← All drugs
Drug · FAERS side-effect profile with label screen

Insulin Degludec side effects: what 23,329 FDA adverse event reports show

Insulin Degludec · 1,139 reaction terms · 80,905 drug–reaction co-reports · data 2026-09-14
Share: X Facebook Reddit Email

Drug class

Insulin Analog

FDA label (Established Pharmacologic Class) · compare the class

Who reports

23,329 reports · 59% serious · 1,281 with death outcome · 57% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Insulin Degludec is indicated to improve glycemic control in patients 1 year of age and older with diabetes mellitus. Limitations of Use • Not recommended for the treatment of diabetic ketoacidosis. Insulin Degludec is a long-acting human insulin analog indicated to improve glycemic control in patients 1 year of age and older with diabetes mellitus ( 1 ).

FDA label, Indications and Usage

What it is

Insulin degludec is a long-acting basal human insulin analog for subcutaneous injection produced by a process that includes expression of recombinant DNA in Saccharomyces cerevisiae followed by chemical modification.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled adverse reaction 1Labeled (related wording) 3Likely indication confounding 3Reporting / coding artifact 6Lab value / disease marker 2Not in label — unassessed 25
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 1,099 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Appendicolith2581,953.3
1,570.6–2,429.3ROR 1,975.1 · χ² 156,466 / p <1e-300
583.6 EB05 526.2 · IC025 +7.9
3/3 methods agree
Not in label — unassessedserious n=258 · ♀ 3% (drug 57%) · 95% cliniciannot reported in cached trials
Heart sounds571,294.6
861.7–1,945.1ROR 1,297.8 · χ² 29,409 / p <1e-300
447.2 EB05 358.0 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=57 · ♀ 100% (drug 57%)not reported in cached trials
Abdominal transposition14953.9
448.4–2,029.2ROR 954.5 · χ² 5,966 / p <1e-300
282.5 EB05 178.9 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=14not reported in cached trials
Sleep disorder therapy85760.5
569.3–1,015.9ROR 763.3 · χ² 34,283 / p <1e-300
375.0 EB05 312.7 · IC025 +6.6
3/3 methods agree
Reporting / coding artifactserious n=85 · ♀ 8% (drug 57%) · 100% clinicianNCT01959529: 7/3,819 (0.2%) on Insulin Degludec (serious AE)
Antacid therapy46558.2
386.0–807.1ROR 559.3 · χ² 15,354 / p <1e-300
300.0 EB05 234.1 · IC025 +5.7
3/3 methods agree
Reporting / coding artifactserious n=46 · ♀ 15% (drug 57%) · 100% cliniciannot reported in cached trials
Analgesic therapy84339.8
264.3–436.8ROR 341.0 · χ² 20,262 / p <1e-300
232.9 EB05 194.0 · IC025 +6.3
3/3 methods agree
Reporting / coding artifactserious n=84 · ♀ 8% (drug 57%) · 100% cliniciannot reported in cached trials
Drug therapy82310.4
241.5–399.1ROR 311.5 · χ² 18,499 / p <1e-300
218.4 EB05 181.6 · IC025 +6.2
3/3 methods agree
Reporting / coding artifactserious n=82 · ♀ 8% (drug 57%) · 100% clinicianNCT01959529: 1/3,818 (0.0%) on Insulin Degludec (serious AE)
Prolonged expiration57247.5
184.6–331.9ROR 248.1 · χ² 10,746 / p <1e-300
181.9 EB05 145.6 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=57 · ♀ 100% (drug 57%)not reported in cached trials
Scleroedema11207.3
107.5–399.7ROR 207.4 · χ² 1,667 / p <1e-300
130.6 EB05 77.9 · IC025 +3.3
3/3 methods agree
Not in label — unassessedserious n=11not reported in cached trials
Medical device site cellulitis10188.5
95.2–372.9ROR 188.5 · χ² 1,387 / p <1e-300
120.5 EB05 69.9 · IC025 +3.1
3/3 methods agree
Not in label — unassessedserious n=10not reported in cached trials
Anticoagulant therapy47183.4
134.0–251.0ROR 183.8 · χ² 6,913 / p <1e-300
143.4 EB05 112.1 · IC025 +5.4
3/3 methods agree
Reporting / coding artifactserious n=47 · ♀ 15% (drug 57%) · 100% cliniciannot reported in cached trials
Medical device site abscess11174.0
91.2–332.1ROR 174.1 · χ² 1,440 / p <1e-300
116.7 EB05 69.5 · IC025 +3.3
3/3 methods agree
Not in label — unassessedserious n=11not reported in cached trials
Malignant melanoma stage 023130.6
84.3–202.3ROR 130.7 · χ² 2,466 / p <1e-300
