Nutrition counter measures to avoid laminitis include the following:
The base diet should consist of forage and fiber rather than sugar and starch.
Feeds with a combined sugar and starch content of less than 10% should be fed to these horses.
If horses need to gain condition, consider adding dietary fat as an energy source.
Feed smaller more frequent meals rather than large single meals.
Make all dietary changes slowly (7-10 days).
Control body weight and body condition with regular exercise to prevent obesity and insulin resistance.
Horses should be maintained in a body condition score between 4 and 6.
Consider not grazing at risk horses.
If grazing is allowed, using a grazing muzzle and grazing early in the morning can help reduce the ingestion of high sugar grasses.