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
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
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
- Blood glucose increasedraised blood sugar reading14.2%86
- Hypoglycaemialow blood sugar13%79
- Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure9.2%56
- Hyperglycaemiahigh blood sugar8.6%52
- Dizzinesslight-headedness or unsteadiness5.4%33
- Blood glucose decreasedlow blood sugar reading5.3%32
- Product dose omissiona dose was missed5.3%32
- Diabetes mellitus inadequate controldiabetes not well controlled4.8%29
- Dyspnoeashortness of breath4.4%27
- Malaisegeneral feeling of being unwell4.1%25
- Chest painchest pain4%24
- Fatiguetiredness4%24
- Pain in extremitypain in an arm or leg4%24
- Falla fall3.8%23
- Syncopefainting3.6%22
- Diabetic ketoacidosisa serious complication of diabetes with acid build-up3.3%20
- Drug ineffectivethe medicine did not work as expected3.1%19
- Painpain, site not specified3.1%19
- Pneumonialung infection3%18
- Hospitalisationadmission to hospital2.8%17
- Inappropriate schedule of product administrationthe product was taken at the wrong times2.8%17
- Cerebrovascular accidentstroke2.6%16
- Coughcough2.6%16
- Headachehead pain2.6%16
- Influenzaflu2.6%16
- Loss of consciousnesspassing out2.6%16
- Visual impairmentreduced vision2.6%16
- Vomitingbeing sick2.6%16
- Blood glucose abnormal2.5%15
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
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
Patient sex
Who reported
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) | Reports | Share |
|---|---|---|
| Type 2 diabetes mellitus | 194 | 32% |
| Diabetes mellitus | 83 | 13.7% |
| Type 1 diabetes mellitus | 63 | 10.4% |
| Diabetes mellitus insulin-dependent | 4 | 0.7% |
| Diabetes mellitus non-insulin-dependent | 2 | 0.3% |
| Renal failure | 2 | 0.3% |
The indication field is filled in by the reporter and is often blank; shares are of all 607 reports.
In context
| Measure | Insulin glulisine | Insulin analog | All reports |
|---|---|---|---|
| Reports as suspect product | 607 | 289,293 | 20,646,523 |
| Share of that pool | — | 0.2% | 0% |
| Reports, latest 12 months | 37 | — | 1,332,454 |
| Marked serious | 94.2% | 42.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 94 | 35 | 91 |
| Hospitalisation recorded, per 1,000 reports | 578 | 186 | 213 |
| Consumer-filed share | 63.6% | 78.7% | 45.8% |
| Top term, share of reports | Blood 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Humalog | brand | 71,174 | 2,312 | 34.4% |
| Lantus Solostar | brand | 45,715 | 4,230 | 24.6% |
| Lantus | brand | 39,128 | 3,718 | 63.8% |
| Insulin glargine | generic | 27,994 | 1,923 | 42.8% |
| Toujeo | brand | 15,491 | 1,332 | 24.7% |
| Novolog | brand | 14,477 | 1,576 | 61.8% |
| Levemir | brand | 13,652 | 671 | 54.8% |
| Tresiba | brand | 10,373 | 1,263 | 55.1% |
| Insulin lispro | generic | 8,209 | 1,116 | 45.6% |
| Humalog Mix75/25 | brand | 8,139 | 140 | 23.8% |
| Insulin | generic | 8,135 | 522 | 88.9% |
| Apidra | brand | 3,621 | 86 | 69.2% |
| Insulin aspart | generic | 3,232 | 553 | 88.6% |
| Sterile diluent | generic | 3,221 | 600 | 19.4% |
| Humalog Kwikpen | brand | 3,040 | 169 | 27.5% |
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.