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Table of Contents
Vol. 49, No. 3-4, 1998
Issue release date: March 1998
Section title: Paper
Horm Res 1998;49:191–201
(DOI:10.1159/000023170)

The Roles of Time of Day and Sleep Quality in Modulating Glucose Regulation: Clinical Implications

Scheen A.J.a · van Cauter E.b
a Division of Diabetes, Nutrition and Metabolic Disorders, University of Liège, Belgium and b Section of Endocrinology, Department of Medicine, University of Chicago, Ill., USA

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Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: March 16, 1998
Issue release date: March 1998

Number of Print Pages: 11
Number of Figures: 2
Number of Tables: 1

ISSN: 1663-2818 (Print)
eISSN: 1663-2826 (Online)

For additional information: http://www.karger.com/HRP

Abstract

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.


Article / Publication Details

First-Page Preview
Abstract of Paper

Published online: March 16, 1998
Issue release date: March 1998

Number of Print Pages: 11
Number of Figures: 2
Number of Tables: 1

ISSN: 1663-2818 (Print)
eISSN: 1663-2826 (Online)

For additional information: http://www.karger.com/HRP


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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