HYPOGLYCEMIA or low blood sugar is a possible problem with all toy breeds; especially as puppies but even into adulthood this must be closely monitored. The smaller the dog, the higher the chance for it to get low blood sugar for the simple fact that they do not carry enough “energy” on their tiny frame to sustain them for long time spans. It is absolutely imperative that owners of toy breeds vigilantly monitor food intake on a daily basis. As a small puppy, they need to eat at least 1-2 tablespoons of food every 3-4 hours. In addition to food, they must have a fingertip full of nutrical every 3-4 hours, ideally between feedings but most importantly, last thing before bedtime and first thing in the morning. If you ever find your puppy acting lethargic, tipping his head to one side, wobbling, or even to the point of seizing, YOU DO NOT HAVE TIME TO TAKE HIM TO THE VET, YOU MUST GET NUTRI-CAL DOWN HIM/HER IMMEDIATELY. Wait 5 minutes, then give another finger tip full. Wait 10 minutes, another, and so on until he/she is alert enough to eat solid food. Then get solid food down him/her immediately. Vets unfamiliar with toy breeds often mis-diagnos the condition so it is important to recognize the symptoms and be prepared to treat it. Please keep a tube of Nutri-cal on hand at all times. We do not recommend for our tiniest puppies to be left alone for long lengths of time. Sometimes a puppy/dog will refuse food even when left out for them. It’s best if a caretaker can be with the puppy so they can monitor food intake.