“…In this regard, the majority of studies reported above did not optimize the formulation of insulin to ensure that it was presented in a monomeric form in the intestine and, furthermore, all studies used either standard human or bovine insulin, rather than an insulin preparation such as Lispro or Insulin Aspart, which would have presented as a monomer in the intestine. Proteolytic pro tection of insulin could be afforded either by chemical modification of the enzymatic sites for cleavage, which may explain the high levels of uptake seen by several researchers [177,187,189,190] or, alternatively, it could be physical protection, such as seen in liposomal preparations [178][179][180][181][182][183][184][185] or nanoparticulate structures [149][150][151][152][153][154][155][156][157][158][159][160][161][162][163][164]. These would not require additional targeting, but rather the monomeric form of insulin to be present for maximal receptor binding.…”