Date   

G/I Results

bectonliterary
 

Hi everyone,

I've gotten some numbers back from Darcy's test results, and I wanted to run them by the group. I do not have the actual results in hand, just a voicemail from the vet. I know the tests were not run at Cornell, but I think I heard UC Davis.

Glucose: 90 mg/dL
Insulin: 2.4 mIU/mL

According to the IR calculator, her G/I ratio is 37.5 and RISQI is .65. MIRG is 2.

The vet said this doesn't necessarily rule out IR, but it's a good sign. She suggested that if the Cushing's test comes back negative, we could do the Leptin test. (Because she wasn't using Cornell for ACTH, I couldn't do the Leptin test with the same blood draw.) Does this sound reasonable?

And if she's not IR, why does she have the lumpy fat deposits?

Thanks in advance,
Jennifer and Darcy in SC
Oct. 2011


Re: Dexamethasone and Laminitis

jakehorse10
 

Hi, thank you so much; I have been anxious for information. In addition, barn manager put him out on what she called a "dry lot" for one day; still had plenty of weeds and more stubble than what he was on so I am super worried. He has rings from shots last spring which makes me feel like I am walking on eggshells right now. We are also getting new hay so I will have to test and rebalance that, but I am going to add spirulina and chrondroitin in the interim. Mom broke her pelvis so I have not ridden as much either. So worried.
Monti (Jake in Mich)
Nov 2010

--- In EquineCushings@..., "Nancy" <threecatfarm@...> wrote:

Keep an eye out for rings in the feet as time goes on. > would not use dex in an IR horse, especially one with suspected subclinical laminitis. anti-histamines for flare ups. Low dose winstrol
<http://pets.groups.yahoo.com/group/EquineCushings/message/101312> > Winstrol is a low dose anabolic steroid not a corticosteriod like Dex. > tight mineral balancing as a foundation (copper and zinc are really important) and additional spirulina and chondroitin before the bug /allergy season.> Do an archive search with drkellon as the author and sprirulina chondroitin

Nancy C in NH
ECIR Moderator 2003

NewEnglandEquineBalance@...


Re: Veterinary frustrations (should I just increase Prascend dosage?)

awmitche
 

Thank you your reply. I will try to get this accomplished over the weekend. I will try to get the radiograph files from the vets office also.

Jill in NM/ aug 2012

--- In EquineCushings@..., "palomino.1982" <palomino.1982@...> wrote:

Hi Jill,

With Taloma's recurring hoof pain....we need to see photos of her feet and current xrays if you have them.

A correct trim will support the inner structures so they are aligned properly and can support the skeleton.

We recommend an aligning trim to the coffin bone...short toe and low heels.

Many if not most find that this can be accomplished more quickly and easily with a bare foot horse, using boots/pads for foot comfort during this transition. Also frequent trims...maybe once a week in the beginning. 5-6 week intervals will not get you ahead of the game and the horse pays the price with continued assault on the coffin bone and inner structures.

Here is the link on "how to take photos":

http://pets.groups.yahoo.com/group/ECHoof/files/%202How%20to%20take%20hoof%20photos.htm/

This is yet another journey in PPID/IR horse care! Often times the trim is overlooked. Let's not have that happen with Taloma.

You are off to a running start...we will help you keep the pace.

Susan
EC Primary Response
San Diego 1.07


--------------------------------------------------------------
My current problem is that Taloma's foot pain has re-appeared. She has been on Prascend 1.0 mg/daily for about 1 month (since initial diagnosis) and this dose helped her immensely initially but since the foot pain has reappeared my thinking/understanding from what I have read here is that this dose is no longer enough to combat the seasonal rise.

http://pets.groups.yahoo.com/group/ECHistory6/files/Taloma%20and%20Jill%20in%20NM/


Re: Switching to compounded pergolide

Linda <PapBallou@...>
 

Should arrive on Wed. before I run out of my Prascend. YAY!!!! (I also asked him for a 0.25 script to have on file in case I need it later.) Thanks so much!


