The balance of catabolic and anabolic glucose fluxes in the liver is crucial for glucose homeostasis and is disturbed in diabetes mellitus. In this Review, the authors discuss progress in our understanding of the regulation of hepatic glucose metabolism and highlight potential therapeutic targets for decreasing hepatic glucose production in T2DM, including lipid-induced hepatic insulin resistance, hyperglucagonaemia and excessive adipose lipolysis.
- Max C. Petersen
- Daniel F. Vatner
- Gerald I. Shulman