Also, no laptop/phone/tablet/etc. in the bedroom - just books/magazines. Reading before bed is the best way to slowly move towards sleep and not keep yourself up for hours the way that looking at a screen does.
Yes, sometimes you feel like you can work for an extra couple hours, etc. - but at the end of the day it's a choice you have to make. If you genuinely care about being healthy, put {sleep | healthy food | exercise } before everything else. The first few weeks might be a bit rough, but the rest will follow.
Burnout is not fun and it can put your out of business for months, or even years if you have a bad case. (In my case, it was a year and a half of zero productive work). One of my relatives, after a particularly rough Ph.D, claimed that she will never be able to perform at the same level again. It's okay to be ambitious, but I think too many young and ambitious people let their ambition get the best of them. Learning your limits by crashing into them at full speed is not advisable.
I don't mean to sound negative or dismissive, but I've experienced this myself and seen too many cases first-hand not to care. The Silicon Valley startup culture is in many places outright destructive when it comes to this aspect of life.
More constructively: Setting strict deadlines and schedules that you will maintain unless the sky is falling (change the definition to "no matter what" if the sky is "constantly" falling), balancing your time so you have enough sleep and enough time to yourself is a safe way to ensure that you are working sustainably. This will lower your productivity, though. At least make your sacrifices with both eyes open.
My understanding is that taking it consistently isn't a good idea. Using it the odd night that I'm restless seems like a good idea.
All the research I've read says that it makes absolutely no difference. You never develop an immunity to it and it doesn't inhibit natural production. No research (that I'm aware of) has yet to find a downside, even at regularly taken large doses.
Here's another article mentioning that it should be taken for 3 months at most:
http://www.huffingtonpost.com/dr-michael-j-breus/melatonin-s...
Gwern has a page (with a very pro-Melatonin message) with lots of links: http://www.gwern.net/Melatonin
Feeling rested makes you a better father and a better person. Life has a new meaning when you have had enough sleep, proper diet and regular exercise.
Your mind and body is used to the constant pace of doing things day in and day out. I am the same way and I'm trying to change. One thing finishes and I want to start something else. In your case, its your business. There is always something to do. It's a type of addiction.
I also have kids and I've settled on a home gym. Wake up, do the workout and get on with the day. My biggest challenge is shutting everything down at night and going to bed. There is always something to do, to learn, to read.
Anyway, its a tough problem but its worth working on.
If I am increasing my risk of early death significantly by keeping at that pace, I find it hard to justify the trade off as a father and husband.
cf. http://www.webmd.com/sleep-disorders/features/important-slee...
After four years, you certainly have enough to make a decision about the long term value of what you're doing. What keeps you motivated to carry on at this pace? Is the fiscal incentive outsized to employment?
Exercise is definitely going to help and to avoid the difficulty in scheduling it, schedule 5-10 minute high intensity workout as soon as you wake up. You'll be surprised how much that helps.
I'd love to help out. I've lost over 20 lbs just doing 5-10 minutes every day and have kept it off, but my primary focus was just feeling more energetic and overcoming all the stress that one spirals into with such schedules. Feel free to follow me on twitter (same username), and I'll DM you my email (don't like to publicly post my email) :/
What I have found works best for myself is the exercise. It does simply come down to discipline. Do not allow it to be pushed aside. I ensure that I am up at 6:30 each morning to hit the gym and then I am good to go for the day on that natural high. It is harder to stay up in the evenings, and my sleep is interrupted, but when I sleep I sleep well.
Good luck!
Some things that might help you a bit:
1) Take your vitamins.
2) Instead of melatonin at night, take co-q-10 in the morning (about 12 to 14 hours before you typically sleep or need to sleep). This is the co-enzyme for melatonin. It chemically wakes up your brain and will also cause a small spike of melatonin about 12 to 14 hours later (stuff I have read says 12 hours but for me 14 hours worked better). Taking melatonin will not cause a spike in co-q-10 production. When my brain chemistry was seriously screwed, it took me days to stop feeling half asleep if I took melatonin. Co-q-10 was a gentler, more comprehensive means to heal my chemical sleeping-waking cycle.
3) Clean up your sleep area. I have suggested this to multiple people and they are often shocked at how much good it does. Do "spring cleaning" type stuff for where you sleep -- wash all bedding, thoroughly dust, etc.