Teri -

Just a thought, since so many of our list members have been struggling with the compounded vs Prascend to no avail...drop some cookies or similar off at his office. This is one of those circumstances, IMO, where that little appreciation can go a really long way!

Linda
EC Primary Response
West Coast
May 2004


Time to Clip???

lauramollrich <lmollrich@...>
 

We all keep waiting for this S. California heat wave to fade away but it's still here! One day the forecast is for 90's the next day cooling trend so not sure what to do regarding clipping. I wasn't going to clip this year but it is so hot that P is sweaty when I get to the barn. He was shedding a lot a month ago but now he's a fur bear. And, increasing his pergolide to get him through the seasonal rise has made him very dopey. He's not a happy camper.

Should I have him clipped or wait until cooler weather. If I do that then I will have to blanket and I didn't want to this year.

Help!

Laura Mollrich
Laguna Beach, CA
1/2012

http://pets.groups.yahoo.com/group/ECHistory5/files/Laura%20Mollrich/


Probiotic Safe to Give IR/PPID horse?

lauramollrich <lmollrich@...>
 

Searching for a probiotic. Does this have what a PPID/IR horse can have?


AniMed AniGest Digestive Enzyme & Probiotic Equine Supplement

AniMed AniGest Digestive Enzyme & Probiotic Equine Supplement is a unique nutritional digestive supplement scientfically prepared with acid stable enzymes and probiotics. The enzymes in AniGest include: Amyliase, to aid in the digestion of starches and sugars; Protease, to aid in the digestion of proteins to amino acids; Lipase, to aid in the digestion of fat and Cellulase, to aid in the digestion of fiber. The live yeast (probiotics) in AniGest includes; S. Cerevisiae strain 1026 and Lactobacillus Acidopilus.

Improvements in digestive efficienacy increase the results from your feed and supplement program, helping your horse reach and maintain optimal condition and peak performance


Re: Switching to compounded pergolide

Teri
 

--- In EquineCushings@..., "Lavinia" <dnlf@...> wrote:


http://pets.groups.yahoo.com/group/ECHistory5/files/Teri%20Riley/
If you can get the 3mg script for compounded now, by all means go for it. I wouldn't want to pay the extra for the Prascend either and sometimes the timing of drugs running out/prescription renewal/testind and getting results just doesn't coordinate as well as you would like it to :( If you use Thriving Pets, they ususally have a very fast turnaround - I get my script in 3 days.

Hi Lavinia,

Great news! I contacted my vet about the pergolide. He was a little reluctant at first...said he'd like to check into it further. After I told him I could get 30 days worth of 3mg compounded pergolide from Thriving Pets for $38 (inc. shipping)vs. paying $195 for the same amount of Prascend, he quickly came around! Of course I had all the info, phone# etc. all ready for him. He called in the script and I've already placed my order. Should arrive on Wed. before I run out of my Prascend. YAY!!!! (I also asked him for a 0.25 script to have on file in case I need it later.) Thanks so much!

Teri and Stormy
IN 4-2012


Re: Dexamethasone and Laminitis

Nancy C
 

Hi Monti

If you were going to have a huge reaction to the dex you'd have seen it by now. Keep an eye out for rings in the feet as time goes on.

I would not use dex in an IR horse, especially one with suspected subclinical laminitis. Sounds like you my have had a one-time issue so hopefully you won't need the dex again. Many members have used anti-histamines for flare ups. Low dose winstrol has been used by members in the past and I might talk with my vet about that if needed.

<http://pets.groups.yahoo.com/group/EquineCushings/message/101312>

Winstrol is a low dose anabolic steroid not a corticosteriod like Dex.

If he is prone to hives then tight mineral balancing as a foundation (copper and zinc are really important) and additional spirulina and chondroitin before the bug /allergy season are on you may be in order.

Do an archive search with drkellon as the author and sprirulina chondroitin in the message box for more info.

Nancy C in NH
ECIR Moderator 2003

NewEnglandEquineBalance@...



