Insulin is a key protein hormone that regulates blood glucose levels and, thus, has widespread impact on lipid and protein metabolism. Insulin action is manifested through binding of its monomeric form to the Insulin Receptor (IR). At present, however, our knowledge about the structural behavior of insulin is based upon inactive, multimeric, and storage-like states. The active monomeric structure, when in complex with the receptor, must be different as the residues crucial for the interactions are buried within the multimeric forms. Although the exact nature of the insulin's induced-fit is unknown, there is strong evidence that the C-terminal part of the B-chain is a dynamic element in insulin activation and receptor binding. Here, we present the design and analysis of highly active (200-500%) insulin analogues that are truncated at residue 26 of the B-chain (B 26 ). They show a structural convergence in the form of a new β-turn at B 24 -B 26 . We propose that the key element in insulin's transition, from an inactive to an active state, may be the formation of the β-turn at B 24 -B 26 associated with a trans to cis isomerisation at the B 25 -B 26 peptide bond. Here, this turn is achieved with N-methylated L-amino acids adjacent to the trans to cis switch at the B 25 -B 26 peptide bond or by the insertion of certain D-amino acids at B 26 . The resultant conformational changes unmask previously buried amino acids that are implicated in IR binding and provide structural details for new approaches in rational design of ligands effective in combating diabetes.β-turn | diabetes | peptide bond isomerisation | protein | structure T he peptide hormone insulin regulates blood glucose levels with a widespread impact on lipid and protein metabolism. It is a molecule of major therapeutic importance in the treatment of diabetes. The mature form of insulin is formed by two chains "A" and "B" with a B chain running from Phe B1 -Thr B30 and an A chain Gly A1 -Asn A21 , stabilized by two inter and one intra chain disulphide bonds. Insulin's metabolic actions are expressed through binding as a monomer to the insulin receptor (IR). The structure of insulin, which has been known for four decades (1), has not provided insight into the mode of receptor binding and hormone activation. This is because detailed three-dimensional knowledge of insulin's complex structural behavior is limited to its inactive storage (hexameric, dimeric) states (2-4). The NMR structures of the monomeric form of insulin facilitated by mutations (5), applications of organic co-solvents (6) or truncation of the B-chain (7) merely confirm the conformations known from the inactive forms but also indicate intrinsic mobility of the N-and C termini of the B-chain. It has also been found that the N terminus of insulin can exist in so called T (extended) or R (helical) conformations, however, their role for insulin activation is still ambiguous (3, 4).It is widely acknowledged that insulin must therefore undergo induced-fit structural changes upon binding to the IR be...