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Biological Morning Boosts Glucose Handling
- Circadian alignment matters because glucose tolerance and insulin sensitivity are higher in the biological morning and decline in the evening.
- Laboratory and observational studies show late-day energy intake often causes worse postprandial glucose responses independent of calories.
Clock Time Versus Biological Time
- Clock time can mislead because individuals differ in biological time (melatonin phase), so identical clock-hour meals fall at different biological phases.
- Dim Light Melatonin Onset (DLMO) marks each person's biological night and explains variability in meal responses.
DLMO Measurement Is Accurate But Hard To Do
- Measuring DLMO is robust but burdensome: participants need hourly samples from afternoon until early morning or repeated saliva collection overnight.
- Alan recounted doing hourly blood draws until 4 AM during his PhD and the practical difficulties and compliance issues.


