The roles of time of day and sleep quality in modulating glucose regulation: clinical implications.

Scheen, André; Van Cauter, E.

doi:10.1159/000023170

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The roles of time of day and sleep quality in modulating glucose regulation: clinical implications.

Scheen, André; Van Cauter, E.

1998 • In Hormone Research, 49 (3-4), p. 191-201

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/12916

DOI
10.1159/000023170

PubMed
9550124

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Keywords :

Circadian Rhythm/physiology; Darkness; Diabetes Mellitus, Type 1/blood/physiopathology; Diabetes Mellitus, Type 2/blood/physiopathology; Glucose/metabolism; Humans; Obesity/blood/physiopathology; Sleep/physiology; Sleep Stages/physiology

Abstract :

[en] Consistent variations in glucose regulation across the 24-hour cycle are present in normal subjects. These diurnal variations are altered in various states of impaired glucose tolerance (aging, obesity, diabetes). Changes in insulin secretion, clearance and/or action across the day have been demonstrated. Studies in subjects receiving continuous intravenous glucose infusion have shown that major alterations of glucose tolerance occur during sleep and that sleep quality markedly influences glucose utilization. Diurnal variations in glucose tolerance result from the alternation of wake and sleep states as well as from intrinsic effects of circadian rhythmicity. The important roles of physiological variations in levels of counterregulatory hormones which are markedly dependent on sleep (i.e. growth hormone) or circadian rhythmicity (i.e. cortisol) have only begun to be appreciated. The modulatory effects of sleep and circadian rhythmicity on glucose regulation may have important clinical implications for the diagnosis and treatment of abnormalities of carbohydrate metabolism.

Disciplines :

Endocrinology, metabolism & nutrition

Author, co-author :

Scheen, André ; Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale

Van Cauter, E.

Language :

English

Title :

The roles of time of day and sleep quality in modulating glucose regulation: clinical implications.

Publication date :

1998

Journal title :

Hormone Research

ISSN :

0301-0163

eISSN :

1423-0046

Publisher :

S. Karger, Basel, Switzerland

Volume :

Issue :

3-4

Pages :

191-201

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 18 May 2009

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