Illness or missed meals can lead to low blood sugar, especially in young toy-breed puppies. Watch for weakness, trembling, unusual sleepiness, or seeming flat and unresponsive.
First-aid steps if you suspect low blood sugar:
- Rub honey, glucose gel or sugar water on the gums and inside the cheek — it absorbs even if they cannot swallow.
- Do not try to manage this at home for long — get the dog to the vet as soon as possible.
- For very young puppies showing weakness or missed meals, do not wait. Phone the vet.
Important: This is first aid only. Low blood sugar in a tiny dog can escalate fast. Always follow up with professional care.