Analyze Diet

Topic:Glucose

Glucose is a simple sugar that serves as a primary energy source for horses. It is metabolized through various biochemical pathways to support cellular functions and overall energy requirements. In equine physiology, glucose levels are influenced by factors such as diet, exercise, and metabolic health. Monitoring glucose concentrations is important for understanding metabolic conditions, such as insulin resistance and equine metabolic syndrome, which can affect a horse's health and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the regulation, metabolism, and clinical implications of glucose in equine health.
Diagnosis of equine endocrinopathies: The value of measuring blood glucose during an oral glucose test.
Veterinary journal (London, England : 1997)    September 29, 2023   Volume 300-302 106034 doi: 10.1016/j.tvjl.2023.106034
de Laat MA, Sillence MN.Blood glucose concentration is often measured during an oral glucose test (OGT), but is not thought to aid in diagnosing insulin dysregulation (ID) or pituitary pars intermedia dysfunction (PPID). The aim of this retrospective study was to investigate whether the change in blood glucose concentration during an OGT aligned with indicators of equine metabolic syndrome or PPID, including serum insulin and plasma ACTH concentrations, clinical observations, age, sex, breed type and the test dose. The cohort included 149 horses, miniature horses, and ponies that had undergone an in-feed OGT and clin...
Kinetic, genomic, and physiological analysis reveals diversity in the ecological adaptation and metabolic potential of Brachybacterium equifaecis sp. nov. isolated from horse feces.
Microbiology spectrum    September 14, 2023   Volume 11, Issue 5 e0504822 doi: 10.1128/spectrum.05048-22
Farooq A, Lee M, Han S, Jung GY, Kim SJ, Jung MY.Brachybacterium species have been identified in various ecological niches and belong to the family within the phylum . In this study, we isolated a novel JHP9 strain from horse feces and compared its kinetic, biochemical, and genomic features with those of other strains. Moreover, comparative genomic analysis using publicly available genomes was performed to determine the properties involved in their ecological adaptation and metabolic potential. Novel species delineation was determined phylogenetically through 16S rRNA gene similarity (up to 97.9%), average nucleotide identity (79.5-82.5%...
Intra-articular triamcinolone acetonide injection results in increases in systemic insulin and glucose concentrations in horses without insulin dysregulation.
Equine veterinary journal    September 13, 2023   doi: 10.1111/evj.14003
Boger BL, Manfredi JM, Loucks AR, Salamey MZ, Kapeller LE, Fricano AG, Winkler A, Yob C, Colbath AC.Corticosteroids are a commonly used, inexpensive intra-articular treatment for osteoarthritis which may increase the risk for laminitis in horses due, in part, to hyperinsulinaemia. Humans with metabolic syndrome experience increases in insulin and glucose concentrations post-injection, but responses in horses are unknown. Objective: To determine the effect of a single intra-articular (IA) dose of triamcinolone acetate (TA) on blood insulin and glucose concentrations. Methods: Before-after study. Methods: Ten horses with normal insulin regulation as assessed by an oral sugar test received 18â€...
Associations between feeding and glucagon-like peptide-2 in healthy ponies.
Equine veterinary journal    September 13, 2023   doi: 10.1111/evj.14004
Sibthorpe PEM, Fitzgerald DM, Sillence MN, de Laat MA.Gastrointestinal peptides, such as glucagon-like peptide-2 (GLP-2), could play a direct role in the development of equine hyperinsulinaemia. Objective: To describe the secretory pattern of endogenous GLP-2 over 24 h in healthy ponies and determine whether oral administration of a synthetic GLP-2 peptide increases blood glucose or insulin responses to feeding. Methods: A cohort study followed by a randomised, controlled, cross-over study. Methods: In the cohort study, blood samples were collected every 2 h for 24 h in seven healthy ponies and plasma [GLP-2] was measured. In the cross-over...
Apgar Score, Clinical, Hemato-Biochemical, and Venous Blood Gas Parameters in a Cohort of Newborn Mule Foals: Preliminary Data.
