(NOTICE! It is suggested that you purchase a tube of Nutri-Cal (available at most pet supplies and vet offices) prior to bringing your new puppy home. Giving Nutri-Cal morning and night helps SHIH TZU PUPPIES maintain sugar level during this adjustment period, thus helping control hypoglycemia.)

One of the main things a new owner needs to take precautions against is a new puppy developing hypoglycemia or low blood sugar. Hypoglycemia can occur without much warning and within hours of a puppy going to a new home, missing a meal, or does not eat full meals, gets chilled, overtired or exhausted from too much handling or playing. It occurs more in the toy breeds, but can also occur in larger breeds.

Watch carefully for signs of hypoglycemia (this happens when sugar level drops), and may be caused by stress from being in new environment, too much excitment, and/or not eating properly. Signs of hypoglycemia are: staggering, weakness, vacant stare, depressed affect or mood, sleeping, lethargy, jerky,  shaking head in an unnatural way (actually kinda rolling the neck).  The gums will be very pale white or blue. Teeth may be clamped tightly together. These are all signs this puppy is having a drop in it's sugar

level and if UNTREATED will progress to convulsions, seizures or coma and can be fatal.