I have a 9 year old pug with diabetes. She takes vetsulin 2x daily--9 units in the morning and 2 units in the evening. She didn't wake up at her usual 5:30 am this morning and when she did wake up, she is very lethargic and has lost control of her balance. She will not eat. My husband gave her the usual 9 units of vetsulin(I don't think he should have). She finally ate some apple sauce but shortly after vomited. Our vet hasn't answered our page(it is sunday)--we live in a rural area with no emergency vet. What should we do? Any advice would be appreciated.

Sorry to hear about your pug in distress. I am a diabetic so will make a comparison. If I woke up lethargic, loss of balance, unfocused, then I would know I was in a hypoglycemic state and my glucose had dropped down to about 3 or so which is not good for a diabetic.

I would be suffering like that because I had not eaten very much the day before, so before a trip to the hospital I would try to bring my sugar back up to a reasonable level by eating an orange, sucking on a hard candy. This would bring me back into focus but not necessarily out of trouble.

I can only assume that your poor pug has not been eating much, therefore his sugar has dropped down to hyperglycemic levels and you did well offering him apple sauce which would give him a jump start. I can't offer advice on what to give him because it may make him ill, any kind of food he likes would be good to offer him to see if he can eat anything again.The vet will probably adjust his insulin to compensate for his bad eating habits just to keep a good balance.

Avoiding hyperglycemic seizures is tantamount.

I hope this helped and I may be shot down by the dog experts here for offering advice but seeing as I am a diabetic, it made sense to reply and help.

Good luck returning your dear pug to a healthy happy dog again.

423hd here is an article on canine diabetes.Canine Diabetes Symptoms Article (http://www.christianet.com/diabetes/caninediabetessymptoms.htm)