Free to read on publisher's website This month, Equine Veterinary Journal has compiled an online collection ‘Understanding and managing endocrinopathic laminitis’. Research on the endocrinopathic form of laminitis has accelerated in the past decade. Once experimental laminitis induction studies 1 confirmed clinical and field suspicions 2 that hyperinsulinaemia was the key initiating factor for this unique form of the disease, targeted research on the pathophysiological mechanisms of the condition prospered. Much data has now been gathered to show that insulin dysregulation (ID; disturbed glucose and insulin regulation) lies at the heart of endocrinopathic laminitis pathophysiology. It is also clear that laminitis associated with endocrine factors is distinct from sepsis‐related and supporting limb variants of the disease. ...