Reported Reactions

Drugs › Insulin analog

Generic name

Insulin lispro: adverse event reports filed with FDA

8,209 reports list it as a suspect or interacting product, 2004–2026. Class: Insulin analog.

8,209
reports as suspect product
0% of all reports · about 370 a year
1,116
reports, 12 months to June 2026
1,085 in the 12 months before
45.6%
marked serious by the reporter
42.7% across the class
3.8%
record death among outcomes, as reported
313 reports · not verified by FDA

Between May 2004 and June 2026, 8,209 adverse event reports received by FDA list insulin lispro, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (7,312) are left out of every figure here.

In the 12 months to June 2026, 1,116 reports listed it, close to the 1,085 of 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 370 reports a year and 0% of the 20,646,523 reports in the database, and 2.8% 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 reactions recorded most often are blood glucose increased (30.1%), incorrect dose administered (10.7%) and visual impairment (7.4%). A report can list several reactions, so shares add to more than 100%; 760 different terms appear across these reports. Blood glucose increased is recorded in 30.1% of these reports, a larger share than in the median insulin analog drug (23%).

45.6% of the reports are marked serious by the reporter (42.7% across the class); 3.8% record death among the outcomes and 24.3% record hospitalisation, as reported. 78.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (20.6%). 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

061122Jul 2021: 82Aug 2021: 58Sep 2021: 66Oct 2021: 74Nov 2021: 77Dec 2021: 982022Jan 2022: 67Feb 2022: 70Mar 2022: 77Apr 2022: 76May 2022: 67Jun 2022: 86Jul 2022: 76Aug 2022: 74Sep 2022: 80Oct 2022: 67Nov 2022: 64Dec 2022: 372023Jan 2023: 67Feb 2023: 95Mar 2023: 103Apr 2023: 82May 2023: 86Jun 2023: 75Jul 2023: 90Aug 2023: 88Sep 2023: 76Oct 2023: 69Nov 2023: 73Dec 2023: 802024Jan 2024: 75Feb 2024: 78Mar 2024: 79Apr 2024: 76May 2024: 97Jun 2024: 64Jul 2024: 86Aug 2024: 86Sep 2024: 81Oct 2024: 85Nov 2024: 85Dec 2024: 842025Jan 2025: 87Feb 2025: 92Mar 2025: 104Apr 2025: 104May 2025: 98Jun 2025: 93Jul 2025: 118Aug 2025: 99Sep 2025: 96Oct 2025: 77Nov 2025: 88Dec 2025: 652026Jan 2026: 87Feb 2026: 94Mar 2026: 93Apr 2026: 122May 2026: 97Jun 2026: 80

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

05611,1212004: 220042005: 32006: 52007: 520072008: 102009: 152010: 1020102011: 132012: 262013: 4820132014: 1362015: 7362016: 21420162017: 2122018: 4432019: 44120192020: 5872021: 8082022: 84120222023: 9842024: 9762025: 1,12120252026: 573

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Blood glucose increasedraised blood sugar reading30.1%2,469
  2. Incorrect dose administeredthe wrong dose was given10.7%878
  3. Visual impairmentreduced vision7.4%611
  4. Hypoglycaemialow blood sugar6.9%565
  5. Drug ineffectivethe medicine did not work as expected6.8%556
  6. Blood glucose decreasedlow blood sugar reading6%491
  7. Product dose omission issuea dose was missed4.6%378
  8. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure2.9%241
  9. Diabetes mellitus inadequate controldiabetes not well controlled2.6%210
  10. Product storage errorthe product was stored wrongly2.4%193
  11. Injection site painpain where the injection was given2.1%176
  12. Malaisegeneral feeling of being unwell2.1%172
  13. Dizzinesslight-headedness or unsteadiness2%168
  14. Hyperglycaemiahigh blood sugar2%165
  15. Maternal exposure during pregnancythe mother took the medicine during pregnancy2%164
  16. Wrong technique in product usage processthe product was used in the wrong way1.9%158
  17. Cataractclouding of the eye lens1.9%153
  18. Falla fall1.8%144
  19. Headachehead pain1.6%135
  20. Loss of consciousnesspassing out1.6%132
  21. Weight increasedweight gain1.6%130
  22. Memory impairmentmemory problems1.6%129
  23. Nauseafeeling sick1.5%127
  24. Diabetic ketoacidosisa serious complication of diabetes with acid build-up1.4%116
  25. Drug dispensing errora dispensing mistake1.4%115
  26. Weight decreasedweight loss1.4%113

Top 30 of 760 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

Death3.8%313
Life-threatening2.9%234
Hospitalisation (initial or prolonged)24.3%1,997
Disability1.7%140
Congenital anomaly0.2%20
Other serious28.2%2,314
Not serious54.4%4,469

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%30
2 to 110.6%47
12 to 171.1%92
18 to 447.6%623
45 to 6420.6%1,694
65 to 7414.9%1,221
75 and over13.6%1,116
Age not given41.2%3,386

Patient sex

Female52.7%4,325
Male40.4%3,320
Not given6.9%564

Who reported

Physician9%735
Pharmacist4.2%342
Other health professional8%659
Lawyer0%1
Consumer or non-health professional78.2%6,421
Not given0.6%51

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 73.8% 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 mellitus1,51418.4%
Diabetes mellitus1,48418.1%
Type 1 diabetes mellitus7278.9%
Gestational diabetes410.5%
Blood glucose increased260.3%
Hyperglycaemia190.2%

The indication field is filled in by the reporter and is often blank; shares are of all 8,209 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Insulin lispro reports
Lantus1,12813.7%
Humalog1,08213.2%
Insulin glargine8029.8%
Metformin6307.7%
Toujeo2443%
Furosemide2312.8%
Levemir2292.8%
Tresiba2132.6%
Atorvastatin1982.4%
Ramipril1952.4%

Other products listed in reports where Insulin lispro 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

MeasureInsulin lisproInsulin analogAll reports
Reports as suspect product8,209289,29320,646,523
Share of that pool—2.8%0%
Reports, latest 12 months1,116—1,332,454
Marked serious45.6%42.7%57.4%
Death recorded among outcomes, per 1,000 reports383591
Hospitalisation recorded, per 1,000 reports243186213
Consumer-filed share78.2%78.7%45.8%
Top term, share of reportsBlood glucose increased 30.1%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%
Humalog Mix75/25brand8,13914023.8%
Insulingeneric8,13552288.9%
Apidrabrand3,6218669.2%
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 Insulin lispro reports

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

8,209 reports list Insulin lispro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,116 of them arrived in the latest 12 months. Another 7,312 list it only as a concomitant medication.

What reactions are recorded in Insulin lispro reports?

blood glucose increased (30.1%), incorrect dose administered (10.7%), visual impairment (7.4%), hypoglycaemia (6.9%) and drug ineffective (6.8%). 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 lispro was responsible.

How serious are the reports?

45.6% are marked serious by the reporter. Among the outcomes recorded, 3.8% of reports include death and 24.3% 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 (78.2%), physician (9%) and other health professional (8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Insulin lispro rising?

1,116 reports in the 12 months to June 2026, close to the 1,085 of 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 lispro 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 lispro?

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 lispro as a suspect or interacting product; reports listing it only as a concomitant medication (7,312) 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.