MedDRA preferred term · a serious complication of diabetes with acid build-up

Diabetic ketoacidosis: adverse event reports recording this term

23,626 reports to FDA record it, 2004–2026; 0.1% of the database.

Read first · FDA's statement on these data

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product. openFDA, FDA

FDA adds: "There is no certainty that the reported event (adverse event or medication error) was actually due to the product. FDA does not require that a causal relationship between a product and event be proven, and reports do not always contain enough detail to properly evaluate an event." The information in these reports "cannot be used to estimate the incidence of these events."

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

23,626
reports recording the term: 0.1% of all reports; 1,261
reports, 12 months to June 2026: 1,315 in the 12 months before; 99.5%
marked serious by the reporter: 57.4% across all reports; 5.9%
record death among outcomes, as reported: 9.1% across all reports

23,626 reports in FDA's adverse event database record the MedDRA term "Diabetic ketoacidosis" (in plain words, a serious complication of diabetes with acid build-up): 0.1% of all reports received between January 2004 and June 2026. Coders pick the term that best matches the reporter's description.

1,261 reports recorded it in the 12 months to June 2026, close to the 1,315 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Of reports recording this term, 99.5% are marked serious, 5.9% include death among the outcomes and 74.3% include hospitalisation, as reported.

The drugs listed most often as suspect products in those reports are Jardiance, Invokana and Metformin. That order mostly follows how many reports each drug has overall; the table also gives the term's share within each drug's own reports. 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

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Drugs listed as suspect products in these reports

Drug	Class	Reports with this term	Share of the drug's own reports
Jardiance	Sodium-Glucose cotransporter 2 inhibitor	3,304	9.5%
Invokana	Sodium-Glucose cotransporter 2 inhibitor	3,064	13.7%
Metformin	Biguanide	1,223	1.8%
Seroquel	Atypical antipsychotic	1,131	2.2%
Humalog	Insulin analog	1,018	1.4%
Dapagliflozin	Sodium-Glucose cotransporter 2 inhibitor	967	4.4%
Novorapid	—	870	12.5%
Forxiga	—	838	17%
Zyprexa	Atypical antipsychotic	732	2.8%
Lantus	Insulin analog	560	1.4%
Novolog	Insulin analog	538	3.7%
Farxiga	Sodium-Glucose cotransporter 2 inhibitor	536	3.3%
Empagliflozin	Sodium-Glucose cotransporter 2 inhibitor	454	9.3%
Nivolumab	Programmed death Receptor-1 blocking antibody	389	0.8%
Insulin glargine	Insulin analog	377	1.3%
Opdivo	Programmed death Receptor-1 blocking antibody	343	0.7%
Canagliflozin	Sodium-Glucose cotransporter 2 inhibitor	331	16.8%
Tacrolimus	Calcineurin inhibitor immunosuppressant	327	0.3%
Keytruda	Programmed death Receptor-1 blocking antibody	298	0.5%
Ozempic	GLP-1 receptor agonist	281	0.5%
Metformin hydrochloride	Biguanide	268	1.1%
Prednisone	Corticosteroid	255	0.1%
Levemir	Insulin analog	250	1.8%
Tresiba	Insulin analog	240	2.3%
Trulicity	GLP-1 receptor agonist	232	0.3%

Drugs with a page on this site, ordered by the number of their reports recording this term. The last column is the term's share within that drug's own reports, against 0.1% across the whole database. 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."

By pharmacologic class

Class	Reports with this term	Share of class reports	Median drug in class
Sodium-Glucose cotransporter 2 inhibitor	8,837	8.4%	9%
Insulin analog	3,872	1.3%	1%
Atypical antipsychotic	2,672	0.4%	0%
Biguanide	1,918	1.6%	1.1%
Programmed death Receptor-1 blocking antibody	1,310	0.6%	0.6%
GLP-1 receptor agonist	1,193	0.3%	0.4%
Corticosteroid	723	0.1%	0%
Dipeptidyl peptidase 4 inhibitor	411	0.9%	1%
CTLA-4-directed blocking antibody	404	0.9%	0.6%
Insulin	391	1.1%	1.2%

Classes ordered by count. Class shares follow the class's overall report volume as much as anything else.

Patients in these reports

Patient age

Under 20.1%30

2 to 111%238

12 to 172.6%616

18 to 4421%4,951

45 to 6431.4%7,412

65 to 7410.7%2,537

75 and over5.8%1,379

Age not given27.4%6,463

Patient sex

Female47.8%11,282

Male42.8%10,120

Not given9.4%2,224

Grey bar: all 20,646,523 reports in the database. 52.2% of these reports give the United States as the country.

Questions about "Diabetic ketoacidosis"

What does "Diabetic ketoacidosis" mean in an adverse event report?

In plain language: a serious complication of diabetes with acid build-up. It is a MedDRA preferred term, the dictionary FDA uses to code what a reporter described. The report's own description is not published by openFDA and is not shown here.

How many reports record diabetic ketoacidosis?

23,626 reports through June 2026 (0.1% of all reports), 1,261 of them in the latest 12 months.

Which drugs appear most often in these reports?

Jardiance (3,304), Invokana (3,064), Metformin (1,223), Seroquel (1,131) and Humalog (1,018). Drugs with many reports overall lead almost every term's list. 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."

Does a drug appearing here mean it was responsible for this reaction?

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."

I have this symptom. What should I do?

This site cannot assess anyone. A pharmacist or clinician can; for an emergency, call the local emergency number. Nothing on this page is medical advice.

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. Terms are pooled across spelling and capitalisation variants of one MedDRA preferred term. 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.