• Home
    • What we do
    • About TLS
    • TLS Privacy Policy
    • Contact
    • Case Studies
  • Laminitis
    • Emergency Treatment
    • Chronic laminitis
    • Laminitis FAQ
  • EMS/ID
    • Management strategies for EMS/ID
    • EMS/ID FAQ
    • Rosie
  • Diet
    • Diet FAQ
  • PPID
    • PPID FAQ
    • Half Pint
    • Widget
  • Feet
    • Realigning Trim
    • Feet A-Z
    • Chronic laminitis
    • Understanding x-rays
    • Taking hoof photos
    • Feet FAQ & Articles
    • Feet gallery
    • Reading the foot
    • Dorsal rotation/long toes
    • High heels
    • Palmar Angle Calculator
    • Sorrel
    • Monroe
    • Cedar
  • News
  • Articles
  • A-Z
    • A
    • B
    • C
    • D
    • E
    • F
    • G
    • H
    • I
    • J K
    • L
    • M
    • N
    • O
    • P Q
    • R
    • S
    • T
    • U V W X Y Z
  • Case Studies
    • Danae
    • Half Pint
    • Herbie
    • Herbie diary
    • Herbie's TTouch diary
    • Izmir
    • Misty
    • Nero
    • Nutmeg
    • Nutmeg TLS rehab
    • Rosie
    • Sorrel
    • Tex
    • Widget
  • France
    • Articles en francais
  • Research
    • New Research/Research by Date
    • Research papers by subject
    • Research papers by author
    • Research news/comment
    • Research projects >
      • NSC in grass & hay
      • How much do horses eat?
      • Do fructans cause laminitis?
      • Turmeric/Curcumin
      • Insulin response to diet
    • Help with research
  • Help!
    • Join Friends of TLS
    • Donate
    • Appeals
    • Raise funds for TLS
    • In Loving Memory
    • Friends of TLS only
The Laminitis Site

Vetcare Webinars Andy Durham 2013

9/22/2014

0 Comments

 
The Talk About Laminitis Scheme: 
Vetcare Webinars by Andy Durham in 2013

There seems to be a relationship between ACTH concentration and number of clinical signs of PPID seen. 
PPID is diagnosed in horses under 10 years old. 
In 48% of 2045 PPID cases with laminitis, laminitis was the only clinical sign of PPID. 
In 4623 PPID (TAL) cases with laminitis, most were in the autumn, then winter, then summer, then spring. 
In 1154 PPID cases, Liphook found the highest ACTH in autumn, then winter, summer, spring, and the highest insulin in autumn, then winter, summer, spring. 
Horses over 15 years old with PPID have a 4.65 x greater risk of laminitis than horses of the same age without PPID (McGowan et al. 2013). 
67% of PPID cases demonstrate an excessive insulin response to glucose challenge (Durham, unpublished). 
Pergolide may protect against neuronal oxidative damage (Uberti et al. 2002, Gille et al. 2002). 
"A "grey zone" for results is inevitable with a slowly progressive disease. 
Any horse of any age with laminitis deserves testing for PPID regardless of whether other clinical signs are present." 
"Routine screening for PPID as part of "annual health checks" is justifiable beyond 5-7 years of age." 
Important to realise that "we don't have all the answers" yet.  A 3 year old obese, previously laminitic pony had results of: 
fasted insulin 12 uIU/ml (<20) 
Post glucose insulin 793 uIU/ml (<85) 
ACTH 358 pg/ml (<29). 
The question is asked, should this pony be treated for PPID (pain, stress would have to be taken into account, as well as other symptoms of PPID.  TLS might suggest trying pergolide initially whilst trying to control other factors, but reducing and if possible stopping dose if follow up blood tests show ACTH return to normal, and continuing to monitor ACTH regularly). 
​
0 Comments
    Articles

    ​Laminitis, EMS or PPID - start here​
    ​Who said "stop the carrots"?
    ​Pituitary stress hormones
    ​Should pergolide be increased for the seasonal rise?
    ​
    Are you using illegal supplements?
    ​Body Condition Scoring
    ​
    Pituitary Pars Intermedia Dysfunction
    Equine Metabolic Syndrome and insulin dysregulation
    TTouch for laminitics 1
    Laminitis and the Feet

    La fourbure et le pied
    Laminitis, EMS and PPID
    Testing Insulin
    Cold Weather 
    Laminitis Rehabilitation – The Owner's Perspective
    Casareño's recovery
    P3 - the pedal/coffin bone/third phalanx
    Vit C and PPID

    Vetcare Webinars Andy Durham 2013
    Movement - good or bad?
    Pulsatility of ACTH
    Starting pergolide/Prascend
    ​
    Managing horses with PPID - Marian Little & Dianne McFarlane
    Is it PPID or is it EMS? 
    FAQ: Rehabilitating the feet after laminitis
    Diet for weight loss
    Please report adverse reactions to Prascend
    Splitting Prascend tablets
    Measuring Collateral Grooves
    General Laminitis Quiz
    Body Condition Scoring Video
    Video comparing PPID symptoms and normal aging
    McFarlane 2011 Equine PPID
    Pharmacokinetics of Pergolide Mesylate in Horses - Rendle et al. 2013.
    EVA foam pads

    Rehabilitating the Laminitic Foot - Scott Morrison DVM
    Anaemia and Iron Supplements
    Early symptoms of PPID.
    Don't raise the heel!
    The Laminitis Site is now a charitable company!
    Izmir returns to work after laminitis in all 4 feet.
    Trimming the laminitic horse.
    A balanced foot.
    The circumflex artery and solar corium necrosis.
    What do you know about PPID?
    Laminitis myths.
    Frosty grass = high sugar!
    There are no magic potions!
    Is injected pergolide more effective than oral?
    ​
    Risk Factors for Equine Metabolic Syndrome - Dr Nichol Schultz
    Fly free Homey pony.
    Sorrel's doing great!
    Celebrating Homer's results!
    The Horse.com Ask the vet live: PPID.
    If the bone moves - move it back!
    Always get a diagnosis!
    Horses with laminitis need pampering!
    Autumn is the best time to 
    test for PPID.

    Archives

    February 2019
    November 2016
    August 2016
    February 2016
    January 2016
    July 2015
    June 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    October 2014
    September 2014
    June 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    April 2013
    March 2013
    February 2013
    January 2013
    December 2012
    October 2012
    September 2012
    August 2012
    July 2012
    June 2012
    September 2011

    RSS Feed

Laminitis/EMS/PPID? Start here
Need help/support? Join FoTLS
Donate to help laminitic horses
Disclaimer: The information, suggestions and links (hereafter referred to as “information”) contained in this website are provided for information purposes only and should not be relied upon nor replace professional veterinary advice.  Information is non-veterinary, is based as far as possible on current research, does not constitute advice or diagnosis, and should be discussed in full with all relevant vets and hoofcare or other professionals.  No responsibility is taken for the accuracy or suitability of information contained in this website, and no liability accepted for damages of any kind arising from use, reference to or reliance on any information contained in this website.  If you suspect your horse has laminitis or is ill, please consult your vet. 
The Laminitis Site is a charitable company registered in England & Wales No. 8530292, recognized by HMRC as a charity for Gift Aid.  
Please consider making a donation to support the work of The Laminitis Site.
For more information and membership of the TLS support/discussion group, join Friends of The Laminitis Site.
The Laminitis Site's Privacy Policy.