Equine metabolic syndrome (EMS) is a widely recognized collection of risk factors for endocrinopathic laminitis. The most important of these risk factors is insulin dysregulation (ID). Clinicians and horse owners must recognize the presence of these risk factors so that they can be targeted and controlled to reduce the risk of laminitis attacks. Diagnosis of EMS is based partly on the horse's history and clinical examination findings, and partly on laboratory testing. Several choices of test exist which examine different facets of ID and other related metabolic disturbances. EMS is controlled mainly by dietary strategies and exercise programs that aim to improve insulin regulation and decrease obesity where present. In some cases, pharmacologic aids might be useful. Management of an EMS case is a long‐term strategy requiring diligence and discipline by the horse's carer and support and guidance from their veterinarians.

The horse is a non-ruminant herbivore adapted to eating plant-fibre or forage-based diets. Some horses are stabled for most or the majority of the day with limited or no access to fresh pasture and are fed preserved forage typically as hay or haylage and sometimes silage. This raises questions with respect to the quality and suitability of these preserved forages (considering production, nutritional content, digestibility as well as hygiene) and required quantities. Especially for performance horses, forage is often replaced with energy dense feedstuffs which can result in a reduction in the proportion of the diet that is forage based. This may adversely affect the health, welfare, behaviour and even performance of the horse. In the past 20 years a large body of research work has contributed to a better and deeper understanding of equine forage needs and the physiological and behavioural consequences if these are not met. Recent nutrient requirement systems have incorporated some, but not all, of this new knowledge into their recommendations. This review paper amalgamates recommendations based on the latest understanding in forage feeding for horses, defining forage types and preservation methods, hygienic quality, feed intake behaviour, typical nutrient composition, digestion and digestibility as well as health and performance implications. Based on this, consensual applied recommendations for feeding preserved forages are provided.

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This study was conducted to evaluate the effects of different corn processing techniques on the glycaemic and insulinaemic responses in horses. It was hypothesized that the changes in pre-caecal starch digestibility caused by various types of corn processing would alter the post-prandial glycaemic and/or insulinaemic response. Six horses were fed in random order: untreated, finely ground, steamed, micronized, steam-flaked and popped corn. The total corn intake was adjusted to 630 g starch/horse/day (1.2-1.5 g starch/kg BW/day). During a stabilization period of 10 days, horses also received 6 kg grass hay/horse/day. At blood collection day horses were fed their test diet (exclusively corn), and blood samples were taken at defined times. Corn feeding resulted in a significant increase in mean plasma glucose and insulin concentration, but glucose and insulin peaks as well as areas under the curve (AUC) were not clearly influenced by corn processing. The glycaemic index (in which each test diet's plasma glucose AUC was expressed relative to untreated corn) varied between 91.4 +/- 9.4% (steamed corn) and 108.4 +/- 11.8% (popped corn, treatment n.s.), the insulinaemic index (in which each test diet's plasma insulin AUC was expressed relative to untreated corn) ranged between 98.2 +/- 12.6% (steamed corn) and 121.0 +/- 29.9% (micronized corn, treatment n.s.). However, the well-established improvement in pre-caecal starch digestibility was not reflected by differences in the glucose or insulin responses.