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OCD AND INSULIN RESISTANCE
A serendipitous discovery by vet nutritionist
Sarah Ralstan,VMD,PhD, may lead to a test to identify
young horses a risk of ostechondritis dissecans (OCD), a
developmental joint abnormality that results in the separation
of the cartilage from bone. While conducting nutrition studies
on weanlings, Ralston uncovered a link between high levels
of insulin and the incidence of OCD.

Normally, insulin is released by the pancreas in response to
a horses's intake of glucose-a simple sugar. Insulin helps transport
the glucose into cells, where it is utilized. Some horses, however,
produce a greater-than-average amount of insulin to handle the
glucose load; they are considered insulin-resistant.

In the course of her work, Ralston says, "I noticed that only the
colts and fillies with OCD had abnormally high insulin levels...two
to three times more (insulin) than the amount of glucose in their
blood would normally indicate" However, when these insulin-resistant
foals were fed primarily hay or low-glucose diets, their insulin levels
were normal, and they out-grew the condition by the time they were
2 years old.But when they between 3 and 5 months old, they were more
likely to have orthopedic lesions than their "normal peers.

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