
Provide a diet high in vitamins, minerals, and antioxidants. Horses with Cushing’s disease are more prone to insulin resistance and high blood sugar. Feed with high non-structural carbohydrates should be avoided. Horses with Cushing’s require a low carb, highly digestible, high-energy feed.
What do you feed a horse with Cushing’s disease?
Feeding Horses with Cushing’s Disease. Increased energy requirements can be met by feeding alfalfa (lucerne) hay or chaff, super-fibers such as beet pulp and soy hulls, or a low- to moderate-NSC feed. Feeds that are higher in fat (greater than 6%) are preferred as they are less reliant on carbohydrates for energy.
What do you feed a horse with high energy requirements?
Increased energy requirements can be met by feeding alfalfa (lucerne) hay or chaff, super-fibers such as beet pulp and soy hulls, or a low- to moderate-NSC feed. Feeds that are higher in fat (greater than 6%) are preferred as they are less reliant on carbohydrates for energy.
How do I choose the right feed for my horse?
Aim for a feed that has less than 10% combined starch and sugar (always consider the amount you are feeding, and relative starch and sugar intake per meal as this is often more relevant), and forage that has less than 10% water-soluble carbohydrates (WSC). The WSC in forage can be confirmed by sending a sample in to be analyzed at the lab.
Is alfalfa hay good for horses with Cushings?
Alfalfa can be a good option for a horse with Cushings if they are a hard time holding their weight because it is more calorie-dense than grass hay. Are oats good for horses with Cushings?

What is the best feed for a horse with Cushings?
alfalfaHorses and ponies diagnosed with PPID/Cushing's Disease should be fed a low sugar and starch diet. As alfalfa is naturally low in both sugar and starch, there are a number of feeds in our range that are suitable.
Can you feed oats to horses with Cushings?
Even though oats are the grain lowest in sugar and starch, at around 45 to 50% starch they are still far too high in starch for horses on a low sugar and starch diet, eg insulin resistant horses, horses prone to laminitis, those with disorders like Cushings or PSSM etc, as well as many horses who are prone to ulcers, ...
Can a horse with Cushings eat grass?
Pasture grasses can have a high NSC content, especially during the spring and fall seasons, and the risk of colic and laminitis is greater when horses are on pasture. Since laminitis and founder are more common in horses with Cushing's disease, pasture grazing should be severely limited or totally avoided.
Is beet pulp good for horses with Cushings?
Omega-3 fatty acids may also help prevent laminitis, a major problem in older horses with Cushing's disease. This diet of hay and beet pulp mixture should make it easier to keep the NSC value of the daily diet to under 20%.
What to feed a horse with Cushings to gain weight?
Alfalfa averages 10-15% NSC, and oat hay is very high, averaging 22%. Alfalfa can be a good option for a horse with Cushings if they are a hard time holding their weight because it is more calorie-dense than grass hay.
How long can a horse live with Cushing's?
Well-managed horses should live about five to seven years or more past diagnosis. In severely affected horses, however, laminitis and recurrent infections are time-consuming and expensive to manage and can shorten the horse's anticipated life expectancy dramatically.
Can Cushings in horses be reversed?
There is no cure for Cushing's disease but the good news is that there are medications available which usually improve the clinical signs. Improvement of clinical signs will most often improve the quality and length of life for your horse.
Can you still ride a horse with Cushings?
What should be the cut-off sign not to ride him? You should first consult with your veterinarian before beginning an exercise or riding program. However, generally speaking, horses with Cushing's can be ridden like any other horse, particularly if the Cushing's syndrome is well controlled with medication.
How does a horse get Cushings?
Causes. The underlying cause of PPID is loss of inhibition of the pars intermedia region of the pituitary gland. As a result, the gland becomes enlarged and there is a marked increase in the production of certain hormones.
What happens if you don't treat Cushings in horses?
If a horse has untreated Cushing's Disease, it is more likely to develop laminitis and the laminitis will be more difficult to control. If an equine has any of the clinical signs suggestive of Cushing's, a blood sample can be taken to check ACTH levels in the blood.
How do you prevent Cushing's disease in horses?
Although Cushing's disease cannot always be prevented, there are precautions you can take to lower the risk. “The most important thing is to keep your horse's weight down, providing proper nutrition, which means to feed him only what he really needs,” Langer says. Sugar intake should be minimized.
