insulin glargine Side Effects
Also known as: Lantus, Basaglar, Toujeo
Analysis of 236,147 adverse event reports submitted to the FDA from 2001 to 2025.
Total Reports
236,147
Death-Related
13,233
5.6% of reports
Hospitalizations
62,916
26.6% of reports
Top Indication
Type 2 Diabetes Mellitus
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 13,233 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 4,520 |
| RENAL FAILURE | 834 |
| ACUTE KIDNEY INJURY | 657 |
| DYSPNOEA | 633 |
| MYOCARDIAL INFARCTION | 605 |
| PNEUMONIA | 600 |
| CARDIAC ARREST | 555 |
| SEPSIS | 546 |
| RESPIRATORY FAILURE | 416 |
| CHRONIC KIDNEY DISEASE | 415 |
| DIARRHOEA | 406 |
| NAUSEA | 403 |
| HYPOTENSION | 394 |
| ASTHENIA | 381 |
| ANAEMIA | 370 |
| FALL | 368 |
| CARDIAC FAILURE CONGESTIVE | 358 |
| HYPOGLYCAEMIA | 354 |
| CARDIO-RESPIRATORY ARREST | 349 |
| CEREBROVASCULAR ACCIDENT | 346 |
Reactions in Hospitalization Reports
Top reactions in 62,916 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| BLOOD GLUCOSE INCREASED | 6,484 |
| HYPOGLYCAEMIA | 3,745 |
| FALL | 3,584 |
| DYSPNOEA | 3,460 |
| NAUSEA | 3,426 |
| PNEUMONIA | 3,306 |
| VOMITING | 3,207 |
| DIARRHOEA | 2,895 |
| ACUTE KIDNEY INJURY | 2,798 |
| ASTHENIA | 2,642 |
| FATIGUE | 2,498 |
| HYPERGLYCAEMIA | 2,477 |
| MALAISE | 2,329 |
| CEREBROVASCULAR ACCIDENT | 2,245 |
| BLOOD GLUCOSE DECREASED | 2,139 |
| DIABETIC KETOACIDOSIS | 2,133 |
| WEIGHT DECREASED | 2,046 |
| DIZZINESS | 2,002 |
| MYOCARDIAL INFARCTION | 1,993 |
| DEHYDRATION | 1,992 |
Nearby — Related Medications
What the FAERS Data Reveals About insulin glargine Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 236,147 voluntary reports linked to insulin glargine and its brand equivalents (Lantus, Basaglar, Toujeo), spanning 2001 through 2025. Of those, 13,233 (5.6%) listed death as an outcome and 62,916 (26.6%) involved hospitalization. The most common indication reported alongside adverse events was Type 2 Diabetes Mellitus.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 55% were female and 45% male; age distribution skews toward 45-64, with 57,639 reports in that bracket. The single most reported reaction is blood glucose increased with 38,214 submissions, followed by off label use 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.