Managing Equine Metabolic Syndrome & Insulin Resistance

Equine metabolic syndrome and insulin resistance have been a common problem but seem to be potentialy increasing in frequency or incidence over the past decade.  As the number of cases of EMS or insulin resistance increases, we are ultimately left with determining the best means of controlling these horses for the long term.  There have been proposed many theories of management, but not every approach works in every patient, often leaving us much to be desired.