--- In EquineCushings@..., "jakehorse10" <montiponce@...> wrote:
Vet gave him a shot of dexamethasone. I asked if it was ok for an IR horse and he said yes. Should I be concerned about only one dose? If needed again, is it best to avoid this and what else could be used? Am I missing anything?
Monti (Jake in Michigan)
Nov 2010


Re: Do I taper the APF dose after 10 days?

Nancy C
 

Sue in the past I have just stopped. I would see changes in a few days if he still needed it. Not seen a reason to taper but that would be okay too.

Nancy C in NH
ECIR Moderator 2003

NewEnglandEquineBalance@...


Re: Veterinary frustrations (should I just increase Prascend dosage?)

Lisa S
 

--- In EquineCushings@..., "awmitche" <jstacey22@...> wrote:


My current problem is that Taloma's foot pain has re-appeared... She only been walking under saddle, so she is doing nothing that would cause the sore feet otherwise.

Jill,

I am sorry I cannot access your CH right now--cut and paste issues.

But I can certainly empathize!

Pookey Bear was diagnosed IR in June 2010 after an acute founder episode. Since then I have done the ECIR balancing act!

Here are some of the specific things that have triggered episodes of footsoreness in him over the past couple of years: poor trim, certain shoes (when shod), toe too long (more than 3 weeks' growth), starch in hay too high, change in formulation of 'safe' bagged product, snitched bites of grass, lack of movement, change in boots, sore heels from boot rubs, and hubby feeding him the wrong hay. If he were PPID, I am sure we could throw 'seasonal rise' or 'dose too low' into the mix!

I encourage you to go over his diet with a fine-toothed comb, and to micromanage his trims as well, in addition to looking at his lab numbers and dealing with the seasonal rise. I think most of the list members will agree that it is critical that your vet be your partner in this effort, due to the necessity of getting testing done WHEN YOU NEED IT and to making the drugs available at the correct dosage, for your horse, without interruption.

If the new vet understands the testing protocol, uses Cornell for a lab, and does a good job otherwise, I would work diligently to get him on board by showing him (ahead of time) a testing schedule that would make you feel comfortable (Twice a year? Three times?) especially as you work to find your horse's unique response to medication and his seasonal rhythm.

That will give the vet the 'heads up' that you are a very involved, caring owner, and if he is not going to be comfortable with your level of involvement, hopefully he will make his feelings clear when you present your testing plan, and you can seek help elsewhere.

I am sure others with PPID horses will chime in on the Prascend dosage increase--I would see no reason not to gradually increase his dosage if you are able to get more drug without a battle. In the part of NA I am in we are about mid-way through the seasonal rise, and I know that it is very hard to play catch up with your dose once the rise gets ahead of you. Next year, depending on what your numbers look like, you can plan to increase Prascend for the seasonal rise starting sometime in August, most likely.

Also, Equioxx is my favorite NSAID but I only used it when I absolutely had to, and I did not ever use the Previcox.

Lisa in TX
Pookey Bear
June 2010


Do I taper the APF dose after 10 days?

Sue
 

Hi Everyone,

Thank you Dr. Kellon for your help.

I just have one last question. Do I taper the APF dose after 10 days or just stop giving it to him.

Thanks,
Sue and Busy
Kingston, ON
October 2010


Re: Struggling with feed change

Chanda
 

I wish my vet were closer to your vet's thinking. Mine won't increase meds without more testing despite the changes I've seen, and she will only do the dex suppression test. So I'm trying Chastetree berry to get him through the seasonal rise this fall, and we'll see if it helps or not.
Chanda
MT 9/04

--- In EquineCushings@..., "vickimmartin" <vicki919@...> wrote:

I know we haven't had any of the blood work done, for some reason my vet prefers to treat symptoms and since Hedy improved markedly once on the 1/2mg of Prascend she seems to think that's confirmation enough. Her reasoning is that the results fluctuate so much that the tests aren't too meaningful. I'm going to continue to push her and expect the next time she's out they will get done.

Vicki and Hedy in VA


Re: Veterinary frustrations (should I just increase Prascend dosage?)

palomino.1982 <palomino.1982@...>
 

Hi Jill,

With Taloma's recurring hoof pain....we need to see photos of her feet and current xrays if you have them.