Can you feed too much beet pulp?
Due to beet pulp's relatively high calcium and low phosphorus levels, feeding too much could imbalance the calcium to phosphorus ratio in the diet, which could interfere with normal bone development in young horses.
Are oats good for Laminitic horses?
Although horses with acute (active) laminitis should not be fed whole oats, there is increasing awareness that horses that have had a history of laminitis in the past can be safely fed whole oats. This is due to the fact that the starch in oats is highly digestible.
Is feeding oats good for horses?
Oats are a good ingredient in horse feeds, but nutrient levels are variable, and oats are lacking in many important nutrients needed to sustain peak performance. When you cut a formulated feed with oats, you lose so much.
Is whole oats good for horses?
Because of their high fiber content and low energy value, whole oats have traditionally been a relatively safe feed for horses when compared to other cereal grains such as corn. In an effort to improve upon the nutritional qualities of traditional oats, plant breeders created varieties of hull-less or naked oats.
Are whole oats or rolled oats better for horses?
Rolled oats have been completely flattened and are considered easier for horses to eat. Hulled oats have been removed from the husks and are the most nutritious option because everything you're feeding is pure oat seed. Crushed oats have had both the hull and the actual oat smashed into small particles.
How to recognize the signs
Clinical signs include an excessively long hair coat that fails to shed appropriately (hirsutism), poor hair coat, loss of muscle mass, weight loss, lethargy, increased drinking and urination, and recurrent infections. Laminitis may occur in some horses with this condition due to insulin dysregulation or high circulating insulin.
How to feed a horse with PPID
From a nutritional standpoint, horses diagnosed with PPID should be fed a diet that provides excellent quality protein to support muscle mass, adequate calories to support weight maintenance and a proper balance of vitamins and minerals to support all body functions.
What to feed a senior horse with PPID?
Senior-type feeds, sweet feed, or oats with hay can be fed if additional dietary energy is needed. Obese horses with PPID should be fed similar to horses with equine metabolic syndrome (EMS) to encourage weight loss, improve insulin sensitivity, and reduce the risk of laminitis.
Should horses with PPID be allowed to work?
Whenever possible, horses with PPID should be allowed turnout time, as exercise improves insulin sensitivity. Forced exercise or work should be reserved for horses that do not have active laminitis and are free of musculoskeletal disorders. ADVERTISEMENT. ico_unmute.
Can you feed a horse with Cushing's disease?
Feeding horses with pituitary pars intermedia dysfunction (PPID), also known as equine Cushing's disease, can sometimes be difficult because horses affected with PPID are often older, underweight, and may have insulin resistance with or without recurrent laminitis.
Does pasture grass have insulin?
Insulin concentration is positively associated with increased carbohydrates in pasture grass. Frank and coworkers measured ACTH concentrations over a one-year period in mature to aged horses kept at pasture. Mean ACTH concentration was highest from August through October.
What is the best balancer for horses?
A unique blend of Cinnamon and chaste tree berries. Alternatively, a good quality balancer such as Senior Support Balancer or Ultimate Balancer can be fed to provide the proteins, vitamins and minerals if your horse does not require a high-calorie feed such as Cushcare Condition.
How old is a horse with PPID?
PPID is most commonly diagnosed in older horses, with the average age being 19, however, it has been documented in horses as young as 10.
Can horses with PPID have normal blood glucose levels?
Horses with PPID have difficulty maintaining normal blood glucose levels due to insulin sensitivity, feeding a diet low in nonstructural carbohydrates (NSC) can improve insulin sensitivity and reduce the risk of laminitis in affected horses.
What to feed a senior horse with Cushing's syndrome?
If your horse is not maintaining weight, you may need to increase the feeding rate of the senior feed or add a low starch, rice bran based high fat supplement. Most senior horses with Cushing’s Syndrome do very well on a senior feed and appropriate medication.
What do Cushing's horses need?
Cushing’s syndrome horses require a hay or pasture source that is low in non-structural carbohydrates (NSC), so you might want to have your forage tested. They do well on senior feeds that are fortified with lysine, methionine, biotin, vitamin E and organic trace minerals (copper, zinc, manganese and selenium) to help maintain muscle mass, ...
