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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

BLOOD GLUCOSE INCREASED
38,214
OFF LABEL USE
11,496
BLOOD GLUCOSE DECREASED
10,314
DRUG INEFFECTIVE
10,281
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
9,798
NAUSEA
9,568
PRODUCT STORAGE ERROR
8,531
VISUAL IMPAIRMENT
8,514
HYPOGLYCAEMIA
7,786
DIARRHOEA
6,900
FATIGUE
6,761
INCORRECT DOSE ADMINISTERED
6,540
MALAISE
6,531
WEIGHT DECREASED
6,309
INJECTION SITE PAIN
6,248
DYSPNOEA
6,216
VOMITING
6,030
FALL
5,983
DIZZINESS
5,891
HEADACHE
5,328

Who Reports Side Effects

Gender Distribution

Female 120,021 (55%)
Male 98,721 (45%)
Unknown 733

Age Distribution

0-17 2,493 (2%)
18-44 12,380 (8%)
45-64 57,639 (38%)
65-74 46,118 (30%)
75+ 34,616 (23%)

Reporting Trend by Year

2001 2025

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

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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.