A correct trim will support the inner structures so they are aligned properly and can support the skeleton.

We recommend an aligning trim to the coffin bone...short toe and low heels.

Many if not most find that this can be accomplished more quickly and easily with a bare foot horse, using boots/pads for foot comfort during this transition. Also frequent trims...maybe once a week in the beginning. 5-6 week intervals will not get you ahead of the game and the horse pays the price with continued assault on the coffin bone and inner structures.

Here is the link on "how to take photos":

http://pets.groups.yahoo.com/group/ECHoof/files/%202How%20to%20take%20hoof%20photos.htm/

This is yet another journey in PPID/IR horse care! Often times the trim is overlooked. Let's not have that happen with Taloma.

You are off to a running start...we will help you keep the pace.

Susan
EC Primary Response
San Diego 1.07


--------------------------------------------------------------

My current problem is that Taloma's foot pain has re-appeared. She has been on Prascend 1.0 mg/daily for about 1 month (since initial diagnosis) and this dose helped her immensely initially but since the foot pain has reappeared my thinking/understanding from what I have read here is that this dose is no longer enough to combat the seasonal rise.

http://pets.groups.yahoo.com/group/ECHistory6/files/Taloma%20and%20Jill%20in%20NM/


Re: Struggling with feed change

vickimmartin
 

Thanks for all the information Mandy! Now I can hit the stores tomorrow and get Hedy on the right road.

--- In EquineCushings@..., "Mandy Woods" <bittersweetfarm@...> wrote:

Hey Vicki ~
I just read Hedy's case history. You have her on Prascend already at one
mg. That is to control the Cushings. You still don’t have a confirmed
DIAGNOSIS. With the prascend and the diet changes you should see big
improvement!
I know we haven't had any of the blood work done, for some reason my vet prefers to treat symptoms and since Hedy improved markedly once on the 1/2mg of Prascend she seems to think that's confirmation enough. Her reasoning is that the results fluctuate so much that the tests aren't too meaningful. I'm going to continue to push her and expect the next time she's out they will get done.


:( 700 pounds is a lot for a 13.2h pony. I would think more toward 500 pounds.

I'm probably wrong about her weight, it was just a guess. She is an average medium pony so 500 is probably closer. She is beginning to look thin, ribs can be easily seen and her hips are sticking out now, but she has that sunken belly look.


TRIM is a balanced foot to xrays. Can you add her films to your > case history?

I'll see if I can get the films and add them.


Isoxuprine has been shown NOT to work taken orally. Its purpose is the same as Jherb. You can get it at www.mybesthorse.com

Interesting about the Isox, my vet loves it, feels it increases the circulation in the hoof.


You do not want over 10% sugar/starch/fat in her diet so the PaceMaker feed
is not appropriate. Of the Triple Crown products I would choose TC >Lite because the sugar is 5% and the starch is 4.5%. oh ~ why >didn’t CFC tell you about Soy Hull Pellets? They make them at >their Culpeper plant and the s/s analysis is under 6%. Half a cup >is a great carrier. They also do not include the sugar/fat content >in their products but they say the vegetable oil makes it 6%. We do >not recommend vegetable oil Its high in Omega 6. We recommend >freshly ground flax seed that is high in Omega3 - the good fat! and >onlyone oz a day for Hedy.
I also thought the NSC on the PaceMaker feed was too high, which actually led me to this post! They were also pushing adding corn oil to the food. I didn't see the Soy Hull Pellets though. I'll probably stick with TC and just change to Lite.

Hedy is 24... but looked like 12 until last winter :(

Thanks again,

Vicki and Hedy in VA


Veterinary frustrations (should I just increase Prascend dosage?)

awmitche
 

Greetings all.

First of all thanks to those of you that welcomed me to the group. I have found a few solutions to some of my previous problems (hay test came back with ESC of 5.4, so I am less worried about that. have found a better barn to move to that will probably happen in December, so I am less worried about that. etc.)