How much NSC should a horse eat?
Research which established some of the current recommendations of 10-13% NSC in the diet for Cushing’s Syndrome or Equine Metabolic Syndrome horses is based on total diet intake.
Is Safe Choice Senior Horse Feed good for horses?
It has all the amino acid, vitamin, and mineral content they need to stay feeling their best, while keeping that NSC low and the calorie level low. For horses that need a few more calories, our SafeChoice Senior horse feed is a great option. Also has all the nutrition they need, but more calories from fat.
Can you give horses pergolide?
As the number of horses known to have Cushing’s Syndrome increases, questions on how to feed horses with this condition also increase. As a starting management practice, your veterinarian may recommend pergolide as an added medication for your horse. This is available from a number of pharmaceutical sources by prescription.
How much starch should I feed my horse with PPID?
We recommend feeding no more than 1g of starch per 1kg of bodyweight per meal.
Why do horses need amino acids?
Essential amino acids are very important for muscle growth and remodelling and ensuring you have the right source and amount is essential.
How often should I weigh my horse for PPId?
We recommend taking your horses fat score and weighing them using our scientifically validated weigh tape every fortnight.
What is the most common endocrine abnormality in horses?
Equine Cushing's Disease, now better defined as Pituitary Pars Intermedia Dysfunction (PPID), is one of the most common endocrine abnormalities of horses and one of the most common diseases in horses older than 15 years of age.
Do horses need electrolytes?
In some cases, a specific electrolyte supplement might be needed to maintain the electrolyte balance within the body.
Can horses eat starch?
Avoid feeds that are high in starch or sugar: Horses and ponies with PPID struggle to maintain normal blood concentrations of glucose and insulin. Feeding high levels of sugar and starch will make this worse as it will lead to a rapid increase in blood glucose, and hence insulin levels. This increases the risk of insulin resistance ...
What is the goal of feeding a horse with Cushing's disease?
The goal in feeding a horse with Cushing’s, is to limit the intake of nonstructural carbohydrates (NSC) feeds , such as the sugars and starches found in grains. In many cases, feeds that are labeled as “senior” feeds are also high in NSC content and should be avoided when feeding a horse with Cushing’s disease.
How much hay should a horse eat?
Most horses will eat between 1½ to 2 percent of their body weight per day in forage. (For example, a 1000-pound horse should be fed 15 to 20 pounds of hay per day.) It is important to recognize that some hays may contain high levels of NSC, depending on the species of grass and when and how it was harvested.
What percentage of energy should a senior horse eat?
The objective is to feed a diet that has less than 10 to 20 percent of total digestible energy (the combination of sugars and starch, or NSCs). High-fiber components, such as these found in hay, hay cubes, pasture, and beet pulp, should constitute the main portion of a senior horse’s diet. Most horses will eat between 1½ to 2 percent ...
Can an older horse have PPID?
A: It is not uncommon for an older horse to develop pituitary pars intermedia dysfunction or PPID, most often referred to as Cushing’s disease.
How to tell if a horse has Cushing's disease?
Many horses grow thick coats for the winter and shed it out in the summer. Horses with Cushing’s disease will have a noticeably thick coat all year long. They will also develop excessive thirst and can drink three or four times as much water than they normally would. Some horses can also suffer from tooth and hoof rot, as well as developing lameness issues.
What causes Cushing's disease in horses?
Cushing’s disease primarily affects older horses. It’s caused by the malfunctioning of the pituitary gland located at the base of the brain. The pituitary gland is responsible for regulating hormones, which controls a number of important bodily functions, such as growth, metabolism, and the immune system. Horses that have metabolism problems as ...
Can Cushing's cause weight gain in horses?
Horses that have metabolism problems as a result of Cushing’s will also develop other problems such as diabetes. Diabetes can lead to severe weight gain, even if your horse is fed a minimal amount of hay or grain. Weight gain then leads to other problems with the joints, hips and feet of the horse.
Can horses eat sugar?
If your horse has weight issues , it'’s imperative that you do not feed your horse any treats or grain with high amounts of carbohydrates and sugars. Sugar cubes, apples, sweet feed and other things high in carbohydrates and sugars should be eliminated.
