Reported Reactions

Drugs › Insulin analog

Generic name

Insulin glulisine: adverse event reports filed with FDA

607 reports list it as a suspect or interacting product, 2006–2026. Class: Insulin analog.

607
reports as suspect product
0% of all reports · about 30 a year
37
reports, 12 months to June 2026
12 in the 12 months before
94.2%
marked serious by the reporter
42.7% across the class
9.4%
record death among outcomes, as reported
57 reports · not verified by FDA

607 adverse event reports received by FDA list insulin glulisine, a generic name as a suspect or interacting product, from February 2006 to June 2026. A further 674 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, 37 reports listed it, up 208% from 12 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 30 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% 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 (14.2%), hypoglycaemia (13%) and glycosylated haemoglobin increased (9.2%). A report can list several reactions, so shares add to more than 100%; 282 different terms appear across these reports. Blood glucose increased is recorded in 14.2% of these reports, a smaller share than in the median insulin analog drug (23%).

94.2% of the reports are marked serious by the reporter (42.7% across the class); 9.4% record death among the outcomes and 57.8% record hospitalisation, as reported. 63.6% of the reports came from consumers, and the largest patient age group is 45 to 64 (35.3%). 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

0713Jul 2021: 3Aug 2021: 0Sep 2021: 1Oct 2021: 1Nov 2021: 4Dec 2021: 22022Jan 2022: 3Feb 2022: 3Mar 2022: 1Apr 2022: 1May 2022: 0Jun 2022: 0Jul 2022: 1Aug 2022: 0Sep 2022: 8Oct 2022: 3Nov 2022: 2Dec 2022: 42023Jan 2023: 5Feb 2023: 1Mar 2023: 4Apr 2023: 1May 2023: 3Jun 2023: 1Jul 2023: 4Aug 2023: 13Sep 2023: 3Oct 2023: 1Nov 2023: 4Dec 2023: 42024Jan 2024: 0Feb 2024: 0Mar 2024: 6Apr 2024: 1May 2024: 0Jun 2024: 2Jul 2024: 1Aug 2024: 3Sep 2024: 1Oct 2024: 0Nov 2024: 2Dec 2024: 02025Jan 2025: 1Feb 2025: 0Mar 2025: 1Apr 2025: 2May 2025: 1Jun 2025: 0Jul 2025: 2Aug 2025: 0Sep 2025: 0Oct 2025: 5Nov 2025: 0Dec 2025: 62026Jan 2026: 4Feb 2026: 8Mar 2026: 3Apr 2026: 2May 2026: 3Jun 2026: 4

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

01012012006: 1520062007: 52008: 22009: 620092010: 92011: 92012: 1120122013: 282014: 62015: 1020152016: 32017: 62018: 13720182019: 2012020: 182021: 1320212022: 262023: 442024: 1620242025: 182026: 24

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Insulin glulisine reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading14.2%86
  2. Hypoglycaemialow blood sugar13%79
  3. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure9.2%56
  4. Hyperglycaemiahigh blood sugar8.6%52
  5. Dizzinesslight-headedness or unsteadiness5.4%33
  6. Blood glucose decreasedlow blood sugar reading5.3%32
  7. Product dose omissiona dose was missed5.3%32
  8. Diabetes mellitus inadequate controldiabetes not well controlled4.8%29
  9. Dyspnoeashortness of breath4.4%27
  10. Malaisegeneral feeling of being unwell4.1%25
  11. Chest painchest pain4%24
  12. Fatiguetiredness4%24
  13. Pain in extremitypain in an arm or leg4%24
  14. Falla fall3.8%23
  15. Syncopefainting3.6%22
  16. Diabetic ketoacidosisa serious complication of diabetes with acid build-up3.3%20
  17. Drug ineffectivethe medicine did not work as expected3.1%19
  18. Painpain, site not specified3.1%19
  19. Pneumonialung infection3%18
  20. Hospitalisationadmission to hospital2.8%17
  21. Inappropriate schedule of product administrationthe product was taken at the wrong times2.8%17
  22. Coughcough2.6%16
  23. Headachehead pain2.6%16
  24. Influenzaflu2.6%16
  25. Loss of consciousnesspassing out2.6%16
  26. Visual impairmentreduced vision2.6%16
  27. Vomitingbeing sick2.6%16

Top 30 of 282 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

Death9.4%57
Life-threatening7.1%43
Hospitalisation (initial or prolonged)57.8%351
Disability3.8%23
Congenital anomaly0.2%1
Other serious54.4%330
Not serious5.8%35

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 20.5%3
2 to 111.6%10
12 to 172.5%15
18 to 4411.9%72
45 to 6435.3%214
65 to 7420.8%126
75 and over15.8%96
Age not given11.7%71

Patient sex

Female56.3%342
Male39.9%242
Not given3.8%23

Who reported

Physician15.7%95
Pharmacist4.4%27
Other health professional13.2%80
Lawyer0%0
Consumer or non-health professional63.6%386
Not given3.1%19

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 24.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus19432%
Diabetes mellitus8313.7%
Type 1 diabetes mellitus6310.4%
Diabetes mellitus insulin-dependent40.7%
Diabetes mellitus non-insulin-dependent20.3%
Renal failure20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 607 reports.

In context

MeasureInsulin glulisineInsulin analogAll reports
Reports as suspect product607289,29320,646,523
Share of that pool—0.2%0%
Reports, latest 12 months37—1,332,454
Marked serious94.2%42.7%57.4%
Death recorded among outcomes, per 1,000 reports943591
Hospitalisation recorded, per 1,000 reports578186213
Consumer-filed share63.6%78.7%45.8%
Top term, share of reportsBlood glucose increased 14.2%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%
Apidrabrand3,6218669.2%
Insulin aspartgeneric3,23255388.6%
Sterile diluentgeneric3,22160019.4%
Humalog Kwikpenbrand3,04016927.5%

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 Insulin glulisine reports

How many adverse event reports has FDA received for Insulin glulisine?

607 reports list Insulin glulisine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 37 of them arrived in the latest 12 months. Another 674 list it only as a concomitant medication.

What reactions are recorded in Insulin glulisine reports?

blood glucose increased (14.2%), hypoglycaemia (13%), glycosylated haemoglobin increased (9.2%), hyperglycaemia (8.6%) and dizziness (5.4%). 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 Insulin glulisine was responsible.

How serious are the reports?

94.2% are marked serious by the reporter. Among the outcomes recorded, 9.4% of reports include death and 57.8% 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 (63.6%), physician (15.7%) and other health professional (13.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Insulin glulisine rising?

37 reports in the 12 months to June 2026, up 208% from 12 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 Insulin glulisine 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 Insulin glulisine?

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 Insulin glulisine as a suspect or interacting product; reports listing it only as a concomitant medication (674) 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.