Because most horses with EMS are overweight, the mainstay of treatment involves management changes that promote weight loss. These include reducing overall calorie intake, dietary sugar restriction, and increased exercise. Typically, grain and pasture grazing are eliminated during the initial weight loss phase.
How do you treat a horse with equine metabolic syndrome?
Equine metabolic syndrome is treated with dietary management in the form of non-structural carbohydrate (NSC) restriction, restriction of total calorie intake, and a reduction (grazing muzzle) or elimination of pasture access.
Would you treat a horse with EMS with insulin?
(Insulin dysregulation syndrome)
Insulin dysregulation, the abnormal insulin response to oral or IV glucose and other hexose sugars, is the hallmark of EMS, and maintaining normal insulin concentrations in response to meals is the primary goal when treating a horse with EMS.
Can you ride a horse with EMS?
Exercise significantly improves the uptake of glucose by muscles and decreases blood sugar levels. However, exercise can be limited in horses with EMS if they have acute or chronic active laminitis.
What do you feed a horse with EMS?
Horses and ponies with EMS do not need large amounts of a concentrate feed but they still require a fully balanced diet to support health and well-being. Feeding a low intake, low calorie, protein, vitamin and mineral balancer is ideal.
How do you tell if your horse has EMS?
Horses that have developed EMS will carry bulges of fat, normally around the crest, shoulders, sheath (for males), and the rump. They may have abnormal fat deposits too, such as in the hollow above the eyes or a cresty neck. Other signs include: • Sluggishness.
What triggers EMS in horses?
EMS is caused when fat cells or adipose tissue produce high levels of adipokines, a protein hormone that leads to an increase in cortisol. As a result of the abnormal hormone production, a horse’s normal response to the hormone insulin is disrupted, resulting in high insulin and glucose blood concentrations.
Is Cushings the same as EMS?
In general, Cushings affects older horses, whereas EMS first develops in young and middle-aged animals. Although they are two separate conditions, they can overlap. All breeds are susceptible but ponies are most at risk.
What do you feed a horse with insulin resistance?
Select hay with a low level of soluble carbohydrates for the IR horse. Small grain hays such as oat and ryegrass have much greater sugar content than other grass hays like timothy and orchard grass.
Can a horse have PPID and EMS?
EMS and PPID Summary
EMS and PPID are not mutually exclusive – a horse can have EMS and PPID. Clinical signs common to EMS and PPID include laminitis, hyperinsulinaemia, abnormal fat deposits, PU/PD, abnormal sweating, exercise intolerance, infertility.
How do you test for EMS?
Diagnosis is dependent on history, physical exam, and diagnostic tests. The diagnostic tests presently recommended for diagnosis and follow up of EMS are: Insulin, the Oral Sugar Test (OST), and Leptin. EMS and PPID (Pituitary Pars Intermedia Dysfunction or Cushing’s syndrome)* may be seen singly or together.
How does EMS cause laminitis?
Laminitis, a major part of EMS, is a crippling disease caused by weakening of the tissues (laminae) anchoring the hoof wall to the bone. These tissues are damaged by inflammation and the abnormal metabolic and hormonal states caused by EMS.
What factors will increase the risk of colic in horses?
According to the literature, the factors that increase the risk of colic are feeding practices (type and quality of food, type and changes of feeding), the intrinsic factors of horses (sex, age and breed), management (type and changes of housing and activity), medical history (a previous colic, administration of a …
Can horses with EMS eat carrots?
A new ECEIM consensus statement on equine metabolic syndrome was published online in February 2019, which stated that “grains or cereal‐based complementary feeds, fruit, or vegetables such as carrots, apples, or treats should be excluded from the diet because of their high NSC content.”
What does Cinnamon do for horses?
Use to support healthy digestion, particularly in good doers. Antioxidant-rich Cinnamon is a great digestive aid that can help balance blood sugar levels, making it especially useful for equines prone to weight gain.