Glucose metabolism rhythms describe the predictable, circadian fluctuations in the body’s capacity to process, utilize, and store glucose, including rhythmic changes in insulin sensitivity and glucose tolerance. These rhythms are tightly regulated to ensure energy availability during the active phase and conservation during the rest phase. Disruption of these temporal patterns is a fundamental factor in the pathogenesis of type 2 diabetes and metabolic syndrome. They are essential for maintaining euglycemia.
Origin
This term is a convergence of endocrinology, metabolism, and chronobiology, focusing on the time-dependent nature (“rhythms”) of the core metabolic process (“glucose metabolism”). It emphasizes the temporal organization of energy regulation. The concept underscores the role of the biological clock in nutrient processing.
Mechanism
Peripheral clocks in the pancreas and liver, synchronized by the SCN, govern the rhythmic expression of key metabolic enzymes and transporters. Insulin sensitivity typically peaks in the morning and declines throughout the day, driven by clock-controlled gene expression and the rhythmic action of cortisol. Maintaining these rhythms is crucial, as misaligned eating patterns can lead to impaired glucose tolerance and hyperinsulinemia, even without changes in total caloric intake. This rhythmic regulation ensures efficient fuel switching.
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