A Complex Case: Designing a Ration for a Horse with Both Muscle Problems and Insulin Resistance

During this presentation, practical tools will be offered to cope with more difficult nutritional cases. In practice, an individual horse often has more than one 'problem' that needs nutritional advice. 1) This can simply be, a certain disease state in combination with an abnormal body condition score (BCS): too thin, or being overweight or obese. Consequently two horse with a similar disease state but with a different BCS may need quite a different feed advice. 2) The same is true for the level of activity. Some horse with clinical problems will still be able to perform at a certain level whereas others will not be able or owners do not want to work the horse. The level of activity will of course also influence the clinical feed advice. 3) The horse may also have more than one clinical problem that needs nutritional adaptation. Sometimes the nutritional solution for the combined problem is easy whereas in other cases it may be
impossible to formulate an ideal diet ...