NEET 2025 Zoology Question 161 Solution
Question
Why can't insulin be given orally to diabetic patients?
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Why can't insulin be given orally to diabetic patients?
Insulin is a PROTEIN! If swallowed orally, digestive proteases (pepsin in stomach, trypsin/chymotrypsin in intestine) will DIGEST it into inactive amino acids before it enters blood! It MUST be injected subcutaneously!
Human insulin is a small globular protein hormone synthesized by beta-cells of the pancreatic islets of Langerhans:
The digestive physiology of orally consumed proteins:
Insulin cannot be administered orally because it undergoes enzymatic digestion in the gastrointestinal tract, matching Option (2).
Diagnose every choice: Know exactly why the right option works and why distractors fail.
Incorrect. Human recombinant insulin (Humulin) does not trigger immune attacks; the barrier is enzymatic digestion, not immunogenicity.
100% correct. Protein hormones are degraded by gastric and pancreatic proteases upon oral ingestion.
Incorrect. Structural variation between individuals does not prevent oral ingestion; proteolytic cleavage does.
Incorrect. Oral administration destroys insulin, reducing its oral bioavailability to near zero, not increasing it.
Steroid hormones (like estrogen, progesterone in birth control pills, or cortisone) can be taken ORALLY because they are lipids that resist gastric proteases. Protein/peptide hormones (insulin, glucagon, growth hormone) CANNOT be taken orally because proteases digest them!
"Insulin is a protein hormone that is enzymatically degraded by gastrointestinal proteases if taken orally."
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