In response to feeding, insulin promotes the uptake of sugar in peripheral tissues and suppresses the production of sugar, a process called gluconeogenesis, in the liver. Recent research has shown that chronic inflammation promotes insulin resistance, and in turn, chronically high glucose levels can drive inflammation. In this issue of the JCI, Stanya et al. investigate the connection between inflammation and glucose homeostasis by analyzing the effect of the antiinflammatory cytokine IL-13. Their results suggest that IL-13 plays an unexpected role in the regulation of glucose homeostasis by modulating gluconeogenesis and may be a useful therapeutic target for treatment of diabetes and metabolic syndrome.Obesity and deregulated glucose metabolism are the pandemic of the twenty-first century. One-fourth of Americans have metabolic syndrome (1), a combination of insulin resistance, obesity, dyslipidemia, and hypertension that in the liver manifests as nonalcoholic fatty liver disease (NAFLD). The liver is believed to play a pivotal role in the pathogenesis of metabolic syndrome because postprandial hyperglycemia is one of the earliest manifestations of this condition. Unlike healthy individuals, those with metabolic syndrome fail to downregulate hepatic gluconeogenesis appropriately after eating. The resultant hyperglycemia stimulates the pancreas to increase insulin secretion. Recurrent hyperinsulinemia results in insulin resistance, and in turn, the excessive demand for insulin production can ultimately overwhelm pancreatic β cell capacity, leading to fasting hyperglycemia, i.e., type 2 diabetes mellitus (T2DM). Data from the Centers for Disease Control show that there has been a 160% increase in the prevalence of T2DM in the past 20 years, such that T2DM now afflicts about 9% of the US population (i.e., more than 20 million Americans; ref. 2). Despite tremendous efforts by the scientific community, the mechanisms that deregulate hepatic glucose metabolism in metabolic syndrome are not fully understood.