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What is hypoglycemia:

Hypoglycemia, Is the medical term for low blood sugar and is a condition in which there is a drastic, sudden drop in the level of blood sugar in your toy puppy. It is a puppy problem most often seen in toy breeds, such as Pomeranians and Papillions. Hypoglycemia is usually brought on by stress or shock in some form. It usually occurs in puppies from 5 weeks to 6 months of age but CAN occur in mature toy breeds when they are subject to STRESS even playing too long or too hard with other dogs, kids, cats, pets, etc. It is most likely caused by the uneven spurts in growth of the internal organs of the puppy, especially the pancreas. The brain will receive incorrect signals from the pancreas and not send out a correct signal for the release of a proper amount of sugar in the bloodstream, especially during times of stress, rough play, long play, hard play, not eating or drinking enough fluids, not getting enough calories.

A hypoglycemic puppy will appear lathargic, looses its balance, falls over when sat up, limp, and lifeless with the gums and tongue usually grayish blue in color. Often the eyes are unfocused and barely open. Temperature will be below normal and the puppy could be shivering and/or trembling in the early stages. As condition worsens, a hypoglycemic puppy either goes into a coma or convulsions. Hypoglycemia is a metabolic disorder and death will result, unless properly DIAGNOSED AND CARED FOR IMMEDIATELY.

Hypoglycemia is usually first triggered by a puppy not eating enough, not getting enough calories, or not being offered palatable or high calorie food, playing too long, too hard or too rough and not getting enough rest. Any significant stress, such as a routine trip to the vet's or change in homes, being left alone, being around strangers, being handled for too long by kids, that occurs in the absence of a recent meal, can cause the blood sugar to drop to dangerously low levels. Because of their tiny size toy puppies cannot eat a lot at one time, and literally run out of fuel quickly. Toy puppies have a fast metabolism.  Puppies should be fed several times a day a high quality high calorie diet. Low environmental temperatures, infections, vaccinations, strenuous exercise such as being "played with" by young children who do not allow  puppy adequate rest time, and inadequate nutrition increase the risk even further. Puppies do not know when it is time to sleep or rest!


1) Over-handling your small puppies and not letting them get enough rest and sleep.  A puppy needs to sleep a lot. Active playing 15 minutes at a stretch not hours and wearing out your little puppy will cause a hypoglycemic attack.

2) A puppy refuses to eat for over a period of 8 hours due to change of home and/or food. You heard that dogs only need to be fed once or twice a day and only feed your puppy once/ twice a day. WRONG!!!  Would you  feed your baby only once or twice a day? please free feed your puppies and poms even as adults, free feed means having a bowl of high calorie food and water accessible to your puppy or adult pom 24/7.

3) Exposure to low temperatures for a period of time.  A puppy will not tolerate a  very low room temperature very well. If you need your house icy cold to be happy there is no place for a puppy in your home.  Puppies cannot put on a sweater or tell you when they are cold.


I am not a veterinarian and this article is intended to prevent hypoglycemia and not to treat it. The treatment I explain is what we use in mild  and or starting cases of hypoglycemia. If the puppy is in the middle of a convulsion or stiff only immediate veterinary help will help your puppy survive. Your puppy will  need intravenous fluids to restore his sugar balance.

The level of the blood sugar must be raised at once and the stress condition treated. Corn Syrup (any brand) must be given and if in late stages of an attack it will usually by force into the mouth on the tung or roof of the mouth, you can give it to the puppy in a dropper mixed with water, brown, or white sugar will due until you can get corn syrup, dip your wet finger into the sugar and rub it on the tongue and roof of the mouth or mix the sugar with water and use a dropper, making sure that your puppy or pom does not choke, doing this several times over a period of 20 min'smore can relieve the first symptoms., if you pom or pom puppy does not respond rush him/her immediately to the vet,   Make sure there is sugar water ( a cup of water with a spoonful of either sugar or corn syrup) available for you puppy for the 1st week after an attack. your puppy should revive within 20 min's -45 min's, but if no signs of improvement occur after 45 min's please rush puppy to the vet at once!

you should get nutri-cal, high-cal,  or nutrastat at any vet or pet store and use it regularly to prevent a hypo glycemic attack up to 6 months of age.  We have had very good results with INSTANT GLUCOSE available for diabetics at your pharmacy. It will reveive your puppy faster then corn syrup and/or NUTRACAL. Again this is  only an advise – only a veterinarian can help a seriously hypoglycemic puppy.

Feeding recommendations for toy puppies at risk for hypoglycemia include: frequent feedings of high-carbohydrate (6-8 times a day), high -protein and/or -fat foods. We prefer IAMS/eukanuba SMALL/TOY BREED PUPPY FOOD or actrium or IAMS HOLLISTIC. corn syrup can be used also on a regular basis along with a small amount of sugar in their daily water. For pups who have had recurrent or prolonged signs, monitoring the urine for ketones with a "dipstick" made for diabetics is helpful, since a return to "ketone negative status" signals a return to normalcy. If these measures don't correct the problem, a trip to the vet is necessary.  Intravenous feedings may be necessary and the vet will need to check the puppy for more serious problems.

Even if this never occurs to your puppy or adult, it is important that you know about this to aid your Vet in diagnosing the problem. This usually affects tiny toy puppies and most of them outgrow this danger by 6 months of age. However, it can happen to tiny Pomeranians and Papillions even as an adult and careful attention must be paid to the diet of any TINY TOY DOG.  It is NEVER enough to only feed your toy dog once a day. please free fed and leave your pom puppy or adults food out at all times. :) if you have any further questions please email me rainbowpoms@gmail.com or call 303-842-8437  thanks>>>