PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

insulin degludec Side Effects

Also known as: Tresiba

Analysis of 22,011 adverse event reports submitted to the FDA from 2011 to 2025.

Total Reports

22,011

Death-Related

1,194

5.4% of reports

Hospitalizations

6,329

28.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

BLOOD GLUCOSE INCREASED
3,617
NAUSEA
1,381
BLOOD GLUCOSE DECREASED
1,252
DRUG INEFFECTIVE
963
OFF LABEL USE
901
VOMITING
894
HYPOGLYCAEMIA
886
DIARRHOEA
876
FATIGUE
861
DYSPNOEA
760
FALL
673
DIZZINESS
652
HEADACHE
634
CONSTIPATION
623
MALAISE
549
GLYCOSYLATED HAEMOGLOBIN INCREASED
545
WEIGHT INCREASED
542
PAIN
538
ABDOMINAL PAIN
503
INJECTION SITE PAIN
497

Who Reports Side Effects

Gender Distribution

Female 11,845 (57%)
Male 9,022 (43%)
Unknown 5

Age Distribution

0-17 334 (2%)
18-44 1,396 (10%)
45-64 4,924 (36%)
65-74 4,036 (29%)
75+ 3,041 (22%)

Reporting Trend by Year

11
13
14
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 1,194 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 447
SEPSIS 265
MULTIPLE ORGAN DYSFUNCTION SYNDROME 253
GENERAL PHYSICAL HEALTH DETERIORATION 248
VOMITING 248
ASCITES 245
NAUSEA 243
HYPONATRAEMIA 241
CONSTIPATION 237
CARDIOGENIC SHOCK 236
ABDOMINAL PAIN 235
APPENDICITIS 235
STRESS 235
APPENDICOLITH 234
OFF LABEL USE 234
ABDOMINAL DISTENSION 230
VENTRICULAR FIBRILLATION 193
CONDITION AGGRAVATED 159
SOMNOLENCE 149
BLOOD PHOSPHORUS INCREASED 143

Reactions in Hospitalization Reports

Top reactions in 6,329 reports where hospitalization was an outcome.

Reaction Reports
BLOOD GLUCOSE INCREASED 512
NAUSEA 453
VOMITING 423
HYPOGLYCAEMIA 409
OFF LABEL USE 341
FALL 336
DIABETIC KETOACIDOSIS 334
DYSPNOEA 316
PNEUMONIA 302
DIARRHOEA 286
ACUTE KIDNEY INJURY 284
HOSPITALISATION 250
FATIGUE 240
ABDOMINAL PAIN 234
CONSTIPATION 233
CONDITION AGGRAVATED 232
SEPSIS 224
BLOOD GLUCOSE DECREASED 214
DRUG INEFFECTIVE 209
ASTHENIA 195

Nearby — Related Medications

Compare insulin degludec vs acarbose →

What the FAERS Data Reveals About insulin degludec Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 22,011 voluntary reports linked to insulin degludec and its brand equivalents (Tresiba), spanning 2011 through 2025. Of those, 1,194 (5.4%) listed death as an outcome and 6,329 (28.8%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 57% were female and 43% male; age distribution skews toward 45-64, with 4,924 reports in that bracket. The single most reported reaction is blood glucose increased with 3,617 submissions, followed by nausea and blood glucose decreased.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.