If your dog is vomiting and shaking because of an emotional upset, they'll need some time to calm down. Watch your dog carefully to see if their symptoms subside, continue, or even worsen. Check your dog's gums by pressing them gently with your finger. Unless there's a physical problem, their normal pink color should return within two seconds.
If any other symptoms are present, such as difficulty breathing, changes in the dog’s pulse, or loss of consciousness, there's likely something else wrong. If the vomiting and shaking don't subside within about half an hour or your dog experiences other symptoms, go to the vet immediately.
Diabetes is diagnosed through blood tests and urinalysis. If your dog is diagnosed with diabetes, your veterinarian will discuss treatment and prescribe a home care routine, which will include daily
insulin injections, regular blood glucose readings, a specific diet, and
regular exercise.
If poisoning is suspected, your veterinarian may try to clear the dog’s stomach, depending on the timing. To get a more accurate treatment plan for a specific toxin, your vet may contact poison control.
Lab testing will likely be needed to determine metabolic disease, whether acute or chronic. Your dog will likely be hospitalized to receive fluid therapy and medications, and your veterinarian will advise you on what to expect.