Insulin remains indispensable in the management of diabetes mellitus s
ince its discovery in 1921. The foreignness of early available porcine
and bovine insulin led to the development of human insulin by transpe
ptidation and biosynthesis in microorganisms. Needle phobia and stress
of multiple daily injections led to the investigation and exploitatio
n of all promising routes, ranging from nasal to rectal, by a wide var
iety of devices and delivery systems. This article describes the devel
opment of human insulin, various routes for delivery of insulin (inclu
ding oral, nasal, buccal, rectal, and pulmonary), and various devices
for regulated, safe, and convenient insulin delivery. The article revi
ews some recent advances in insulin delivery such as the bioresponsive
and self-regulated insulin delivery system.