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The Veterinary clinics of North America. Equine practice2026; S0749-0739(26)00052-0; doi: 10.1016/j.cveq.2026.07.005

Energy Metabolism Dysregulation in Horses and Foals.

Abstract: Dysregulation of energy metabolism occurs in horses and foals with transient systemic illness, malnutrition, or chronic metabolic diseases. The pathophysiologic processes resulting in energy dysregulation are important to interpret, understand, and appropriately monitor laboratory abnormalities associated with various disease states (hypoglycemia and hyperglycemia), as well as to aid in the management of energy dysregulation through nutritional and medical management.
Publication Date: 2026-08-12 PubMed ID: 42586914DOI: 10.1016/j.cveq.2026.07.005Google Scholar: Lookup
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Summary

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Energy metabolism dysregulation in horses and foals occurs due to illnesses, poor nutrition, or chronic diseases, affecting their blood sugar levels and overall energy balance. Understanding these changes is crucial for proper diagnosis, monitoring, and treatment.

Overview of Energy Metabolism Dysregulation

  • Energy metabolism dysregulation refers to the abnormal functioning of processes that generate and utilize energy in the body.
  • In horses and foals, these disruptions often happen during transient systemic illnesses, malnutrition, or chronic metabolic diseases.
  • The result of energy dysregulation can manifest as abnormal blood glucose levels, either hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar).

Causes of Energy Metabolism Dysregulation

  • Transient systemic illness: Conditions such as infections or inflammatory diseases temporarily disrupt normal energy metabolism.
  • Malnutrition: Insufficient nutrient intake or absorption impacts energy stores and glucose availability.
  • Chronic metabolic diseases: Long-term disorders affecting metabolic pathways, such as insulin resistance or liver disease, contribute to dysregulation.

Pathophysiology and Clinical Implications

  • Dysregulated energy metabolism leads to imbalances in blood glucose homeostasis, causing either hypoglycemia or hyperglycemia.
  • Hypoglycemia can result in decreased energy supply to cells, causing weakness, seizures, or even death if severe.
  • Hyperglycemia may indicate stress responses, insulin resistance, or other metabolic dysfunctions and can exacerbate disease progression.
  • Understanding these pathophysiologic changes is vital for interpreting laboratory abnormalities seen in various diseases.

Monitoring and Management Strategies

  • Regular laboratory testing of blood glucose and other metabolic parameters helps track energy metabolism status.
  • Medical management may involve controlling underlying illnesses, administering insulin or glucose as needed, and correcting metabolic imbalances.
  • Nutritional management focuses on providing adequate and appropriate nutrients to support energy needs and restore metabolic balance.
  • Early recognition and intervention are key to preventing complications arising from energy metabolism dysregulation.

Cite This Article

APA
Hostnik LD. (2026). Energy Metabolism Dysregulation in Horses and Foals. Vet Clin North Am Equine Pract, S0749-0739(26)00052-0. https://doi.org/10.1016/j.cveq.2026.07.005

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
PII: S0749-0739(26)00052-0

Researcher Affiliations

Hostnik, Laura D
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 432120, USA. Electronic address: Hostnik.2@osu.edu.

Conflict of Interest Statement

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