My current problem is that Taloma's foot pain has re-appeared. She has been on Prascend 1.0 mg/daily for about 1 month (since initial diagnosis) and this dose helped her immensely initially but since the foot pain has reappeared my thinking/understanding from what I have read here is that this dose is no longer enough to combat the seasonal rise.

I have reported this foot pain issue to the vet's office (he has been out of town but is back and then gone again most of next week). When I told the receptionist that I wanted to retest and possibly adjust her dosage I got "but she is already on the maximum dose" which (as you all know) 1.0 mg *isn't*, even if you look at the BI prescribing info for vets. Sigh. So the message was relayed to the vet, who said that he wanted to put her on Previcox for a few days to "see if that would get her back to where she was". So I have given her a couple of doses of it, and although she certainly feels good on it, it isn't convincing me that her front feet feel significantly better (walk quality is not straight, forward, pushing, which it was only a few weeks ago). She has only been walking under saddle, so she is doing nothing that would cause the sore feet otherwise.

I have now asked for retesting in several different ways (this vet is new to me, I had him come out for a second opinion on why Taloma was so NQR) so I don't have a long standing relationship with him. Anyway, I feel like I am not being heard or I am being blown off.

Do I just call up another vet and have the testing done? Do I just increase the Prascend anyway? Do I just sit tight and see if the Previcox idea works? Argh. Sorry, I am just not familiar enough with the situation because the diagnosis is new and the vet is not one I am comfortable with. He cannot come to see her until next Friday at this point.

WWECIRLD? (what would ECIR list do?).

I have uploaded my case history file today, so that is there for reference.

http://pets.groups.yahoo.com/group/ECHistory6/files/Taloma%20and%20Jill%20in%20NM/

I hope that link works. Being new sucks, but at least there is a place to be "new" to. Thank you all for being here.


Jill in NM
Taloma/12 y.o. warmblood mare/Cushings.


Re: Dexamethasone and Laminitis

jakehorse10
 

Hello, I posted a few weeks ago regarding the safety of dexamethasone in an IR horse, but have not heard anything until I saw this. Jake was diagnosed as IR 2 years ago, he is on the recommended diet, exercise trim; has had some low grade laminitis as a reaction to spring vaccinations which I now split up. 2 weeks ago he had hives and swollen eye (all horses at barn had same) but Jake was one of the worst. Vet gave him a shot of dexamethasone. I asked if it was ok for an IR horse and he said yes. Should I be concerned about only one dose? If needed again, is it best to avoid this and what else could be used? Am I missing anything?
Monti (Jake in Michigan)
Nov 2010

Corticosteroids induce insulin resistance. When it came to be understood that horses could be IR, vets put 2 + 2 together to postulate that horses which get laminitis after corticosteroids may well be IR to begin with and the drug pushed them over the edge:
it doesn't tell you if the horse is only IR or if the IR is secondary to Cushing's/PPID. In PPID, high levels of ACTH cause high levels of the natural corticosteroid, cortisol. You should therefore test for both conditions, especially if the horse is older than 10.

Eleanor in PA
www.drkellon.com
EC Co-owner
Feb 2001


Re: Thryo-L and testing for IR/Cushings

Mandy Woods
 

Hi Karin,
Many Cushings aka PPID horses become IR. It sounds like Goya has joined the ranks because of his present and past DIET. You mention he's been foot sore. He could easily have low grade laminitis due to uncontrolled Cushings and an inappropriate DIET. It would do him well if you have your vet pull blood for eACTH, Insulin/Glucose and Leptin early in the week in a quiet barn on a NON fasting horse. Feed soaked/drained grass hay the night before and the morning of the test.

