equinenutritionEMSlaminitis
Nutritional Management of Equine Metabolic Syndrome: Low NSC Forage Strategies
Dr. Emily Chen, DVM, DACVN
March 22, 2026• Equine Veterinary Journal• DOI: 10.1234/vetresearch.2026.002
Abstract
Equine Metabolic Syndrome (EMS) requires strict dietary management to control hyperinsulinemia and prevent laminitis.
Background
Equine Metabolic Syndrome is a complex endocrine disorder characterized by regional adiposity, insulin dysregulation, and a high risk of endocrinopathic laminitis.
- Eliminate grain and concentrates high in NSC.
- Feed forage with NSC < 10%.
- Use a ration balancer to provide essential amino acids, vitamins, and minerals.
Forage Testing and Soaking
When low-NSC hay cannot be sourced reliably, soaking hay in water for 30-60 minutes can leach water-soluble carbohydrates.
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