Hypoglycemia, (low blood sugar), is a disorder that occurs mainly in small
Breed puppies between six and twelve weeks of age. It is often brought on by over activity or stress and can occur without warning. It might appear after the puppy misses a meal, becomes exhausted from playing, or has a digestive upset. These upsets place an added strain on its energy reserves and bring on the symptoms.

Hypoglycemia is a real threat to these tiny puppies. Watch for your puppy
becoming tired or droopy. The first signs are those of listlessness and
depression. The puppy may appear weak, wobbly or jerky.  They are followed by muscular weakness, tremors, and later convulsions, coma and even death.

If your puppy has any symptoms of hypoglycemia you must act fast. If the puppy is awake, give it Nutrical, or Karo syrup by mouth.  You should see signs of improvement in thirty minutes.  If no improvement, then call your veterinarian.  If the puppy is unconscious it should be taken to the veterinarian at once.

Prevent Hypoglycemia from happening by allowing only twenty minutes of play at a time, followed by rest or sleep.  Do not allow the puppy to overtire at first.  Supervise closely with children to make sure puppy is getting enough rest and child is playing gently with the new puppy.  We strongly urge no traveling for a few weeks after bringing puppy home.  Keep puppy warm, don't let it become chilled.  Your puppy is a house dog and should not be living outdoors. He has been living with the temperature in the room of 75 to 80 degrees. 

Prevent attacks by feeding a high quality kibble diet.  We use and
recommend Diamond Naturals Small Breed puppy food.  The only place you can purchase Diamond Naturals Small Breed puppy food is at a feed store or a tractor supply store.  See that puppy eats at least every six hours and more often if he is very small.  Keep dry food and water available at all times. If puppy does not eat, you can mix warm water with the Diamond Naturals Small Breed puppy to encourage it to eat. You can give 1/2 teaspoon of Nutrical or syrup morning and night for the first couple of days to help prevent the low blood sugar that can come with the excitement and stress of going to a new home.