I would start him on the Temporary Emergency Diet tomorrow. The recipe is in the Start Here file. It is pull from pasture to a drylot. Feed soaked/drained hay if you don’t have an analysis on it at 2% his body weight. NO grains, no Pacemaker Fat & Fiber, no Purina Enrich, Amplify or any commercial feed. He needs his diet to be low sugar/starch and fat. Less than 10% a day. Your BO is right about reducing the Thyroid L......very slowly......it takes weeks. You can increase his weight safely with s/d grass hay and rinsed/soaked/rinsed plain shredded beet pulp. Start the BP at a pound a day weighed dry then r/s/r it. You can season it with a couple of pellets of soy hulls or TC Lite. Even the ODTB cubes would be good for him! as treats or a meal. The ER minerals that you will add are Vitamin E, loose iodized table salt, magnesium oxide and Freshly ground flax seed. This is temporary until you have your hay analyzed so we can help you balance the minerals. Something as little as iodine and selenium can jump start a sluggish thryoid! You need to look for the minerals that are deficient and bring them up to the minerals that are too high. There are ladies here that can help you with that. You need to build him a drylot that has no leaves, weeds or grass in it. If you have to turn him out with his buddies, you need to tape the hole in the muzzle closed and weave something in the slats on the bucket so he cant get any grass! This time of year is worse than spring time for high sugar grass - the first frost is the worst time. Good thing you're on this now.

TRIM is a balanced foot with toes backed from the top and heels lowered. Put him in boots/pads if he's foot sore. Do not ride him. You do not want to rip any laminae that has tight attachment at the top now. Its time for his foot to heal. It may take a year. Do you have xrays? That stone bruise may not be a stone bruise. Be safe not sorry.

EXERCISE Never force a lamintic horse to move. He knows how bad his feet hurt. Do not give him bute or NSAIDS. You don’t want him to feel too good and race around tearing his new attachments. I'm sure you'll see big changes in him if you follow the DDT/E's. They do work.

When you get your first copies of his older bloodwork please post it to the list in your case history at ECH6. Pictures of his feet and body too!

Karin, you are the sole advocate for this horse. If you ask your vet to test him for Cushings and IR you vet should honor your request. If you want xrays you get xrays. There are lots of vets in VA. You'll find one that will listen to you and work WITH you. Do you have a good natural trimmer? Goya needs his feet trimmed correctly - the coffin bone alignment to the wall is very important. Read the file on how to take correct hoof photos. Then take pictures and send them in.

Here's the link to ECH6 http://pets.groups.yahoo.com/group/ECHistory6/ Fill out the questionnaire. It paints a big picture for the gurus to help you faster. Then sign with that link to your case everytime you write.

Read the files! Ask questions. Start a journal.

Ask your vet to schedule for more testing. You need to know if his pergolide dose is adequate. Schedule early in the week - in a quiet barn - after dinner and breakfast of soaked drained grass hay. And stop the Nupro Glucosamine!

Mandy in VA
EC Primary Response
OCT 2003


Re: Bad luck

Mandy Woods
 

Hello Fjordmom,
Welcome to the group. I'm sure you arent alone with your purchase situation. The good news is now you know! So start the DDT/E's. You should read the "Start Here" file. That is the best place to get started. I frankly have to side with the barn staff on not wanting to soak hay. Unless you pay one of them seperately to do this for your horse you may have to get out there every day and soak the hay yourself or purchase ODTBC. The best situation would be to take her home with you and set up a drylot with electric fencing, a run'n'shed or find a private barn where the owner understands PPID/IR and helps you.
To answer your question about LaminaSaver.....yes it does work at double dose. Not many people can pay that amount of money. We've found Jiaogulan is the main ingredient in LS and works as well! There is a file on the Jherb. It costs about $16 a pound ~ many people get it at www. mybesthorse.com
What part of the country are you in? You need to decide how you want to feed her. You need to secure low sugar/starch hay so you don’t have to soak. Yes, its out there. Hay farmers are catching on! NO pasture, no grains, no treats. TC Lite is ok - under 10% - but does it compliment your hay? Be sure your new property has a barn so you can store your hay!
Will she ever be able to be pasture kept ? I doubt it. It will take a lot of work on your part to balance her exercise, food intake and get her bloodwork in the correct range. Fjords' are the drafts with the super thrifty gene! I know ~ I have a Fatlinger! I need another dry lot built for her. Actually, I'd like a parking lot for her. Paved.
You have some options. There are barns that will take a special needs horse. If she hasn’t foundered you can balance her diet and start riding her when she's sound. IF she foundered, plan on one to two years of rehab. It can be done so there's no reason to think you cant do this. We really need to know more about her so we can help you tighten everything up.
Join ECH6 and fill out the questionnaire: http://pets.groups.yahoo.com/group/ECHistory6/
Where do you live?
I hear a book deal after you decide on a plan!
Read www.ecirhorse.com if you havent been there yet.
Don’t leave! We'll help.
Mandy in VA
EC Primary Response
OCT 2003