Journal of equine veterinary science    September 10, 2023   Volume 130 104917 doi: 10.1016/j.jevs.2023.104917
The study aimed to assess Apgar scores and collect data on clinical, hemato-biochemical, and venous blood gas parameters in seven mules during their first 48 hours of life. Apgar scores, heart rate (HR), respiratory rate (RR), body temperature (BT), body weight (BW), time to achieve sternal recumbency, stand, nurse, and pass meconium were recorded. Blood samples were collected at birth (T0), 6 (T6), 12 (T12), 24 (T24), 48 (T48) hours of life. Data distribution was verified and differences in laboratory parameters over time assessed. One foal had an Apgar score of 6/8, thus excluded from the st...
The Emerging Role of Hypoxic Training for the Equine Athlete.
Animals : an open access journal from MDPI    September 3, 2023   Volume 13, Issue 17 doi: 10.3390/ani13172799
Davie A, Beavers R, Hargitaiová K, Denham J.This paper provides a comprehensive discussion on the physiological impacts of hypoxic training, its benefits to endurance performance, and a rationale for utilizing it to improve performance in the equine athlete. All exercise-induced training adaptations are governed by genetics. Exercise prescriptions can be tailored to elicit the desired physiological adaptations. Although the application of hypoxic stimuli on its own is not ideal to promote favorable molecular responses, exercise training under hypoxic conditions provides an optimal environment for maximizing physiological adaptations to ...
Dynamics of training and acute exercise-induced shifts in muscular glucose transporter (GLUT) 4, 8, and 12 expression in locomotion versus posture muscles in healthy horses.
Frontiers in physiology    August 16, 2023   Volume 14 1256217 doi: 10.3389/fphys.2023.1256217
Vidal Moreno de Vega C, Lemmens D, de Meeûs d'Argenteuil C, Boshuizen B, de Maré L, Leybaert L, Goethals K, de Oliveira JE, Hosotani G, Deforce D....Important changes in glucose transporter (GLUT) expression should be expected if the glucose influx plays a pivotal role in fuelling or connecting metabolic pathways that are upregulated in response to exercise. The aim was to assess GLUT4, 8, and 12 dynamics in response to training and acute exercise. Sixteen untrained Standardbred mares (3-4 year) performed an incremental SET at the start and end of 8 weeks harness training. M. pectoralis (PM) and M. vastus lateralis (VL) muscle biopsies were taken before and after each SET, allowing for comparing rest and acute samples in untrained (UT) ...
The effect of pre-dosing with metformin on the insulin response to oral sugar in insulin-dysregulated horses.
Equine veterinary journal    August 6, 2023   doi: 10.1111/evj.13979
Colmer SF, Adams AA, Adam E, Miller R, Stefanovski D, Kulp JC, van Eps A.A single dose of metformin administered 1 h prior to oral glucose challenge was previously shown to reduce insulinaemic responses in horses with experimentally-induced insulin dysregulation (ID). Targeted administration could be useful for controlling post-prandial hyperinsulinaemia in horses with naturally-occurring ID.
Equine Metabolic Syndrome: A Complex Disease Influenced by Multifactorial Genetic Factors.
Genes    July 27, 2023   Volume 14, Issue 8 1544 doi: 10.3390/genes14081544
Stefaniuk-Szmukier M, Piórkowska K, Ropka-Molik K.Equine metabolic syndrome (EMS) has become an important issue in modern veterinary medicine and is linked to the common, extremely painful, most-of-the-time performance-terminating hoof laminitis. The growing knowledge in the field of genetic background, inducing environmental factors, diagnosis, treatment and maintenance of affected equines led us to summarise the available information to be used not only for scientific purposes but for fieldwork. In horses, the clinical presentation of EMS includes: obesity or local fat deposition, bilateral lameness or hoof rings attributed to ongoing or pr...
Novel Expression of GLUT3, GLUT6 and GLUT10 in Equine Gluteal Muscle Following Glycogen-Depleting Exercise: Impact of Dietary Starch and Fat.
Metabolites    June 1, 2023   Volume 13, Issue 6 718 doi: 10.3390/metabo13060718
Valberg SJ, Velez-Irizarry D, Williams ZJ, Pagan JD, Mesquita V, Waldridge B, Maresca-Fichter H.Horses have a slow rate of muscle glycogen repletion relative to other species for unknown reasons. Our aim was to determine the expression of glucose transporters () and genes impacting GLUT4 expression and translocation in the gluteal muscle. Five fit Thoroughbred horses performed glycogen-depleting exercises on high-starch (HS, 2869 g starch/day) and low-starch, high-fat diets (LS-HF, 358 g starch/d) with gluteal muscle biopsies obtained before and after depletion and during repletion. Muscle glycogen declined by ≈30% on both diets with little increase during repletion on LS-HF. Transcrip...
