2012
DOI: 10.1016/j.tvjl.2011.01.015
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The effect of oral metformin on insulin sensitivity in insulin-resistant ponies

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Cited by 64 publications
(41 citation statements)
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“…Previous studies on metformin have yielded mixed results [3][4][5][6] and John-Pierre Lavoie (Universit e de Montr eal, Canada) presented a blinded trial in which metformin decreased bodyweight and the owner's assessment of overall condition, but did not significantly alter glucose and insulin values. David Rendle (Charles Sturt University, Australia) reported pharmacokinetics and pharmacodynamics of oral pergolide suggesting a fairly rapid onset of action.…”
Section: Pharmacologymentioning
confidence: 99%
“…Previous studies on metformin have yielded mixed results [3][4][5][6] and John-Pierre Lavoie (Universit e de Montr eal, Canada) presented a blinded trial in which metformin decreased bodyweight and the owner's assessment of overall condition, but did not significantly alter glucose and insulin values. David Rendle (Charles Sturt University, Australia) reported pharmacokinetics and pharmacodynamics of oral pergolide suggesting a fairly rapid onset of action.…”
Section: Pharmacologymentioning
confidence: 99%
“…Nevertheless, other authors reported inefficiency of this drug and this is why it was not used for this mare (Tinworth et al, 2012).…”
Section: Discussionmentioning
confidence: 94%
“…Strategies for management of overweight/obese animals include: -Promotion of weight loss and improved insulin sensitivity via dietary restriction and, when possible, an increase in physical activity -Avoidance of feeds that may exacerbate insulin resistance and hyperinsulinemia (feeds rich in non-structural carbohydrates such as grains, grain-based commercial feeds, and "lush" or stressed pasture forages) -In some animals, treatment with levothyroxine sodium may be indicated for promotion of weight loss if appropriate dietary restriction and exercise regimens are not effective • Regular monitoring and adjustments in feeding and physical activity are required -individual animals will lose weight at different rates and will require different levels of feed restriction • Once target weight has been achieved, an ongoing program of weight maintenance is needed mean insulin sensitivity (Frank et al 2008). More work is needed to evaluate the true efficacy, optimal dose and dosing regimen for levothyroxine and other medications such as metformin (Tinworth et al 2011). The recommended dosage for weight loss in mature horses is 48 mg/day (about 4 teaspoons, administered in feed) for 3 to 6 months depending on clinical response.…”
Section: Key Pointsmentioning
confidence: 99%