The increasing incidence of type 2 diabetes mellitus and metabolic syndrome worldwide is an epidemic that threatens global health and economic stability. Type 2 diabetes mellitus is a complex metabolic disease characterized by complex interactions between genetic susceptibilities and environmental risk factors. Lifestyle choices and environmental conditions have long been known to modulate susceptibility to the disease in humans. However, environmental conditions that disrupt circadian rhythms, such as shift work, light at night, and sleep loss are increasingly prevalent in modern societies and augment susceptibility to type 2 diabetes mellitus. This lecture will review state-of-the art knowledge from recent epidemiologic, clinical, and basic science studies of the molecular, physiologic, and behavioral mechanisms underlying the relationships between the circadian system and metabolic health.