Equine Metabolic Syndrome (EMS) is a metabolic disorder in horses that can cause obesity, insulin dysregulation, and laminitis. Preventing complications involves early detection, dietary adjustments, and regular exercise to support metabolic health.Harmful EMS Side EffectsInsulin dysregulation (ID) horses have ID when they make too much insulin (a hormone produced to control blood sugar levels), a condition known as hyperinsulinemia.Laminitis inflammation of the soft tissues that suspend the coffin bone within the hoof capsule.Diagnosis of EMSA fasted oral sugar test is the gold standard for confirming ID.Clinical signs (especially indicative if in combination with one another) include:Obesity and the localized fat deposits describedInsulin resistanceLaminitisTake-Home MessageNo cure exists for EMS, but nutrition and management changes can help affected horses. Regular monitoring through body condition scoring, weight measurements, and diagnostic testing, along with tailored adjustments, can support their well-being and quality of life.