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Insulin regulates blood glucose. Normal resting insulin levels make equine metabolic syndrome (EMS) unlikely.
Low insulin in a horse with normal glucose is not typically a concern. In a horse with high glucose, it could indicate insulin deficiency (rare in horses).
Monitor for any clinical signs but this is usually not actionable alone.
Equine resting insulin: 3 µIU/mL (Low)Insulin regulates blood glucose. Normal resting insulin levels make equine metabolic syndrome (EMS) unlikely.
No action needed.
Equine resting insulin: 10 µIU/mLHigh resting insulin is the hallmark of insulin dysregulation (ID), a component of equine metabolic syndrome (EMS). Affected horses are at high risk for developing laminitis. EMS is common in ponies, miniature horses, Morgans, Arabians, and Warmbloods. Associated signs include regional adiposity (cresty neck, tailhead fat pads, sheath fat), obesity (though some are lean), and recurrent laminitis. The oral sugar test (OST) is the gold standard for confirming insulin dysregulation.
Dietary management is essential — eliminate all grain and sugary treats, restrict pasture access, and provide a low-NSC (non-structural carbohydrate) hay. Regular exercise (if not laminitic) improves insulin sensitivity. Your veterinarian may recommend starting metformin or levothyroxine in noticeable cases. Strict hoof care is critical.
Equine resting insulin: 45 µIU/mL (High)Upload your lab report and get your actual values interpreted in plain English — instantly, with no medical training required.