Reported Reactions

Drugs › Insulin analog

Brand name · Insulin glulisine

Apidra: adverse event reports filed with FDA

3,621 reports list it as a suspect or interacting product, 2005–2026. Class: Insulin analog.

3,621
reports as suspect product
0% of all reports · about 170 a year
86
reports, 12 months to June 2026
68 in the 12 months before
69.2%
marked serious by the reporter
42.7% across the class
7.2%
record death among outcomes, as reported
261 reports · not verified by FDA

3,621 adverse event reports received by FDA list the brand name Apidra (insulin glulisine) as a suspect or interacting product, from March 2005 to June 2026. A further 3,626 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 86 reports listed it, up 26% from 68 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 170 reports a year and 0% of the 20,646,523 reports in the database, and 1.3% of the reports for the insulin analog class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are blood glucose increased (19.6%), hypoglycaemia (12.6%) and hyperglycaemia (8.3%). A report can list several reactions, so shares add to more than 100%; 544 different terms appear across these reports. Blood glucose increased is recorded in 19.6% of these reports, about the same share as in the median insulin analog drug (23%).

69.2% of the reports are marked serious by the reporter (42.7% across the class); 7.2% record death among the outcomes and 31% record hospitalisation, as reported. 65% of the reports came from consumers, and the largest patient age group is 45 to 64 (25.4%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01121Jul 2021: 16Aug 2021: 9Sep 2021: 10Oct 2021: 7Nov 2021: 7Dec 2021: 102022Jan 2022: 8Feb 2022: 8Mar 2022: 15Apr 2022: 7May 2022: 13Jun 2022: 8Jul 2022: 2Aug 2022: 2Sep 2022: 11Oct 2022: 4Nov 2022: 8Dec 2022: 62023Jan 2023: 3Feb 2023: 12Mar 2023: 9Apr 2023: 10May 2023: 6Jun 2023: 16Jul 2023: 21Aug 2023: 5Sep 2023: 7Oct 2023: 5Nov 2023: 1Dec 2023: 72024Jan 2024: 8Feb 2024: 3Mar 2024: 9Apr 2024: 5May 2024: 8Jun 2024: 6Jul 2024: 12Aug 2024: 4Sep 2024: 6Oct 2024: 4Nov 2024: 8Dec 2024: 52025Jan 2025: 6Feb 2025: 4Mar 2025: 3Apr 2025: 6May 2025: 3Jun 2025: 7Jul 2025: 4Aug 2025: 2Sep 2025: 6Oct 2025: 9Nov 2025: 8Dec 2025: 22026Jan 2026: 8Feb 2026: 10Mar 2026: 4Apr 2026: 14May 2026: 8Jun 2026: 11

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01983962005: 720052006: 652007: 1492008: 6420082009: 1212010: 1612011: 26420112012: 2852013: 2682014: 39620142015: 3952016: 1252017: 14520172018: 2742019: 2112020: 16920202021: 1352022: 922023: 10220232024: 782025: 602026: 552026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Apidra reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading19.6%710
  2. Hypoglycaemialow blood sugar12.6%455
  3. Hyperglycaemiahigh blood sugar8.3%299
  4. Drug ineffectivethe medicine did not work as expected7.8%282
  5. Blood glucose decreasedlow blood sugar reading5.2%187
  6. Dizzinesslight-headedness or unsteadiness4.6%167
  7. Malaisegeneral feeling of being unwell3.9%141
  8. Product quality issuea problem with the product itself3.9%140
  9. Diabetes mellitus inadequate controldiabetes not well controlled3.7%133
  10. Hyperhidrosisexcessive sweating3.3%118
  11. Diabetic ketoacidosisa serious complication of diabetes with acid build-up2.8%103
  12. Falla fall2.8%103
  13. Visual impairmentreduced vision2.6%95
  14. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure2.5%91
  15. Renal failurekidney failure2.5%91
  16. Wrong drug administeredthe wrong medicine was given2.5%90
  17. Confusional stateconfusion2.5%89
  18. Vomitingbeing sick2.4%88
  19. Nauseafeeling sick2.3%84
  20. Dyspnoeashortness of breath2.2%81
  21. Product storage errorthe product was stored wrongly2.2%81
  22. Deaththe patient died; cause not stated by this term2.2%79
  23. Loss of consciousnesspassing out2.1%77
  24. Vision blurredblurred vision2%74
  25. Fatiguetiredness2%73
  26. Astheniaweakness or lack of energy2%72
  27. Weight increasedweight gain2%72

