INS and metabolic syndrome: For example, the hazard ratios between low risk‐ and either the medium‐ or high‐risk groups for [insulin]T0 are within the 95% confidence intervals of the odds ratio reported by Treiber et al 28 for laminitis recurrence in ponies with the pre‐laminitic metabolic syndrome and similar to those reported by Carter et al 29 for laminitis recurrence based on basal [insulin].