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Journal of equine veterinary science2021; 107; 103770; doi: 10.1016/j.jevs.2021.103770

Effect of Dose and Fasting on Oral Sugar Test Responses in Insulin Dysregulated Horses.

Abstract: The oral sugar test (OST) is frequently used to identify insulin dysregulated (ID) equines. The effect of fasting and varying sugar dose for the OST has been investigated in the pony but little work has been done in the horse. This study aimed to investigate (1) an OST response with access to forage continued until the time of the OST or prevented for 3 hours prior to the OST and (2) responses of ID and non-insulin dysregulated (NID) horses to two different OST doses. Twenty-one mixed-breed horses (14.8 ± 3.2 years; 574.3 ± 83.3 kg) were used in two randomized crossover studies. Seven ID and seven NID horses were used in study A, and eight ID and eight NID in study B. Study A horses underwent an OST (0.15 mL/kg BW) either after a fast (FA) or directly off pasture (FE). Study B horses received either a low (LD; 0.15 mL/kg BW) or high dose (HD; 0.45 mL/kg BW) OST on one occasion each. Blood was collected at basal (T0), and post-60 minute (T60) for later determination of insulin (RIA). Data were analyzed via ANOVA with repeated measures. ID horses had significantly (P < 0.05) greater insulin responses than NID for all OSTs. There was no statistical difference between LD versus HD mean insulin concentrations (T0, T60, delta insulin) for either ID or NID horses. ID had higher T0 (P < 0.01) for FE compared to FA; however, FE and FA did not significantly affect T60 or delta insulins (DI) concentrations.
Publication Date: 2021-09-16 PubMed ID: 34802623DOI: 10.1016/j.jevs.2021.103770Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Veterinary
  • Research Support
  • Non-U.S. Gov't

Summary

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This research article investigates how fasting and different doses of oral sugar test (OST) impact insulin response in insulin dysregulated horses. The research suggests that insulin dysregulated horses had significantly higher insulin responses than non-insulin dysregulated horses. The study, however, found no significant difference in insulin responses between low and high OST doses.

Research Purpose and Methodology

  • The main purpose of this research was to examine the impact of fasting and varying oral sugar test (OST) doses on insulin responses in insulin dysregulated (ID) horses. This targets understanding the effect of blood sugar levels on insulin regulation of horses for better management of ID conditions.
  • Twenty-one mixed-breed horses with different insulin conditions (ID and non-insulin dysregulated or NID) were used for this study. In two separate studies (A and B), different experimental conditions were implemented.
  • In Study A, horses underwent an OST with either a fast (FA) prior to the OST, or directly after feeding off pastures (FE). This was designed to understand the effect of a horse’s dietary conditions on insulin response.
  • Further, in Study B, horses were given either a low dose (LD) or high dose (HD) OST on one occasion to examine dose-dependent insulin response.
  • Blood samples were taken before and an hour after the OST to determine insulin concentrations.

Research Findings

  • The study found that ID horses had significantly more pronounced insulin reactions than NID horses under all OST conditions. This highlights the sensitivity of ID horses towards sugar ingestion.
  • The research however did not find a statistical difference between low dose versus high dose mean insulin concentrations for either ID or NID horses, suggesting both doses similarly trigger insulin response.
  • The study found ID horses had higher basal insulin levels after continuous feeding prior to the OST as compared to fasting before the OST. This suggests that the immediate dietary condition of a horse might affect its insulin response.
  • However, the state of fasting or feeding didn’t significantly impact insulin concentrations an hour after the OST, indicating that the body’s response to regulate insulin post sugar ingestion was not largely affected by the horse’s immediate dietary history.

Implications

  • This research provides insights into managing insulin dysregulation in horses. Understanding the insulin responses under different dietary conditions and OST doses helps in formulating effective dietary planning and OST protocol for horses with insulin dysregulation.
  • The findings could lead to better strategies for managing horse health, especially those suffering from insulin dysregulation.

Cite This Article

APA
Lyn Macon E, Harris P, Partridge E, Day Barker V, Adams A. (2021). Effect of Dose and Fasting on Oral Sugar Test Responses in Insulin Dysregulated Horses. J Equine Vet Sci, 107, 103770. https://doi.org/10.1016/j.jevs.2021.103770

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 107
Pages: 103770
PII: S0737-0806(21)00400-7

Researcher Affiliations

Lyn Macon, Erica
  • 108 M. H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY. Electronic address: EricaLynMacon@gmail.com.
Harris, Patricia
  • Equine Studies Group, WALTHAM Petcare Science Institute, Freeby Lane, Waltham-on-the-Wold, Leicestershire, UK.
Partridge, Emma
  • 108 M. H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY.
Day Barker, Virginia
  • 108 M. H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY.
Adams, Amanda
  • MARS Equestrian Research Fellow, Department of Veterinary Science, M. H. Gluck Equine Research Center, University of Kentucky, Lexington, KY.

MeSH Terms

  • Animals
  • Fasting
  • Glucose Tolerance Test / veterinary
  • Horse Diseases
  • Horses
  • Insulin
  • Insulin Resistance
  • Sugars

Citations

This article has been cited 1 times.
  1. Warnken T, Schaub C, Delarocque J, Frers F, Feige K, Sonntag J, Reiche DB. Palatability, glycemic, and insulinemic responses to various carbohydrate formulations: Alternatives for the diagnosis of insulin dysregulation in horses?. J Vet Intern Med 2023 Jan;37(1):282-291.
    doi: 10.1111/jvim.16614pubmed: 36625459google scholar: lookup