Reported Reactions

Drugs › Insulin analog

Brand name · Insulin degludec

Tresiba: adverse event reports filed with FDA

10,373 reports list it as a suspect or interacting product, 2013–2026. Class: Insulin analog.

10,373
reports as suspect product
0.1% of all reports · about 819 a year
1,263
reports, 12 months to June 2026
1,136 in the 12 months before
55.1%
marked serious by the reporter
42.7% across the class
4.1%
record death among outcomes, as reported
428 reports · not verified by FDA

Between November 2013 and June 2026, 10,373 adverse event reports received by FDA list the brand name Tresiba (insulin degludec) as a suspect or interacting product. Reports that mention it only as a concomitant medication (11,464) are left out of every figure here.

In the 12 months to June 2026, 1,263 reports listed it, up 11% from 1,136 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 819 reports a year and 0.1% of the 20,646,523 reports in the database, and 3.6% 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 (20.2%), blood glucose decreased (7.8%) and hypoglycaemia (6.5%). A report can list several reactions, so shares add to more than 100%; 964 different terms appear across these reports. Blood glucose increased is recorded in 20.2% of these reports, about the same share as in the median insulin analog drug (23%).

55.1% of the reports are marked serious by the reporter (42.7% across the class); 4.1% record death among the outcomes and 23.4% record hospitalisation, as reported. 71.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (19.3%). 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

0202403Jul 2021: 75Aug 2021: 57Sep 2021: 45Oct 2021: 41Nov 2021: 403Dec 2021: 672022Jan 2022: 25Feb 2022: 37Mar 2022: 39Apr 2022: 56May 2022: 54Jun 2022: 43Jul 2022: 54Aug 2022: 48Sep 2022: 54Oct 2022: 45Nov 2022: 248Dec 2022: 522023Jan 2023: 37Feb 2023: 49Mar 2023: 68Apr 2023: 31May 2023: 33Jun 2023: 31Jul 2023: 40Aug 2023: 47Sep 2023: 40Oct 2023: 43Nov 2023: 164Dec 2023: 452024Jan 2024: 44Feb 2024: 30Mar 2024: 45Apr 2024: 66May 2024: 64Jun 2024: 56Jul 2024: 70Aug 2024: 59Sep 2024: 56Oct 2024: 77Nov 2024: 306Dec 2024: 662025Jan 2025: 95Feb 2025: 113Mar 2025: 90Apr 2025: 41May 2025: 100Jun 2025: 63Jul 2025: 87Aug 2025: 56Sep 2025: 89Oct 2025: 95Nov 2025: 360Dec 2025: 622026Jan 2026: 65Feb 2026: 60Mar 2026: 67Apr 2026: 196May 2026: 38Jun 2026: 88

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

06631,3252013: 120132014: 152015: 2420152016: 6952017: 1,31820172018: 1,3252019: 93620192020: 9592021: 1,01320212022: 7552023: 62820232024: 9392025: 1,25120252026: 514

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tresiba reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading20.2%2,097
  2. Blood glucose decreasedlow blood sugar reading7.8%810
  3. Hypoglycaemialow blood sugar6.5%670
  4. Nauseafeeling sick4.1%421
  5. Drug ineffectivethe medicine did not work as expected3.5%366
  6. Dyspnoeashortness of breath3.2%336
  7. Weight increasedweight gain3.1%322
  8. Falla fall3%311
  9. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure2.9%298
  10. Vomitingbeing sick2.6%273
  11. Dizzinesslight-headedness or unsteadiness2.5%263
  12. Visual impairmentreduced vision2.5%258
  13. Diabetes mellitus inadequate controldiabetes not well controlled2.5%255
  14. Stressstress2.4%251
  15. Malaisegeneral feeling of being unwell2.4%248
  16. Diabetic ketoacidosisa serious complication of diabetes with acid build-up2.3%240
  17. Off label useused for a purpose or in a way not on the label2.3%234
  18. Condition aggravatedthe condition being treated got worse2.2%232
  19. Headachehead pain2.2%232
  20. Constipationconstipation2.2%230
  21. Weight decreasedweight loss2.1%219
  22. Hyperglycaemiahigh blood sugar2.1%214
  23. Fatiguetiredness2%211
  24. Abdominal distensiona bloated abdomen2%208
  25. Diarrhoealoose or frequent stools1.9%196
  26. Product quality issuea problem with the product itself1.8%182
  27. Abdominal painstomach or belly pain1.7%181
  28. Hospitalisationadmission to hospital1.7%181
  29. Neuropathy peripheralnerve damage in hands or feet1.7%173

Top 30 of 964 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

Death4.1%428
Life-threatening2.5%257
Hospitalisation (initial or prolonged)23.4%2,432
Disability3%312
Congenital anomaly0.5%56
Other serious37.9%3,927
Not serious44.9%4,662

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%11
2 to 110.5%53
12 to 171%102
18 to 446.2%642
45 to 6419.3%2,003
65 to 7416.7%1,734
75 and over14.3%1,488
Age not given41.8%4,340

Patient sex

Female57%5,917
Male39%4,044
Not given4%412

Who reported

Physician15.7%1,624
Pharmacist3.1%322
Other health professional9.8%1,018
Lawyer0%1
Consumer or non-health professional71.2%7,388
Not given0.2%20

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 74.4% 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 mellitus3,10529.9%
Diabetes mellitus1,28212.4%
Type 1 diabetes mellitus1,21411.7%
Latent autoimmune diabetes in adults250.2%
Diabetes mellitus inadequate control140.1%
Blood glucose increased90.1%

The indication field is filled in by the reporter and is often blank; shares are of all 10,373 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tresiba reports
Novolog1,14211%
Metformin7337.1%
Novorapid7036.8%
Humalog6786.5%
Ozempic5785.6%
Fiasp3073%
Acetaminophen2512.4%
Gabapentin2442.4%
Insulin aspart2292.2%
Victoza2202.1%

Other products listed in reports where Tresiba 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

MeasureTresibaInsulin analogAll reports
Reports as suspect product10,373289,29320,646,523
Share of that pool—3.6%0.1%
Reports, latest 12 months1,263—1,332,454
Marked serious55.1%42.7%57.4%
Death recorded among outcomes, per 1,000 reports413591
Hospitalisation recorded, per 1,000 reports234186213
Consumer-filed share71.2%78.7%45.8%
Top term, share of reportsBlood glucose increased 20.2%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%
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 Tresiba reports

How many adverse event reports has FDA received for Tresiba?

10,373 reports list Tresiba as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,263 of them arrived in the latest 12 months. Another 11,464 list it only as a concomitant medication.

What reactions are recorded in Tresiba reports?

blood glucose increased (20.2%), blood glucose decreased (7.8%), hypoglycaemia (6.5%), nausea (4.1%) and drug ineffective (3.5%). 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 Tresiba was responsible.

How serious are the reports?

55.1% are marked serious by the reporter. Among the outcomes recorded, 4.1% of reports include death and 23.4% 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 (71.2%), physician (15.7%) and other health professional (9.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tresiba rising?

1,263 reports in the 12 months to June 2026, up 11% from 1,136 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 Tresiba 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 Tresiba?

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 Tresiba as a suspect or interacting product; reports listing it only as a concomitant medication (11,464) 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.