Differential effects of the circadian system and circadian misalignment on insulin sensitivity and insulin secretion in humans

Jun 5, 2018Diabetes, obesity & metabolism

How the body’s internal clock and its disruption differently affect insulin response and release in people

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Abstract

Circadian phase and misalignment significantly impact glucose tolerance and β-cell responsivity.

  • Glucose tolerance is lower at night and higher in the morning.
  • Circadian phase affects glucose tolerance primarily by reducing β-cell responsivity.
  • Circadian misalignment lowers insulin sensitivity without influencing β-cell function.
  • Different mechanisms are involved in how the circadian system and misalignment impact glucose control.

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