My basic tests for metabolic laminitis horses are glucose, insulin and ACTH. I run these tests regularly and look for patterns instead of single results. For example, I just got results back on 2 mares that I have been working with for over a year. Both of these mares are looking fantastic as far as their weight and energy levels. Their hooves look good and they have no lameness at all.
Yet, according to their blood work they are both still have high ACTH levels. If I did not have previous blood work on these laminitis horses I would be tempted to make changes in their management programs but when I look at previous tests I see lower ACTH levels than when last tested. This combined with the good clinical picture, we will stick with what is working.
A low starch diet, pasture turnout with a grazing muzzle, daily supplementation with packets of bluegreen algae, probiotics and enzymes for digestive support and low levels of pergolide is working fantastic for these laminitis horses. The mares are happy and have a great quality of life. This is my goal, not getting perfect lab results. Madalyn