104.3 EB05 73.2 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=23 · 100% cliniciannot reported in cached trials
Bacteroides infection32126.5
87.4–183.2ROR 126.7 · χ² 3,378 / p <1e-300
104.1 EB05 77.2 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=32 · ♀ 0% (drug 57%) · 100% cliniciannot reported in cached trials
Congenital hiatus hernia26119.3
79.3–179.7ROR 119.5 · χ² 2,585 / p <1e-300
97.9 EB05 70.2 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=26 · ♀ 0% (drug 57%) · 100% cliniciannot reported in cached trials
Blood phosphorus increased16859.0
50.5–68.9ROR 59.4 · χ² 8,928 / p <1e-300
55.1 EB05 48.4 · IC025 +5.3
3/3 methods agree
Lab value / disease markerserious n=166 · ♀ 4% (drug 57%) · 95% cliniciannot reported in cached trials
Hypoglycaemic encephalopathy2151.1
32.9–79.3ROR 51.1 · χ² 928 / p 3e-204
46.5 EB05 32.1 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=21not reported in cached trials
Hyperphosphataemia11350.6
41.9–61.1ROR 50.8 · χ² 5,149 / p <1e-300
47.5 EB05 40.6 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=112 · ♀ 8% (drug 57%) · 96% cliniciannot reported in cached trials
Hypoglycaemic unconsciousness8439.6
31.9–49.3ROR 39.8 · χ² 2,990 / p <1e-300
37.7 EB05 31.4 · IC025 +4.6
3/3 methods agree
Not in label — unassessedserious n=84NCT01959529: 29/3,819 (0.8%) on Insulin Degludec (serious AE)
Gait spastic1437.7
22.1–64.3ROR 37.7 · χ² 445 / p 4e-99
34.6 EB05 21.9 · IC025 +3.1
3/3 methods agree
Not in label — unassessedserious n=14not reported in cached trials
Anion gap abnormal1034.5
18.3–64.8ROR 34.5 · χ² 281 / p 2e-63
31.4 EB05 18.1 · IC025 +2.6
3/3 methods agree
Not in label — unassessedserious n=10not reported in cached trials
Corrective lens user3434.3
24.3–48.3ROR 34.3 · χ² 1,025 / p 3e-225
32.5 EB05 24.3 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=10 · 100% consumernot reported in cached trials
Diabetic hyperglycaemic coma1234.0
19.1–60.4ROR 34.0 · χ² 339 / p 6e-76
31.3 EB05 19.0 · IC025 +2.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=12not reported in cached trials
Diabetic metabolic decompensation4932.9
24.8–43.8ROR 33.0 · χ² 1,432 / p <1e-300
31.4 EB05 24.7 · IC025 +4.1
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=49 · ♀ 35% (drug 57%)NCT01959529: 2/3,819 (0.1%) on Insulin Degludec (serious AE)
Diabetic retinopathy11631.7
26.4–38.2ROR 31.9 · χ² 3,303 / p <1e-300
30.5 EB05 26.1 · IC025 +4.5
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=110NCT01959529: 1/3,819 (0.0%) on Insulin Degludec (serious AE)
Hypoglycaemia unawareness1231.0
17.4–55.1ROR 31.0 · χ² 308 / p 3e-69
28.7 EB05 17.4 · IC025 +2.8
3/3 methods agree
Labeled adverse reaction
exact term
serious n=11not reported in cached trials
Bronchopulmonary aspergillosis allergic2828.3
19.4–41.2ROR 28.3 · χ² 688 / p 6e-152
27.0 EB05 19.6 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=27 · ♀ 0% (drug 57%) · 100% cliniciannot reported in cached trials
Appendicitis26926.8
23.7–30.2ROR 27.1 · χ² 6,452 / p <1e-300
26.0 EB05 23.5 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious PRR 25.8 · ♀ 5% (drug 57%) · 94% clinicianNCT01959529: 6/3,819 (0.2%) on Insulin Degludec (serious AE)
Joint abscess1026.6
14.2–49.9ROR 26.6 · χ² 215 / p 6e-49
24.6 EB05 13.9 · IC025 +2.5
3/3 methods agree
Not in label — unassessedserious n=10NCT01959529: 1/3,818 (0.0%) on Insulin Degludec (serious AE)
Insulin resistance5625.2
19.3–32.9ROR 25.3 · χ² 1,243 / p 1e-272
24.4 EB05 19.5 · IC025 +3.9
3/3 methods agree
Reporting / coding artifactserious n=29 · 82% consumernot reported in cached trials
Iron deficiency12024.9
20.8–29.8ROR 25.0 · χ² 2,655 / p <1e-300
24.2 EB05 20.7 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious n=120 · ♀ 8% (drug 57%)NCT01959529: 4/3,819 (0.1%) on Insulin Degludec (serious AE)
Impaired gastric emptying33023.9
21.4–26.6ROR 24.2 · χ² 7,018 / p <1e-300
23.2 EB05 21.2 · IC025 +4.3
3/3 methods agree
Not in label — unassessedserious PRR 21.5 · 71% consumerNCT01959529: 7/3,819 (0.2%) on Insulin Degludec (serious AE)
Total lung capacity decreased4123.6
17.3–32.2ROR 23.6 · χ² 842 / p 2e-185
22.8 EB05 17.5 · IC025 +3.7
