Equine Metabolic Syndrome (EMS) significantly increases laminitis risk. Identifying and managing EMS prevents the severe chronic pain of recurrent laminitis.
EMS and laminitis welfare are interconnected across the horse's lifetime. Identifying EMS through insulin testing and managing it through dietary restriction prevents the recurrent severe pain of laminitic episodes. The welfare case for proactive metabolic screening of susceptible breeds is strong - preventing laminitis is categorically better than managing established disease.