>>>> Karen, was it you that had a horse that had insulin resistance, but was 
>>>> not overweight?


You're probably thinking about my Sundance, who fluxuated between being an 
"average keeper" to a "hard keeper" during the 13 years I had him.  He had 
Cushing's, not IR, although research suggests there might be some connection 
between them.  Just before he had his bout of laminitis, he lost a good bit 
of weight.  We treated the laminitis aggressively (calling the vet at the 
first signs of ouchy feet).  We had him tested for Cushing's (positive) and 
once he went on the Cushing's meds (cyproheptadine then, although Pergolide 
seems to be first choice these days) he maintained a decent weight (still 
slender, but not bony) and he never had another laminitis attack.  He did 
eventually develop other symptoms, despite the meds.  He lived five years 
after his diagnosis, with the first 2-3 years almost symptom-free.

Holly, my TWH, also had two laminitis bouts, hers about 12 years ago, and we 
treated her for a thyroid condition.  Knowing what we know now, she was 
probably IR, but the thyroid meds relieved her symptoms nonetheless.

I consider laminitis an acute emergency.  If you get the vet and farrier to 
treat it during the acute phase, the chances of it not progressing to 
founder seem reasonably good.  Out of Holly's two bouts and Sundance's one, 
neither had any long-term rotation of the coffin bone, and both returned to 
being barefoot within a couple of months of their attacks.



Karen Thomas, NC

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