Insulin Resistance in Performance Horses

Here's a quick test. Ready?or bad weather, he will start gaining weight if his feed
* Does your horse sometimes seem sluggish, gain oris not cut. Third, exercise increases the cells sensitivity
lose weight easily, or lose muscle over his top line butto insulin, even in IR horses. This is why we are able to
maintain a cresty neck?give feeds with slightly higher NSC levels to
* Does he stock up easily or sometimes seem proneperformance horse in work.
to hoof soreness or abscesses?Obesity
If your horse displays any of these symptoms heObesity is a major trigger for IR. It is a sign that the
could be insulin resistant (IR), a condition that hascarbohydrate intake of the horse has been higher than
recently come to the attention of many professionalshis need for a period of time. Excessive carbohydrate
and owners in the horse industry.intake will increase the production of insulin, and
Insulin is produced by your horse's pancreas and iscontinued exposure to high insulin levels can decrease
needed to move glucose out of the blood and into thethe cells' sensitivity to it. Obese horses are also less
cells where it can be used for energy. Some horseslikely to exercise on their own.
are genetically predisposed to develop a conditionStress
where their cells do not respond properly to insulin soLast but certainly not least is stress. Horses are
glucose metabolism is impaired. However, not allfight-or-flight prey animals and, as such, tend to release
horses that have this predisposition will develop insulinglucose quickly into the blood if frightened. In a natural
resistance. Triggers that can case this condition toenvironment, a frightened horse needs this glucose to
manifest include high-carbohydrate or high-fat diets,either run away or fight. These activities quickly
mineral deficiencies, lack of exercise, obesity, andconsume the glucose in the blood. Domestic horses
stress. Let's look at each of these factors.under chronic stress have a similar fight-or-flight
High-Carbohydrate Dietsresponse and will experience the continued release of
Carbohydrate levels in feeds are best evaluated bycorticosteroids. This causes glucose levels to stay high
looking at the non-structural carbohydrate (NSC) levels.and will keep triggering the release of insulin. The high
Unfortunately, these levels are not listed on most feedlevels of circulating insulin are the cause of many of
bags but they can be obtained for most grains andthe symptoms we see in constantly-stressed horses.
hays at Some experts feel that a horse with IR shouldTo avoid this situation, get to know your horse and
have a total diet that is less than 10% NSC. However,determine what stresses him. Avoid putting him in
this low percentage is difficult to achieve as few feedsthese situations whenever possible. If you simply can't
or hays have less than 11% NSC and they must beavoid a known stress, be there to support him. A
soaked to leach out the sugars to get levels this low. Ihorse that knows he is loved and appreciated can
feel most performance horses that are not showinghandle much more stress than one who is treated like
serious symptoms, such as laminitis, and are still beinga tool.
worked regularly can handle NSC levels between 10%Discovering Whether Your Horse is IR
and 15%.To find out if your horse is IR you can have a simple
High-Fat Dietsblood test done that measures glucose and insulin
IR horses vary greatly in the amount of fat they canlevels, and then takes a ratio of glucose mg/dL divided
handle. In general the longer the condition has beenby insulin mU/L. If this number comes out over 10 then
active the less fat the horse can metabolize. Longyou have nothing to worry about. If the number falls
standing IR will cause damage to the horse's liver asbetween 4.5 and 10 your horse is IR but is still
the body tries to store the extra circulating glucose incompensating. If your horse falls in this category, you
the liver. This causes a fatty liver syndrome and theneed to change his management (in terms of the
liver will swell, which blocks the bile ducts. Bile is neededfactors discussed above) to prevent his condition from
for fat digestion and if flow of bile into the smallworsening. If the number is less than 4.5 then your
intestine is blocked, fat will not be digested. In addition,horse is already compromised. If you do not
the presence of fat will interfere with the digestion andimmediately change his management, he could be at
assimilation of other important nutrients. I often suggestrisk for laminitis.
the herb milk thistle be given to horses that have IRFor this test to be accurate the blood that is collected
because it has a protective effect on the liver. It alsomust be centrifuged to separate the serum within 30
contains certain minerals, such as selenium, which helpminutes to one hour, and then the serum should be
some horses cope with the muscle soreness that canchilled and sent promptly to a lab. If the blood is not
occur with IR. I suggest one tablespoon daily ofhandled appropriately it will give a falsely low glucose
freshly-ground milk thistle seeds.reading. In many cases the glucose and insulin reading
Mineral Deficiencies or Imbalancesmay be within the normal range but the ratio will still
Many minerals are important for carbohydrateshow IR. The trick is not to wait for your horse's lab
metabolism, including but not limited to magnesium,readings to go outside the normal ranges before
chromium, manganese, and zinc. Mineral imbalancesmaking changes in the way you manage your horse.
can also cause relative deficiencies if too much of oneLuckily, performance horses with IR tend to respond
mineral interferes with the absorption of another. Forwell to dietary changes. The main thing is to get the
example, magnesium and calcium use the sameNSC levels down. Most sweet feeds contain 60%
pathway for absorption so an excess of calcium canNSC so it is almost impossible to get the levels low
cause a deficiency of magnesium, even if the minimumenough. Oats are 50% NSC, making it a challenge to
requirement for magnesium in the diet is being met.feed but it can be used in very small amounts if
The only way to definitely determine the mineral levelscombined with grass hay plus alfalfa hay to bring the
in your horse's diet is to test all of your horse's feedenergy up. A diet of 3 pounds of oats, 3 pounds of
and hay. While this can be difficult it is worth the effortalfalfa and, 12 pounds of grass hay would still have a
if your horse might be insulin-resistant. The website willNSC level of 18%, which is too high.
give you the information you need to send in theA better diet would be 2 pounds of rice bran, 4
correct samples. For horses that are not showingpounds of alfalfa, and 12 pounds of grass hay, which
serious symptoms I prefer to look at the typical levelsoffers enough calories for a horse in light work and still
of nutrients in regional hay and feed samples; makehas a NSC level of around 14%. This diet also has a
sure the diet is balanced for macro minerals like3.5% fat content, so it is not likely trigger any digestive
calcium, phosphorus, and magnesium; and then use aupsets. Some feed companies are now recognizing IR
food source that contains easily assimilated minerals,and listing the NSC ratios of their feeds. If you want to
like blue-green algae, as a supplement to provide thesimplify your math you can get one of these feeds
micro minerals.and then test just your hay. If you don't buy large
Lack of Exerciseamounts of hay you may be able to ask your supplier
Lack of exercise can affect the horse in severalto test his loads as they come in and let you know the
ways. First, it creates stress in many horses. Second, itNSC levels of the hay you are buying. If you are not
contributes to obesity. Most diets designed forable to test your hay you can soak it for 30 minutes in
performance horses are based on keeping the horsehot water or one hour in cold to lower the sugar levels.
at the correct weight when he is in work. As soon asThis may seem like a lot of work but could make a big
the horse goes off work, either because of an injurydifference in your horse's health!