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Gluconeogenesis: Glucose from Scratch

Liver synthesizes new glucose from lactate, glycerol, and amino acids when carbs run low.

A free, animated gluconeogenesis: glucose from scratch you can read here or embed on any website, from Scrollchart.

Gluconeogenesis: Glucose from Scratch

Gluconeogenesis: Glucose Synthesis from ScratchFour irreversible bypass enzymes (marked in violet) reverse glycolysis when carbs run lowPyruvate3COxaloacetateOAA, 4CPhosphoenolpyruvatePEP, 3CFructose-1,6-BPF1,6BP, 6CFructose-6-PF6P, 6CGlucose-6-PG6P, 6CGlucoseto blood, 6CPyruvate carboxylasebiotin, ATP, CO2 (mito)PEPCKGTP (cytosol)Fructose-1,6-bisphosphatasereleases PiGlucose-6-phosphataseER lumen, liver/kidney onlyLactatemuscle, RBCAlaninemuscle proteinGlyceroladipose TGmitochondrionPC stepcytosolPEP onwardEnergy cost6 ATP / glucose(4 ATP + 2 GTP)2 NADH consumedWhere it runsLiver 90%Kidney cortex 10%Driversglucagon, cortisollow insulin, fastingNet: 2 pyruvate plus 4 ATP plus 2 GTP plus 2 NADH yield 1 glucose released to blood

Three substrates (lactate via Cori, glycerol from triglycerides, amino acids especially alanine) feed into a near-reverse-glycolysis pathway with four bypass enzymes (pyruvate carboxylase, PEPCK, FBPase, G6Pase) producing glucose.

Good for

  • Fasting and ketogenic metabolism explainers
  • Diabetes articles on hepatic glucose output
  • Biochemistry lectures on irreversible bypass steps

Source & accuracy

This gluconeogenesis: glucose from scratch is an editorial illustration built to represent the concept accurately. Where it shows figures, they are typical or representative values chosen to make the relationship clear, not a single underlying dataset. The diagram and its explainer are reviewed and maintained centrally, and updated over time as understanding improves.

Building glucose when carbohydrate runs low

Gluconeogenesis is the synthesis of new glucose, occurring mainly in the liver and to a lesser extent the kidneys. It draws on three main precursors: lactate from active muscle and red blood cells, glycerol released when fat is broken down, and glucogenic amino acids such as alanine derived from protein. These feed into the pathway and are assembled into glucose.

Why it is not simply glycolysis run backward

Although gluconeogenesis shares many enzymes with glycolysis, three glycolytic steps are essentially irreversible. The cell bypasses them with dedicated enzymes: pyruvate carboxylase and PEP carboxykinase, fructose-1,6-bisphosphatase, and glucose-6-phosphatase. This is why the process consumes ATP and GTP rather than producing them, and why hormones like glucagon and cortisol can promote glucose synthesis while insulin suppresses it. General educational information about metabolism, not medical advice.

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Reference

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