Top 30 of 544 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 26 drugs in the insulin analog class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death7.2%261
Life-threatening4.8%175
Hospitalisation (initial or prolonged)31%1,122
Disability2.1%77
Congenital anomaly0.2%7
Other serious40.3%1,458
Not serious30.8%1,116

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 289,293 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.4%14
2 to 110.9%33
12 to 171.5%56
18 to 4412.5%451
45 to 6425.4%921
65 to 7415.6%565
75 and over10.7%388
Age not given32.9%1,193

Patient sex

Female50.5%1,829
Male40.3%1,458
Not given9.2%334

Who reported

Physician14.2%515
Pharmacist5.6%202
Other health professional10.6%384
Lawyer0%1
Consumer or non-health professional65%2,352
Not given4.6%167

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 56.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Diabetes mellitus88824.5%
Type 2 diabetes mellitus65318%
Type 1 diabetes mellitus48813.5%
Diabetes mellitus non-insulin-dependent320.9%
Diabetes mellitus insulin-dependent200.6%
Insulin-requiring type 2 diabetes mellitus160.4%

The indication field is filled in by the reporter and is often blank; shares are of all 3,621 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Apidra reports
Lantus1,63745.2%
Metformin2286.3%
Toujeo1985.5%
Insulin glargine1534.2%
Humalog1373.8%
Simvastatin1303.6%
Levemir1253.5%
Lantus Solostar1073%
Aspirin1062.9%
Metformin hydrochloride882.4%

Other products listed in reports where Apidra is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureApidraInsulin analogAll reports
Reports as suspect product3,621289,29320,646,523
Share of that pool—1.3%0%
Reports, latest 12 months86—1,332,454
Marked serious69.2%42.7%57.4%
Death recorded among outcomes, per 1,000 reports723591
Hospitalisation recorded, per 1,000 reports310186213
Consumer-filed share65%78.7%45.8%
Top term, share of reportsBlood glucose increased 19.6%median 23%0.9%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the insulin analog class

DrugName typeReportsLatest 12 monthsMarked serious
Humalogbrand71,1742,31234.4%
Lantus Solostarbrand45,7154,23024.6%
Lantusbrand39,1283,71863.8%
Insulin glarginegeneric27,9941,92342.8%
Toujeobrand15,4911,33224.7%
Novologbrand14,4771,57661.8%
Levemirbrand13,65267154.8%
Tresibabrand10,3731,26355.1%
Insulin lisprogeneric8,2091,11645.6%
Humalog Mix75/25brand8,13914023.8%
Insulingeneric8,13552288.9%
Insulin aspartgeneric3,23255388.6%
Sterile diluentgeneric3,22160019.4%
Humalog Kwikpenbrand3,04016927.5%
NovoLog Mix 70/30brand2,10123065.5%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Apidra reports

How many adverse event reports has FDA received for Apidra?

3,621 reports list Apidra as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 86 of them arrived in the latest 12 months. Another 3,626 list it only as a concomitant medication.

What reactions are recorded in Apidra reports?

blood glucose increased (19.6%), hypoglycaemia (12.6%), hyperglycaemia (8.3%), drug ineffective (7.8%) and blood glucose decreased (5.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Apidra was responsible.

How serious are the reports?

69.2% are marked serious by the reporter. Among the outcomes recorded, 7.2% of reports include death and 31% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (65%), physician (14.2%) and other health professional (10.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Apidra rising?

86 reports in the 12 months to June 2026, up 26% from 68 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Apidra was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Apidra?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Apidra as a suspect or interacting product; reports listing it only as a concomitant medication (3,626) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.