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
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
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
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.
Read our methodology — how this data is sourced, computed, and verified.