Hyperinsulinemia-associated laminitis is a form of laminitis that develops in the face of high circulating insulin levels. It can typically be managed but only if diagnosed quickly, writes Stacey Oke, DVM, MSc. She reviews interesting research including the use of radiographs to monitor and measure changes in the lucent zone which is parallel to the coffin bone.
Treating acute HAL cases aggressively involves using a combination of cooling the hoof, restricting the diet, and medications to lower blood insulin levels as quickly as possible.
Source: The Horse, November 16, 2023. Link. Oke shares research insights from Andrew van Eps, BVSc, PhD, Dipl. ACVIM. Medications mentioned include metformin, SGLT2i, pioglitazone, acetaminophen and pregabalin with NSAIDs still considered the most effective analgesics for laminitic pain.
Also see: Search results for: laminitis, AHD archives. Link.