Gluconeogenesis is the formation of glucose from non-carbohydrate precursors and occurs primarily in the liver and kidneys. Key substrates include lactate, glycerol, and glucogenic amino acids. The process is regulated by substrate availability and key enzymes such as pyruvate carboxylase and phosphoenolpyruvate carboxykinase. Gluconeogenesis is critical for maintaining blood glucose levels during periods of fasting or low carbohydrate intake.