DMS keynotes High energy efficiency; Scarce epidemiological data available; Pathogenesis assumed to be like in horses; Functional entero-insular axis; Obesity, ID and HAL are common signs; Minimal information on resting insulin cut-off and ranges; Glucose curves are right-shifted; OST is recommended, but the protocol is not adapted to be donkey-specific; Weight loss is the main treatment, but equine diets are not recommended; Common drugs lack PK/PD studies.