3/3 methods agree
Not in label — unassessedserious n=41 · ♀ 17% (drug 57%) · 100% cliniciannot reported in cached trials
Blood glucose fluctuation27623.1
20.5–26.0ROR 23.4 · χ² 5,675 / p <1e-300
22.5 EB05 20.4 · IC025 +4.2
3/3 methods agree
Lab value / disease markerserious n=165 · 78% consumernot reported in cached trials
Gastrointestinal hypomotility5623.1
17.7–30.1ROR 23.2 · χ² 1,133 / p 9e-249
22.4 EB05 17.9 · IC025 +3.8
3/3 methods agree
Not in label — unassessedserious n=55not reported in cached trials
Muscle mass1122.9
12.6–41.7ROR 22.9 · χ² 204 / p 1e-46
21.4 EB05 12.3 · IC025 +2.5
3/3 methods agree
Not in label — unassessedserious n=11not reported in cached trials
Presbyopia1321.8
12.6–37.8ROR 21.8 · χ² 232 / p 1e-52
20.5 EB05 12.4 · IC025 +2.7
3/3 methods agree
Not in label — unassessedserious n=12not reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Insulin Degludec as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (12 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Nausea1,4831.7
1.6–1.8ROR 1.7 · χ² 433 / p 2e-96
1.7 EB05 1.6 · IC025 +0.7Labeled adverse reaction
exact term
serious PRR 2.1NCT01959529: 2/3,819 (0.1%) on Insulin Degludec (serious AE)
Drug ineffective (drug did not work)1,0260.7
0.7–0.7ROR 0.7 · χ² 140 / p 1e-32
0.7 EB05 0.7 · IC025 -0.6
PRR-only: not supported by EBGM or IC
Reporting / coding artifactserious PRR 0.9 · 71% consumernot reported in cached trials
Off label use (used outside approved label)1,0161.1
1.0–1.1ROR 1.1 · χ² 3 / p 0.051
1.1 EB05 1.0 · IC025 -0.0
PRR-only: not supported by EBGM or IC
Reporting / coding artifactserious PRR 1.5not reported in cached trials
Vomiting9831.9
1.8–2.0ROR 1.9 · χ² 417 / p 6e-93
1.9 EB05 1.8 · IC025 +0.8Not in label — unassessedserious PRR 2.2NCT01959529: 7/3,819 (0.2%) on Insulin Degludec (serious AE)
Diarrhoea (diarrhea)9551.3
1.3–1.4ROR 1.3 · χ² 82 / p 6e-20
1.3 EB05 1.3 · IC025 +0.3Labeled adverse reaction
exact term
serious PRR 1.4NCT01959529: 3/3,819 (0.1%) on Insulin Degludec (serious AE)
Hypoglycaemia (low blood sugar)93717.7
16.6–18.8ROR 18.4 · χ² 14,468 / p <1e-300
17.3 EB05 16.4 · IC025 +4.0
3/3 methods agree
Labeled adverse reaction
exact term
serious PRR 16.7NCT01959529: 49/3,819 (1.3%) on Insulin Degludec (serious AE)
Dyspnoea (shortness of breath)8101.3
1.2–1.4ROR 1.3 · χ² 53 / p 2e-13
1.3 EB05 1.2 · IC025 +0.2Not in label — unassessedserious PRR 1.4NCT01959529: 17/3,819 (0.4%) on Insulin Degludec (serious AE)
Fall7041.9
1.8–2.0ROR 1.9 · χ² 306 / p 8e-69
1.9 EB05 1.8 · IC025 +0.8Not in label — unassessedserious PRR 2.0NCT01959529: 55/3,819 (1.4%) on Insulin Degludec (serious AE)
Constipation7012.9
2.7–3.1ROR 3.0 · χ² 888 / p 2e-195
2.9 EB05 2.7 · IC025 +1.4
3/3 methods agree
Not in label — unassessedserious PRR 4.1NCT01959529: 4/3,818 (0.1%) on Insulin Degludec (serious AE)
Dizziness6931.3
1.2–1.3ROR 1.3 · χ² 36 / p 1e-9
1.3 EB05 1.2 · IC025 +0.2Not in label — unassessedserious PRR 1.1 · 74% consumerNCT01959529: 4/3,819 (0.1%) on Insulin Degludec (serious AE)
Headache6661.0
0.9–1.0ROR 1.0 · χ² 1 / p 0.122
1.0 EB05 0.9 · IC025 -0.2
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
serious PRR 1.0NCT01959529: 6/3,819 (0.2%) on Insulin Degludec (serious AE)
Abdominal pain5782.2
2.1–2.4ROR 2.3 · χ² 398 / p 9e-89
2.2 EB05 2.1 · IC025 +1.0
3/3 methods agree
Not in label — unassessedserious PRR 2.6 · ♀ 35% (drug 57%)NCT01959529: 10/3,819 (0.3%) on Insulin Degludec (serious AE)

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Insulin glargine ↔ Hypoglycaemia (blood glucose decreased).

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Insulin Degludec?

In FDA FAERS, the most frequently co-reported reaction terms for Insulin Degludec are blood glucose increased, nausea, blood glucose decreased, vomiting, diarrhoea, hypoglycaemia. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Insulin Degludec have an FDA boxed warning?

No. The FDA label retrieved for Insulin Degludec has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Insulin Degludec causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.