The shape of insulin makes it globular and allows it to specifically bind to insulin receptors on the membranes of certain cells, helping to lower blood glucose concentration.
Insulin as a hormone has hydrophilic r groups on its outside, making it soluble in water and allowing it to travel in the water, transport around the body, and dissolve in the blood.
Most proteins would be denatured at such a low pH because they contain some amino acids with basic r groups, but pepsin has a primary structure with very few basic r groups, so its tertiary structure is not affected by the low pH.