Geniposide is one of the main compounds in Gardenia jasminoides ELLIS and has many pharmacological activities, but its anti-hyperglycemic activity has not yet been fully explored. This study was designed to determine, for the first time, how geniposide from G. jasminoides regulates hepatic glucose production, and the underlying mechanisms. During in vitro study, we found the inhibitory effect of geniposide on the hepatic glucose production is partly through AMP-activated protein kinase (AMPK) activation in HepG2 cells. Geniposide significantly inhibited hepatic glucose production in a dose-dependent manner. AMPK, acetyl coenzyme A synthetase (ACC) and forkhead box class O1 (FoxO1) phosphorylation were stimulated by different concentrations of geniposide. In addition, the enzyme activities of phosphoenolpyruvate carboxykinase (PEPCK) and glucose-6-phosphatase (G6Pase) were all significantly suppressed. What is important is that these effects were partly reversed by (1) inhibition of AMPK activity by compound C, a selective AMPK inhibitor, and by (2) suppression of AMPKα expression by small interfering RNA (siRNA). In summary, geniposide potentially ameliorates hyperglycemia through inhibition of hepatic gluconeogenesis by modulation of the AMPK-FoxO1 signaling pathway. Geniposide or geniposide-containing medicinal plants could represent a promising therapeutic agent to prevent type 2 diabetes on gluconeogenesis.Key words geniposide; hepatic glucose production; AMP-activated protein kinase; HepG2 cell Type 2 diabetes mellitus (T2DM) comprises heterogeneous disorders that result in chronic hyperglycemia and lifethreatening complications. The pathological change in hepatic glucose production is a central characteristic in diabetic patients.1) Hyperglycemia in both types 1 and 2 diabetes mellitus is associated with high hepatic glucose production.2) Suppression of hepatic glucose production has been shown to improve overall glycemic control in both human patients and type 2 diabetes animal models.3) The control of hepatic glucose production depends on many factors, including the key gluconeogenic enzymes phosphoenolpyruvate carboxykinase (PEPCK) and glucose-6-phosphatase (G6Pase), insulin levels, and the concentration of gluconeogenic substrates (lactate, gluconeogenic amino acids, and glycerol). A variety of molecular signaling pathways were demonstrated to regulate hepatic glucose production, such as AMP-activated protein kinase (AMPK) activation, 4) protein kinase B (AKT or PKB) phosphorylation and mitogen-activated protein kinase (MAPK) inhibition. Among them, AMPK, the evolutionarily conserved serine/threonine kinase, is considered as the major signaling molecule responsible for this process. AMPK acts as an intracellular sensor to maintain the glucose homeostasis in the hypothalamus, skeletal muscle and liver [5][6][7] by the phosphorylation of several downstream metabolic enzymes and certain transcription factors. In the liver, the acute activation of AMPK, achieved by adenovirus-mediated gene transfer of a co...