Gluconeogenesis is the process by which glucose is synthesized from non-carbohydrate precursors in the liver and kidneys. During periods of fasting, hepatic stores are depleted and glucose must be formed from substrates like lactate, pyruvate, glycerol, and amino acids. The key steps involve carboxylation of pyruvate to oxaloacetate by pyruvate carboxylase, transport of oxaloacetate to the cytoplasm, its decarboxylation to phosphoenolpyruvate by PEP carboxykinase, and the reversal of glycolytic reactions to generate glucose-6-phosphate and free glucose. Gluconeogenesis is regulated by hormones like glucagon and the