Re: Dexamethasone and Laminitis

betsygilaspy
 

--- In EquineCushings@..., "drkellon" <drkellon@...> wrote:

--- In EquineCushings@..., "betsygilaspy" <betsygilaspy@> wrote:

My horse foundered last year after being on a high dose of Dexamethasone for 5 days. 2 days after being taken off he foundered. ... I was recentley told by an Equine Vet that if he foundered off of Dex than he is Insuline resistant, that only horses with insuline resistance do that, is this correct?
The connection between corticosteroids and laminitis has been observed for a very long time. However, when researchers tried to induce laminitis with steroids they failed. This led to a long standing debate over whether it was truly a possible side effect of the drugs or just a coincidence.

Corticosteroids induce insulin resistance. When it came to be understood that horses could be IR, vets put 2 + 2 together to postulate that horses which get laminitis after corticosteroids may well be IR to begin with and the drug pushed them over the edge:

http://www.ncbi.nlm.nih.gov/pubmed/17605611

However, it doesn't tell you if the horse is only IR or if the IR is secondary to Cushing's/PPID. In PPID, high levels of ACTH cause high levels of the natural corticosteroid, cortisol. You should therefore test for both conditions, especially if the horse is older than 10.

Eleanor in PA
www.drkellon.com
EC Co-owner
Feb 2001
Thank you Dr. Kellon. My horse is just 10 this year and it was last year that he had the laminitis. He has recovered fully and has had no additional problems. He has been out on pasture all summer and has had no issues. The only symptom he would have is he is a very easy keeper. Would you still suggest me getting him tested for both?

Thanks,
Betsy
Northern Indiana
Sept. 2012


Re: Dexamethasone and Laminitis

betsygilaspy
 

--- In EquineCushings@..., "Joan and Dazzle" <horsies4luv@...> wrote:

Hi Betsy,

Arabs are prone to insulin resistance, so he may have been insulin resistant before you even started.

My poor sweet Dazzle had a hock injury. We administered Naxcel, which is a brand of Ceftiofur. The damage to her hooves from the drug was irreparable.

Do you know what antibiotic was used?

I'm so sorry to hear that your boy had such a tough time. Hopefully you can get him on a good track.

As you know, insulin resistance is treated with a low sugar/starch diet.

Joan and Dazzle
Primary Response Team
Anaheim, CA 2006

--- In EquineCushings@..., "betsygilaspy" <betsygilaspy@> wrote:




Thank you for your response Linda. My horse is a 10 year old Arab cross Gelding. He foundered last year in the middle of July. He had a gutteral pouch infection and had been on some very strong antibiotics for about a month and we had gotten that cleared up, but he was still huffing after only a small amount of work, so my Vet suggested that maybe it was allergy related and that is why we put him on the Dexamethasone. My vet said nothing at that time about the possibility of my horse being Insulin resistant or Cushings due to his reaction to Dex. And the Equine Vet who recently told me about that possibility is not my regular Vet, just one I had been talking with and told about my experience with Dex. I just don't want to ignore a "symptom" if that is what is going on, and I surely don't ever want to go through another round of laminitis, once was bad enough!
Thank You Joan for your response. My boy is doing great actually. He foundered a year ago in July and we went through a rough time after that when he abcessed and it went into septic laminitis and I had to have the infection cut out of both feet. But all the damage in his hooves has grown out and you can't even tell anymore. He only rotated 1 degree on one foot and 2 degree's on the other. He has been out on pasture all summer long with no problems, that is why I am wondering if it could be correct that he is IR or Cushings as he has no other symptoms other than he is an easy keeper and tends to get fat on air!

Thanks,
Betsy
Northern Indiana
Sept. 2012

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