In adults with overweight or obesity, eating late at night causes a 9% higher blood glucose level during sleep, and the body's internal clock worsens this effect during rest.
Mechanism
Synthesis from 1 study
Eating late at night causes the body to release less insulin right after the meal and makes muscles and fat less able to absorb sugar while sleeping. This causes blood sugar to stay high overnight, increasing the total sugar exposure during sleep by 9%.
Most probable mechanism
When a person eats late at night, their body's internal clock signals that it is time to rest, so the pancreas releases less insulin right after eating, and muscles and fat tissue become less able to take up sugar from the blood. This causes blood sugar to stay high overnight, even though insulin levels do not change, leading to a larger overall sugar burden during sleep.
Prolonged overnight fasting reduces hepatic glycogen stores and decreases glucose sensing by pancreatic beta cells, impairing insulin granule priming and reducing early-phase insulin secretion.
Reduced early-phase insulin secretion limits rapid glucose uptake by skeletal muscle and adipose tissue via GLUT4 translocation, delaying postprandial glucose clearance.
Circadian regulation of peripheral tissues suppresses insulin sensitivity in muscle and adipose tissue during the biological night, reducing glucose disposal independent of insulin levels.
Elevated melatonin and reduced core body temperature during sleep further inhibit insulin-mediated glucose uptake in peripheral tissues.
Sustained hyperglycemia during sleep increases total nighttime glucose exposure, contributing to a 9% rise in glycemic burden despite unchanged daytime glucose and insulin levels.
Evidence from Studies
Supporting (1)
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1654-P: Effects of Acute Late Isocaloric Eating on 24-h Blood Glycemia in Adults with Overweight and Obesity
Contradicting (0)
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