Dr Gauff from Austria and col. from UK have studied the effect of hyperinsulinemia on vascular resistance.
They conclude that with the insuline increase, there is a marked increase of vascular resistance and overexpression of endotelin 1. It is only an ex-vivo study, and more work needs to be done to extrapolate to in vivo situation, but this is a step forward to try to explain the relationship between insuline and laminitis.
Here is the link to the paper:
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