Date   

Re: Update on Vinnie

Sherry Morse
 

That's fantastic!




Re: Request for help for Storm

Kirsten Rasmussen
 

Hi Heather,

Your Case History states that Storm's body conditiom improved when you started Prascend.  What kind of improvements did you see?  Are any of them improvements to signs of PPID, or just to EMS/IR?  If not, and given that her insulin isn't lower on it, I personally don't think it's worth continuing.

You have removed her from grass completely but have you been soaking her hay?  I know my horse gets sore in the spring (not the fall thankfully) and his hooves generally lose all the improvements we will have made over the winter.  Now that this has happened 3 years in a row I've learned it's not enough to feed him 1.5% ideal BW in low sugar hay, and that his hay really must be soaked at that time of year, too.  (He actually does best if I soak it all summer, too).  His hoof pain coincides with things greening up, usually mid-April here, even though he is on a truly dry lot and does not get any grass other than maybe the odd blade or two that pops up before I see them.   I think there is a hormonal component that increases his insulin in mid-April, although I've yet to see anything officially mentioned here (other than the finding that the spring equinox can also affect ACTH in PPID horses, which Shaku is not). 

Beyond that, maybe trying her on invocana?

If she can manage regular exercise before the spring and fall episodes, then maybe that could help prevent them.

I'm not sure what else to suggest for Storm.

--
Kirsten and Shaku (IR) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History  
Shaku's Photo Album   


Re: Requesting assistance interpreting insulin/glucose results

Hilary McGregor
 

Hay fed was 2020-07 Timothy - we intentionally fed this new hay for a week before blood test to see how they were responding. It has just over 10% ESC+starch.
--
Hilary and Amika
Prince George, BC, Canada
Joined July 2019
Amika's Case History Folder
Amika's Photos Folder


Re: Requesting assistance interpreting insulin/glucose results

Hilary McGregor
 

Hi Dr. Kellon. No, not fasted.

Mostly typical feeding routine on blood draw day starting with 7 am feeding of 4.5 lbs unsoaked hay (2020 Timothy, test results in files) and ½ lb soaked alfalfa cubes with AminoTrace+, flax, salt, vit E. Finished eating by 8 am. Regular turnout in dry paddock with track. 10:30 am snack of 2 lbs hay, finished by 11:30 - usually we feed at noon, but didn't want them to go too long without hay on test day. 12:00 pm lunch of 2 lbs hay. No exercise or travel. Blood draw at 12:30pm. Spun right away and serum frozen because we had to wait to ship and then it had to wait when received by the lab for their one day per week they test insulin.

We tested my mare's brother at the same time. His results suggest compensated IR and high insulin response. He's not on the ECIR site yet.
insulin 89
glucose 4.9

--
Hilary and Amika
Prince George, BC, Canada
Joined July 2019
Amika's Case History Folder
Amika's Photos Folder


Re: Update on Vinnie

Nancy & Vinnie & Summer
 


Re: Cushing and IR horse not eating

Eleanor Kellon, VMD
 
Edited

P.S.  T4 1.2 is normal in most labs. You don't want to supplement a horse with low weight.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Laminitis flare up 4 months after founder

Eleanor Kellon, VMD
 

That's a decision for your vet to make but no contraindication to DMSO.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Cushing and IR horse not eating

Eleanor Kellon, VMD
 

On Thu, Oct 22, 2020 at 09:46 PM, Allison wrote:
those numbers could be related to a different underlying health issue going on, and you might waste precious time and resources hunting down the PPID/IR hole and miss something else really important.
What issues did you have in mind?
 
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Cushing and IR horse not eating

Eleanor Kellon, VMD
 

 The first thing to do is check ACTH and insulin. Low lymphs, triglycerdes, weight loss and diabetic range glucose could be out of control PPID. Every diabetic horse I have worked with has weight problems.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: need to place a uckele order/ dr kellon

Eleanor Kellon, VMD
 

Assuming you are still exercising him, it's probably time to  move up to a post exercise feeding of 50:50 oats and beet pulp. Start with 1 lb each and work up to 2 lbs. Be sure to feed it only within the first hour after exercise. Until you can get that underway syringe in 2 oz of corn syrup immediately after work.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Update on Vinnie

Eleanor Kellon, VMD
 

Makes it all worthwhile.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Requesting assistance interpreting insulin/glucose results

Eleanor Kellon, VMD
 

Hi Hilary,

Was this a fasting insulin?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Laminitis flare up 4 months after founder

Mara
 

Thank you, Dr. Kellon. IV dmso at this stage?
--
Mara
NJ
2020
https://ecir.groups.io/g/CaseHistory/files/Mara%20and%20Enzo/?ord=dirname&d=asc


Re: Laminitis flare up 4 months after founder

Eleanor Kellon, VMD
 

I would make it a point to soak every  untested load, no exceptions.  Yes, restart metformin.  Icing isn't going to help.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: APF Primer for Newbies

Lida
 

Hello everyone!