Effect of Physical Exercise in Hemogasometric and Electrolytic Profiles of Young Mangalarga Marchador Horses Beginning Training for Gait Competitions.
Journal of equine veterinary science    May 23, 2023   Volume 127 104823 doi: 10.1016/j.jevs.2023.104823
Nogueira WA, Ferreira Padilha FG, Angelo Luiz M, da Silva Salomão N, Monteiro Fonseca AB, Reis Ferreira AM.This study aimed to analyze effect of physical exercise in hemogasometric and electrolytic profiles of young Mangalarga Marchador horses beginning training for gait competitions. Six Mangalarga Marchador gaited horses with 6 months of training were evaluated. The ages ranged from three and a half to five years and included four stallions and two mares, with mean (±S.D.) body weight of 435±30Kg. Venous blood samples were collected from the horses, rectal temperature and HR were measured before and immediately after the gait test, and blood samples were used for hemogasometric and laboratory a...
Sodium-glucose cotransporter 2 inhibitors in horses-Magic bullet or latest fad?
Equine veterinary journal    May 15, 2023   Volume 55, Issue 4 559-562 doi: 10.1111/evj.13944
Sundra T, Lester G, Rossi G, Rendle D.No abstract available
Equine metabolic syndrome: Role of the enteroinsular axis in the insulin response to oral carbohydrate.
Veterinary journal (London, England : 1997)    February 28, 2023   Volume 294 105967 doi: 10.1016/j.tvjl.2023.105967
de Laat MA, Fitzgerald DM.Equine insulin dysregulation (ID) comprises amplified insulin responses to oral carbohydrates or insulin resistance, or both, which leads to sustained or periodic hyperinsulinaemia. Hyperinsulinaemia is important in horses because of its clear association with laminitis risk, and the gravity of this common sequela justifies the need for a better understanding of insulin and glucose homoeostasis in this species. Post-prandial hyperinsulinaemia is the more commonly identified component of ID and is diagnosed using tests that include an assessment of the gastrointestinal tract (GIT). There are se...
Effect of sirolimus on insulin dynamics in horses.
Journal of veterinary internal medicine    February 25, 2023   Volume 37, Issue 2 703-712 doi: 10.1111/jvim.16650
de Tonnerre DJ, Medina Torres CE, Stefanovski D, Robinson MA, Kemp KL, Bertin FR, van Eps AW.Sirolimus, a mechanistic target of rapamycin inhibitor, suppresses insulin production in other species and has therapeutic potential for hyperinsulinemia in horses. Objective: Determine the pharmacokinetics (PKs) of sirolimus and evaluate its effect on insulin dynamics in healthy and insulin dysregulation (ID) horses. Methods: Eight Standardbred geldings. Methods: A PK study was performed followed by a placebo-controlled, randomized, crossover study. Blood sirolimus concentrations were measured by liquid chromatography-mass-spectrometry. PK indices were estimated by fitting a 2-compartment mod...
Palatability, glycemic, and insulinemic responses to various carbohydrate formulations: Alternatives for the diagnosis of insulin dysregulation in horses?
Journal of veterinary internal medicine    January 10, 2023   Volume 37, Issue 1 282-291 doi: 10.1111/jvim.16614
Warnken T, Schaub C, Delarocque J, Frers F, Feige K, Sonntag J, Reiche DB.Oral glycemic challenge (GC) tests are recommended for diagnosis of insulin dysregulation (ID). Various protocols are used, but all have limitations in terms of palatability, ease of use, variable composition, geographic availability, or some combination of these. Objective: To evaluate newly developed formulations with defined carbohydrate composition for use as oral GCs. Methods: Thirty-four horses and ponies in various metabolic states. Methods: Our objectives were carried out in 2 separate cross-over experiments. First, the palatability and acceptance of various GCs (2 syrups, 1 granulate)...
Ultrasonographic & biochemical analysis of thyroid bio-architecture for further pharmacological intervention in adult Arabian stallions & mares.
