Reported Reactions

Drugs › Insulin analog

Brand name · Insulin glargine

Toujeo: adverse event reports filed with FDA

15,491 reports list it as a suspect or interacting product, 2012–2026. Class: Insulin analog.

15,491
reports as suspect product
0.1% of all reports · about 1,094 a year
1,332
reports, 12 months to June 2026
1,134 in the 12 months before
24.7%
marked serious by the reporter
42.7% across the class
0.8%
record death among outcomes, as reported
120 reports · not verified by FDA

Between May 2012 and June 2026, 15,491 adverse event reports received by FDA list the brand name Toujeo (insulin glargine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (8,932) are left out of every figure here.

In the 12 months to June 2026, 1,332 reports listed it, up 17% from 1,134 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 1,094 reports a year and 0.1% of the 20,646,523 reports in the database, and 5.4% 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 (23.3%), product storage error (7.7%) and off label use (7.3%). A report can list several reactions, so shares add to more than 100%; 820 different terms appear across these reports. Blood glucose increased is recorded in 23.3% of these reports, about the same share as in the median insulin analog drug (23%).

24.7% of the reports are marked serious by the reporter (42.7% across the class); 0.8% record death among the outcomes and 10.1% record hospitalisation, as reported. 75% of the reports came from consumers, and the largest patient age group is 45 to 64 (23.1%). 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

0100199Jul 2021: 80Aug 2021: 89Sep 2021: 67Oct 2021: 82Nov 2021: 68Dec 2021: 722022Jan 2022: 60Feb 2022: 82Mar 2022: 101Apr 2022: 81May 2022: 76Jun 2022: 113Jul 2022: 68Aug 2022: 58Sep 2022: 103Oct 2022: 57Nov 2022: 68Dec 2022: 662023Jan 2023: 66Feb 2023: 66Mar 2023: 89Apr 2023: 69May 2023: 70Jun 2023: 87Jul 2023: 84Aug 2023: 61Sep 2023: 70Oct 2023: 67Nov 2023: 57Dec 2023: 642024Jan 2024: 70Feb 2024: 71Mar 2024: 71Apr 2024: 57May 2024: 76Jun 2024: 60Jul 2024: 69Aug 2024: 58Sep 2024: 80Oct 2024: 95Nov 2024: 120Dec 2024: 982025Jan 2025: 105Feb 2025: 89Mar 2025: 124Apr 2025: 91May 2025: 105Jun 2025: 100Jul 2025: 87Aug 2025: 81Sep 2025: 89Oct 2025: 69Nov 2025: 110Dec 2025: 752026Jan 2026: 89Feb 2026: 104Mar 2026: 75Apr 2026: 199May 2026: 195Jun 2026: 159

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

01,4192,8382012: 120122013: 32014: 220142015: 8572016: 2,83820162017: 1,8422018: 1,68520182019: 1,4862020: 1,11620202021: 1,0072022: 93320222023: 8502024: 92520242025: 1,1252026: 8212026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Toujeo reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading23.3%3,611
  2. Product storage errorthe product was stored wrongly7.7%1,191
  3. Off label useused for a purpose or in a way not on the label7.3%1,129
  4. Inappropriate schedule of product administrationthe product was taken at the wrong times5.7%877
  5. Product use issuea problem in how the product was used5.6%874
  6. Drug ineffectivethe medicine did not work as expected5.5%850
  7. Blood glucose decreasedlow blood sugar reading5.5%847
  8. Hypoglycaemialow blood sugar4.6%713
  9. Device issuea problem with the device4.4%681
  10. Visual impairmentreduced vision3.6%563
  11. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure3.2%500
  12. Injection site painpain where the injection was given2.3%353
  13. Device operational issue2.3%351
  14. Malaisegeneral feeling of being unwell2.3%351
  15. Dizzinesslight-headedness or unsteadiness2.1%328
  16. Hyperglycaemiahigh blood sugar2%306
  17. Diabetes mellitus inadequate controldiabetes not well controlled2%304
  18. Weight increasedweight gain1.9%295
  19. Intentional product misusedeliberate use not as intended1.8%281
  20. Weight decreasedweight loss1.8%275
  21. Nauseafeeling sick1.7%267
  22. Dyspnoeashortness of breath1.6%244
  23. Drug dose omissiona dose was missed1.5%229
  24. Product dose omissiona dose was missed1.5%227
  25. Headachehead pain1.4%218
  26. Rashskin rash1.4%214
  27. Wrong technique in product usage processthe product was used in the wrong way1.3%199

Top 30 of 820 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

Death0.8%120
Life-threatening1.3%195
Hospitalisation (initial or prolonged)10.1%1,563
Disability1.1%178
Congenital anomaly0.1%13
Other serious16.9%2,613
Not serious75.3%11,657

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 20.1%9
2 to 110.1%14
12 to 170.2%28
18 to 444.2%657
45 to 6423.1%3,573
65 to 7421.6%3,341
75 and over16%2,482
Age not given34.8%5,387

Patient sex

Female48.9%7,579
Male38.7%6,001
Not given12.3%1,911

Who reported

Physician8.5%1,317
Pharmacist5.1%787
Other health professional9.2%1,420
Lawyer0%0
Consumer or non-health professional75%11,615
Not given2.3%352

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 86.7% 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 mellitus6,27240.5%
Diabetes mellitus3,25721%
Type 1 diabetes mellitus1,0516.8%
Blood glucose increased5713.7%
Insulin-requiring type 2 diabetes mellitus680.4%
Latent autoimmune diabetes in adults200.1%

The indication field is filled in by the reporter and is often blank; shares are of all 15,491 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Toujeo reports
Lantus1,1427.4%
Metformin1,0726.9%
Humalog1,0206.6%
Novolog7364.8%
Lantus Solostar5063.3%
Levemir3001.9%
Novorapid2681.7%
Apidra2401.5%
Victoza2301.5%
Trulicity2211.4%

Other products listed in reports where Toujeo 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

MeasureToujeoInsulin analogAll reports
Reports as suspect product15,491289,29320,646,523
Share of that pool—5.4%0.1%
Reports, latest 12 months1,332—1,332,454
Marked serious24.7%42.7%57.4%
Death recorded among outcomes, per 1,000 reports83591
Hospitalisation recorded, per 1,000 reports101186213
Consumer-filed share75%78.7%45.8%
Top term, share of reportsBlood glucose increased 23.3%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%
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%
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 Toujeo reports

How many adverse event reports has FDA received for Toujeo?

15,491 reports list Toujeo as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,332 of them arrived in the latest 12 months. Another 8,932 list it only as a concomitant medication.

What reactions are recorded in Toujeo reports?

blood glucose increased (23.3%), product storage error (7.7%), off label use (7.3%), inappropriate schedule of product administration (5.7%) and product use issue (5.6%). 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 Toujeo was responsible.

How serious are the reports?

24.7% are marked serious by the reporter. Among the outcomes recorded, 0.8% of reports include death and 10.1% 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 (75%), other health professional (9.2%) and physician (8.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Toujeo rising?

1,332 reports in the 12 months to June 2026, up 17% from 1,134 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 Toujeo 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 Toujeo?

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 Toujeo as a suspect or interacting product; reports listing it only as a concomitant medication (8,932) 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.