Getting  too little sleep during the week can increase some risk factors for  diabetes, but sleeping late on weekends might help improve the picture, a  small U.S. study suggests.
Researchers  conducted a sleep experiment with 19 healthy young men and found just  four nights of sleep deprivation were linked to changes in their blood  suggesting their bodies weren’t handling sugar as well as usual.
But  then, when they let the men get extra sleep for the next two nights,  their blood tests returned to normal, countering the effect of the  short-term sleep deprivation.
“It  gives us some hope that if there is no way to extend sleep during the  week, people should try very hard to protect their sleep when they do  get an opportunity to sleep in and sleep as much as possible to pay back  the sleep debt,” said lead study author Josaine Broussard of the  University of Colorado Boulder.
The  study doesn’t prove sleeping late every weekend can counter the ill  effects of insufficient rest every other night of the week, Broussard  cautioned.
And it doesn’t prove that catching up on sleep will prevent diabetes, reports Reuters Health.
“We  don’t know if people can recover if the behaviour is repeated every  week,” Broussard added by email. 
“It is likely though that if any group  of people suffer from sleep loss, getting extra sleep will be  beneficial.”
To  assess the impact of sleep on diabetes risk, Broussard and colleagues  focused on what’s known as insulin sensitivity, or the body’s ability to  use the hormone insulin to regulate blood sugar. Impaired insulin  sensitivity is one risk factor for type 2 diabetes, which is associated  with age and obesity and happens when the body can’t properly convert  blood sugar into energy. 
The  researchers did two brief sleep experiments. On one occasion, the  volunteers were permitted just 4.5 hours of rest for four nights,  followed by two evenings of extended sleep that amounted to 9.7 hours on  average. On another occasion, the same men were allowed to sleep 8.5  hours for four nights.
After  the four nights of sleep deprivation, the volunteers’ insulin  sensitivity had fallen by 23 percent and their bodies had started to  produce extra insulin. But when researchers checked again after two  nights of extended rest, the men’s insulin sensitivity, and the amount  of insulin their bodies produced, had returned to normal, mirroring what  was seen during the portion of the experiment when the volunteers  consistently got a good nights’ rest.
The  volunteers were given a calorie-controlled diet to limit the potential  for their food and drink choices to influence the outcomes. In the real  world, when people don’t get enough sleep they tend to overeat, which  may limit how much results from this lab experiment might happen in  reality, the authors note in a report scheduled for publication in the  journal Diabetes Care.
“The  results from the present study are unlikely to be fully reflective of  what may occur in persons who are older, overweight or obese, or have  other potent risk factors for diabetes,” said James Gangwisch, a  researcher at Columbia University who wasn’t involved in the study.
Chronically  sleep-deprived people are more likely to develop other health problems,  though, ranging from obesity to high blood pressure to cognitive  deficits, the study authors point out.
“By  catching up on sleep on the weekends, people are reducing average  extent and severity of the effects of sleep deprivation,” Gangwisch  added by email. “Ideally, we would all get sufficient sleep on a nightly  basis.”