Research in veterinary science    January 7, 2023   Volume 155 44-50 doi: 10.1016/j.rvsc.2023.01.001
El-Sherif MA, Nabil G, Ibrahim R, Mohamed N, Mohamed M, Jaheen AH.Based on the growing attention to the Arabian horses with a lack of records regarding their normal physiological parameters, which are critically vital for disease diagnosis &convenient drug administration, we give great attention to their thyroid gland normalcy. The thyroid gland is one of the key players in regulating many physiological processes. Therefore, we tackled thyroid biology & morphology in 14 Arabian stallions & 18 Arabian mares from the beginning of March to the middle of April on animals from 4 to 19 years old. First, the blood samples taken from their jugular vein ...
Carbohydrate pellets to assess insulin dysregulation in horses.
Journal of veterinary internal medicine    December 30, 2022   Volume 37, Issue 1 302-314 doi: 10.1111/jvim.16621
de Laat MA, Warnken T, Delarocque J, Reiche DB, Grob AJ, Feige K, Carslake HB, Durham AE, Sillence MN, Thane KE, Frank N, Brojer J, Lindase S....A glycemic challenge test is used for the diagnosis of insulin dysregulation (ID) in horses and ponies. Different forms of the test exist where the administrative route and dose of glucose vary, which makes interpretation of results challenging. Objective: To evaluate the palatability of, and blood glucose and insulin responses to, carbohydrate pellets fed as an oral glucose test (OGT), and to establish the diagnostic threshold for ID when using the pellets. Methods: University and privately-owned horses and ponies (n = 157) comprised of 31 breeds and both sexes. Methods: Multicenter cohort ...
A one-health approach to identifying and mitigating the impact of endocrine disorders on human and equine athletes.
American journal of veterinary research    December 27, 2022   Volume 84, Issue 2 ajvr.22.11.0194 doi: 10.2460/ajvr.22.11.0194
Manfredi JM, Jacob SI, Boger BL, Norton EM.Endocrinopathies affect multiple species in ever-increasing percentages of their populations, creating an opportunity to apply one-health approaches to determining creative preventative measures and therapies in athletes. Obesity and alterations in insulin and glucose dynamics are medical concerns that play a role in whole-body health and homeostasis in both horses and humans. The role and impact of endocrine disorders on the musculoskeletal, cardiovascular, and reproductive systems are of particular interest to the athlete. Elucidation of both physiologic and pathophysiologic mechanisms invol...
Evaluation of Shiitake Mushroom (Lentinula edodes) Supplementation on the Blood Parameters of Young Thoroughbred Racehorses.
Animals : an open access journal from MDPI    November 19, 2022   Volume 12, Issue 22 3212 doi: 10.3390/ani12223212
Soroko-Dubrovina M, Górniak W, Zielińska P, Górniak A, Čebulj-Kadunc N, Korczyński M.The aim of this study was to evaluate the effect of shiitake mushroom () supplementation on the hematology and biochemical blood parameters of young Thoroughbred racehorses. The study was conducted with 20 horses divided into two groups: the supplemented and the control group. The supplemented group was given 30 g of daily for four months. One blood sample was collected four times from each horse at four-week intervals. The hematology analysis in the supplemented group showed a higher level of monocytes at day 56 when compared to the control group ( = 0.000986). Biochemical analysis showed th...
Effects of the Ingestion of Ripe Mangoes on the Squamous Gastric Region in the Horse.
Animals : an open access journal from MDPI    November 9, 2022   Volume 12, Issue 22 doi: 10.3390/ani12223084
Silva CJFL, Trindade KLG, Cruz RKS, Manso HECCC, Coelho CS, Filho JDR, Nogueira CEW, Aragona F, Fazio F, Manso Filho HC.Erosions and gastric ulcers may be present in horses at any age and under different conditions of rearing and handling. In tropical regions, horses can feed on fruits rich in soluble carbohydrates, such as mangoes, but little is known about how these foods interact with their digestive systems. To test the hypothesis that the ingestion of ripe mangoes with peels could cause disturbances in the digestive processes of horses, an experiment was developed to monitor animals that had free access to ripe mangoes in their pasture areas. Horses (purebred Arabians, n = 5; ~340 kg, ~13 years) were evalu...
Kallikrein proteoforms and reproductive parameters in stallion are conditioned by climate.
