is only slightly hypo, you can often treat it by immediately feeding your puppy some of its regular food.
If your puppy refuses its regular food or wet food, try offering a food it really enjoys or some treats. Liver, chicken, boiled hamburger, and yes even steak cooked and blended in blender. Your main goal is to get the blood sugar up and eliminate the symptoms of hypoglycemia. You can give your puppy Nutri-Cal 3-5 times a day (1 CC)! Especially first thing in the morning and last thing before bed! Your puppy needs to be watched at all times for symptoms, eating habits, and play/resting habits. 

Syringe Feeding
You will only need to do this if you feel he/she is not eating enough on their own.
Give him/her 6 to 10 CC per feeding or more if needed until he/she is eating on his own again. This need to be done every 3 to 4 hours around the clock. Sometimes the little ones can become stressed transitioning from one home to another. The easiest way to feed him/her with the syringe is in the corner of his mouth, then spreading the teeth apart and give it to him/her slowly so he can swallow. I usually use Royal Canine Baby dog or Hills Prescription canned A & D, nutrical, meat baby food. or whole fat yogurt. Greek Gods whole fat Yogurt with probotics works very good and you can easily draw it up in the syringe to feed them. Just make sure he/she is getting enough to keep them going. Puppy food is the most nutritious and is the best to use. You can also try chicken breast. Just boiled chicken until it is crumbly or hamburger in the microwave until cooked and then “wash” any grease off but running warm water over in a strainer. . 
The nutrical is a must and should be given three to four times a day especially first thing in the morning and right before bedtime. This encourages them to eat and gives lot of vitamins keep the sugar level up. Always keep on hand to use if needed. If your puppy is not eating.... Take the puppy to the vet. Getting a new puppy is like picking up a newborn from the neonatal until. We must care for them as we would a human baby! 
If your pet is severely hypoglycemic, especially if it is lethargic or becomes unconscious, you must give Nutri-Cal or corn syrup immediately - rub on gums if your puppy won’t swallow and get the baby to the vet for a sugar IV. 
Don’t be alarmed by this..BE EDUCATED!! It's all part of having a small puppy, just like a baby.