Hypoglycemia, also known as low blood sugar, is a disorder that occurs mainly in small-breed puppies between six and 12 weeks of age. Learn to prevent this disease. It is often precipitated by stress and can occur without warning (if the puppy  is susceptible). It might appear after the puppy misses a meal, chills, becomes exhausted from  playing,  or has a digestive upset. These upsets place an added strain on it’s energy reserves and  bring on the symptoms.

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

If your puppy has any symptoms of hypoglycemia you must act fast. If the puppy is awake, give it  honey 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. Keep puppy warm, don’t let it become chilled. Your Maltese puppy is a house dog and should not be living outdoors.

He has been living with the temperature in the room of 70 to 80 degrees. Prevent attacks by feeding a  high quality kibble diet. We use and recommend Purina PuppyChow Healthy Morsels puppy food. 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 the puppy does not eat, you can give 1/2 teaspoon of honey 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.