Scientific reports    November 4, 2022   Volume 12, Issue 1 18690 doi: 10.1038/s41598-022-21350-w
Senra RL, Ramírez-López CJ, Magalhães-Júnior MJ, Neves JGDS, Barros E, Waddington B, Guimarães SEF, Guimarães JD, Baracat-Pereira MC.Horses are seasonal polyoestrous animals, and the photoperiod is the main factor modulating their reproductive activity. There is no consensus on the andrological and biochemical factors that influence breeding seasonality. To assess the involvement of climate in reproduction, Mangalarga Marchador stallions were monitored over 1 year regarding semen quality and seminal plasma proteome. Here, we show that kallikrein (KLKs) proteoforms in seminal plasma are involved in climate conditioning of reproduction. During the breeding season, greater abundance and different types of KLKs occurred simult...
A starch-rich treat affects enteroinsular responses in ponies.
Journal of the American Veterinary Medical Association    October 6, 2022   Volume 260, Issue S3 S94-S101 doi: 10.2460/javma.22.06.0272
Sibthorpe PEM, Fitzgerald DM, Chen L, Sillence MN, de Laat MA.To determine the effect of a starch-rich treat, added to the daily diet of ponies for 10 days, on enteroinsular responses to meal consumption. 10 mixed-breed adult ponies owned by Queensland University of Technology were used in the study. Six ponies were metabolically healthy, and 4 were insulin dysregulated at the start of the study, according to the results of an in-feed oral glucose test. A bread-based treat was offered twice daily for 10 days, adding 0.36 ± 0.04 g/kg body weight (BW) carbohydrates to the daily diet. Before and after treatment, the intestinal capacity for simple carbohydr...
Blood Profile, Hormones, and Telomere Responses: Potential Biomarkers in Horses Exhibiting Abnormal Oral Behavior.
Journal of equine veterinary science    September 29, 2022   Volume 118 104130 doi: 10.1016/j.jevs.2022.104130
Hanis F, Chung ELT, Kamalludin MH, Idrus Z.The high prevalence of abnormal oral behavior (AOB) in working horses has been linked to management issues and the pathophysiology of this behavior remains unclear. Therefore, this study aims to elucidate the blood profile, hormones, and telomere length responses between low and high levels of AOB among different horse working groups. A total of 207 healthy horses from various breeds were initially selected from four working groups (leisure riding, equestrian, endurance, and patrolling) and observed for the time spent on AOB. Then, six horses each with higher and lower AOB than the population ...
Photoperiod-dependent changes in oxidative stress markers in the blood of Shetland pony mares and stallions involved in recreational horseback riding.
Chronobiology international    August 31, 2022   Volume 39, Issue 11 1419-1434 doi: 10.1080/07420528.2022.2115922
The objective of the current study was to determine the photoperiod-induced variations and the impact of exercise on oxidative stress biomarkers [2-thiobarbituric acid reactive substances (TBARS), aldehydic (AD) and ketonic (KD) derivatives of oxidatively modified proteins (OMP), total antioxidant capacity (TAC), and activities of superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx)] and biomarkers of metabolic alterations [glucose, urea, and uric acid and the activity of lactate dehydrogenase (LDH)] in the blood of Shetland pony mares and stallions involved in recreati...
Use of the SGLT2 inhibitor canagliflozin for control of refractory equine hyperinsulinemia and laminitis.
Open veterinary journal    August 7, 2022   Volume 12, Issue 4 511-518 doi: 10.5455/OVJ.2022.v12.i4.14
Kellon EM, Gustafson KM.Hyperinsulinemia associated with pituitary pars intermedia dysfunction (PPID) and/or equine metabolic syndrome is well documented to put horses at high risk of laminitis. While dietary control of simple sugars and starch is the most effective therapy to control hyperinsulinemia, some horses fail to respond. Ten horses with hyperinsulinemia refractory to diet control, metformin, levothyroxine, and pergolide (if diagnosed with PPID) were treated with sodium-glucose cotransporter-2 inhibitor canagliflozin (Invokana®). Nine horses were hyperglycemic (>5.5 mmol/l) or had a history of hyperglyce...
Effect of a GLP-1 mimetic on the insulin response to oral sugar testing in horses.
