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Is gluconeogenesis good or bad?

Published in Metabolic health 2 mins read

Gluconeogenesis is generally beneficial for health, particularly as it supports healthy aging and muscle function.

Gluconeogenesis is a vital metabolic pathway where the body creates glucose from non-carbohydrate sources, such as amino acids, lactate, and glycerol. This process is crucial for maintaining stable blood glucose levels, especially during periods of fasting, intense exercise, or when carbohydrate intake is low. It ensures that glucose-dependent organs, like the brain and red blood cells, continue to receive the energy they need.

The Benefits of Gluconeogenesis

Far from being "bad," research indicates that gluconeogenic activity plays a significant role in promoting overall health and longevity. It has been shown to contribute positively to several key areas:

  • Muscle Function Maintenance: Engaging in gluconeogenic activity supports the healthy function of muscles. This is particularly important for maintaining mobility and strength throughout adulthood.
  • Enhanced Mid-Life Survival: Studies suggest a direct correlation between gluconeogenic activity and improved survival rates in mid-life, highlighting its role in long-term well-being.
  • Counteracting Negative Effects of High Glucose: In contrast, high levels of glucose and excessive glycolytic activity (the breakdown of glucose for energy) have been linked to negative impacts on adult locomotion and overall health. Gluconeogenesis, by providing an alternative glucose source, helps to regulate blood sugar and mitigate these adverse effects.

Below is a comparison highlighting the different impacts of gluconeogenic activity versus high glucose and glycolytic activity on health:

Aspect Gluconeogenic Activity High Glucose & Glycolytic Activity
Impact on Muscle Health Promotes the maintenance of healthy muscle function Negatively impacts adult locomotory health
Impact on General Health Supports overall health and promotes mid-life survival Negatively impacts general adult health
Role in Metabolism Essential for maintaining blood glucose during low carb intake/fasting Can lead to excess energy storage and potential metabolic issues

Why Gluconeogenesis is Essential

This metabolic pathway ensures that critical organs always have access to glucose, even when dietary carbohydrates are scarce. For instance, the brain primarily relies on glucose for energy. If carbohydrate intake is insufficient, gluconeogenesis kicks in to synthesize the necessary glucose from other available substrates, preventing conditions like hypoglycemia. This adaptability underscores its importance in human physiology and maintaining metabolic balance.

In summary, gluconeogenesis is a beneficial and essential process that supports health, particularly muscle function, and contributes to longevity, especially when compared to the detrimental effects of chronically high glucose levels.