Just a quick update. Auburn labs responded to my question about dosing that I sent via email by recommending that I call and talk to Dr. Van Noy. I did and he recommended that I give my horse 10ml / day. The recommendation is 1ml per 100 lbs. However, He said every horse is different and you can adjust up or down accordingly. He said even 5-6ml can be beneficial and some horses do well on 4ml / day, but 10ml would be best. I opted for 10ml / day because I don't want to take any chances and have to start the process over.

He said the regular APF was fine for helping a horse with the veil, but that the Plus was helpful for horses that have a history of stomach ulcers and the Pro was helpful for horses that have lost muscle tone, especially along the top line. I had already purchased the Pro because it was actually less expensive than the regular on the Valley Vet site. And I think that is the perfect one for my horse because he has lost some muscle tone along his top line.

Anyway, I started Doc on 10ml of APF on Sat night. Then started him on 1/4 tablet of prascend on Sunday morning. He is getting the APF in the evenings and prascend in the morning. I missed the recommendation that you should start APF 5 days before starting on prascend. So if this is important, I would include it in the APF Primer for newbies (I hope someone is putting that together! I would be happy to do it, but I am such a newbie, I don't know that I am the best one to do it.) So far, so good, but he is only up to 1/2 tablet at the moment, so we have a few more days before we get to a full tablet. I'm crossing my fingers that Doc will sail through.

On giving APF to my horse, I opted not to put it in his feed. It is a bit pricey and I was afraid that if he went off his feed that I would be wasting the APF. He is taking it nicely via syringe in the mouth. He actually seemed to like it.

--
Lida
Indiana
September 2020
Case: https://ecir.groups.io/g/CaseHistory/files/Lida%20and%20Doc


Laminitis flare up 4 months after founder

Mara
 

Hello. This morning I walked in to see my guy shifting his weight on fronts. All feet are hot, and it is also unseasonably warm in NJ. I just got bloods back earlier this week. Have not updated history yet. Insulin still high. ACTH 24.7, Glucose 100, Insulin 76.55. 

I started soaking hay this AM. Not tested every load, but every time tested comes back below 10% esc + starch. Feet/x-rays look good. Last xrays a month ago. Feet trimmed last week.  His diet is always low s/s. On J-herb  1 tbl AM and PM. Will put padded boots back on.

Simce I only have reason to believe it is metabolic induced, I shouldn't ice?

Anything else to do or look for? Start Metformin again? 

Thanks,
Mara
--
Mara
NJ
2020
https://ecir.groups.io/g/CaseHistory/files/Mara%20and%20Enzo/?ord=dirname&d=asc


Re: Update on Vinnie

Tracy
 

He looks good physically AND he looks like a happy horse! 

Way to go Vinnie and Nancy!

--
Tracy and Salsa (1999 model year Paso Fino)
Middle TN USA, September 2019
Case History  https://ecir.groups.io/g/CaseHistory/files/Tracy%20and%20Salsa
Photos https://ecir.groups.io/g/CaseHistory/album?id=95827


Re: Requesting assistance interpreting insulin/glucose results

Hilary McGregor
 

I entered the numbers wrong in the calculator. MIRG actually is blank. The other two are not IR.


--
Hilary and Amika
Prince George, BC, Canada
Joined July 2019
Amika's Case History Folder
Amika's Photos Folder


Re: Cushing and IR horse not eating

LJ Friedman
 

I didn’t spend a lot of time reading your case history but why don’t you switch over to Timothy pellets? Horse. has to eat. I know you can’t switch over because he’s not eating the Bermuda pellets any longer.
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 


Re: Update on Vinnie

Lynn
 

Crying tears of joy with you! He looks amazing! 
--
Lynn
Beavercreek, Ohio
March 2018
Relevante Case History
Relevante Photo Album

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