25. Equine Metabolic Syndrome Flashcards
(14 cards)
What does EMS stand for?
Equine Metabolic Syndrome
What is EMS?
Insulin dysregulation and increased risk of laminitis
What is HAL?
Hyperinsulinemia associated lameness
-Chronic
-Strech damage to lamellae, slippers, divergent ring
-Regional Adiposity
What are risk factors associated with HAL?
Breed (Iberic, Gaited, Morgan, Mini, Arabian and Warmblood)
Genetics (complex)
Age (>5yr)
Obesity (Regional and general adiposity)
Diet (High NSC)
What are the two main things that decide if you will get disease and what your risk is?
Genetics and Environment
Where does regional adiposity occur?
Crest of neck, shoulder, withers, ribs, lumbar spine, tail head
What are the 3 main types of insulin dysregulation?
- Resting Hyperinsulenemia\
- Postprandial Hyperinsulemia
- Tissue Insulin Resistance
How do you test for each of the 3 types of insulin resistance?
- Bloodwork - see resting insulin
- OST - Oral sugar test or feed meal and take blood 2 hours after (see postparandial) >45
- Give insulin and measure it after (Tissue insulin resistance) >100
What is treatment for EMS?
Adjust diet and exercise
How do you change the diet if the horse is obese or normal?
-Restrict grazing (small, no treat, no graze)
-Low NSC (<10%), hay 1.5% BW
-Check BW e 30d
-Soak hay water 60 min
Slow feeder
Mineral, vitamin, protein with low sugar
What should you do for footcare?
Even if no signs of laminitis
Rads - see baseline
How should you adjust a EMS horses exercise?
None if laminitis
Low intensity on soft surface otherwise
5 x a week
What kind of meds can be used for EMS?
Levothryoxine (weight loss resistance)
Sodium- glucose co transporter (HAL and not responding)
How do you monitor EMS?
Postparandial isnulin - hay, feed, pasture
Test older horses PPID
Monitor laminitis