BMC veterinary research    July 29, 2022   Volume 18, Issue 1 294 doi: 10.1186/s12917-022-03394-2
Stefanovski D, Robinson MA, Van Eps A.Insulin dysregulation (ID) is the most important risk factor for the development of laminitis in horses and therapies to control it are needed. Objective: To assess the effects of a single dose of the synthetic GLP-1 analog exenatide on postprandial insulin dynamics. We hypothesized that exenatide would improve insulin sensitivity and lower postprandial blood insulin concentrations. Methods: Randomized, crossover, experimental study. Methods: Six horses (3 mares, 3 geldings; 2 with normal insulin regulation [NIR] and 4 with mild ID). Methods: Horses completed both study arms: subcutaneous admi...
An exercise-inducible metabolite that suppresses feeding and obesity.
Nature    June 15, 2022   Volume 606, Issue 7915 785-790 doi: 10.1038/s41586-022-04828-5
Li VL, He Y, Contrepois K, Liu H, Kim JT, Wiggenhorn AL, Tanzo JT, Tung AS, Lyu X, Zushin PH, Jansen RS, Michael B, Loh KY, Yang AC, Carl CS....Exercise confers protection against obesity, type 2 diabetes and other cardiometabolic diseases1-5. However, the molecular and cellular mechanisms that mediate the metabolic benefits of physical activity remain unclear6. Here we show that exercise stimulates the production of N-lactoyl-phenylalanine (Lac-Phe), a blood-borne signalling metabolite that suppresses feeding and obesity. The biosynthesis of Lac-Phe from lactate and phenylalanine occurs in CNDP2+ cells, including macrophages, monocytes and other immune and epithelial cells localized to diverse organs. In diet-induced obese mice,...
Evaluation of peripheral blood polymorphonuclear cell functions after an oral carbohydrate overload in obese and insulin dysregulated horses.
Veterinary immunology and immunopathology    June 13, 2022   Volume 250 110455 doi: 10.1016/j.vetimm.2022.110455
Salinas C, Espinosa G, Morales N, Henríquez C, Morán G, Gajardo G, Burgos RA, Uberti B.Obesity and insulin dysregulation (ID) are increasingly prevalent conditions in equid populations worldwide. Immune impairment is well described in humans with metabolic dysfunction and is reported but still incompletely understood in horses. This study evaluated the effect of acute induced transient hyperglycemia on apoptosis, phagocytosis and oxidative burst activity of peripheral blood polymorphonuclear cells (PMN) of lean and obese adult horses with or without insulin dysregulation. Seventeen adult horses were allocated into three groups based on their body condition score (BCS) and metabo...
Diagnostic evaluation of insulin and glucose dynamics in light-breed horses receiving dexamethasone.
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2022   Volume 63, Issue 6 617-626 
Timko KJ, Hostnik LD, Watts MR, Chen C, Bercz A, Toribio RE, Belknap JK, Burns TA.Insulin dysregulation is a hallmark of equine metabolic syndrome (EMS) and increases the risk for development of laminitis. Accurate diagnosis of insulin dysregulation is crucial for implementation of preventative strategies in this population. The objective was to assess the effects of dexamethasone administration on insulin and glucose dynamics in light-breed horses and assess the agreement of various diagnostic tests for insulin dysregulation [basal [insulin] (BI), oral sugar test (OST), and combined glucose-insulin test (CGIT)]. Fourteen adult light-breed horses. Prospective, experimental ...
Effects of Bromocriptine on Glucose and Insulin Dynamics in Normal and Insulin Dysregulated Horses.
Frontiers in veterinary science    May 31, 2022   Volume 9 889888 doi: 10.3389/fvets.2022.889888
Loos CMM, Urschel KL, Vanzant ES, Oberhaus EL, Bohannan AD, Klotz JL, McLeod KR.The objectives of the study were to study the effects of the synthetic ergot alkaloid (EA), bromocriptine, on glucose and lipid metabolism in insulin dysregulated (ID, n = 7) and non-ID (n = 8) mares. Horses were individually housed and fed timothy grass hay and two daily concentrate meals so that the total diet provided 120% of daily DE requirements for maintenance. All horses were given intramuscular bromocriptine injections (0.1 mg/kg BW) every 3 days for 14 days. Before and after 14 days of treatment horses underwent a combined glucose-insulin tolerance test (CGIT) to assess insulin sensit...