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Drug side effects

insulin glulisine Side Effects

The reactions most often reported to the FDA for insulin glulisine (also sold as Apidra), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

9,944
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2005 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of insulin glulisine come from 9,944 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 9,944 reports to the FDA Adverse Event Reporting System (FAERS) for insulin glulisine (Apidra): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

9,944

Reports Mentioning Death

795

8.0% of reports — not proof the medicine caused the death

Hospitalizations

4,001

40.2% of reports

Top Indication

Diabetes Mellitus

Most Reported Adverse Reactions

BLOOD GLUCOSE INCREASED
1,526
HYPOGLYCAEMIA
756
HYPERGLYCAEMIA
634
BLOOD GLUCOSE DECREASED
445
DIZZINESS
401
MALAISE
392
DYSPNOEA
383
NAUSEA
370
VOMITING
335
ACUTE KIDNEY INJURY
304
FATIGUE
297
ASTHENIA
293
DIARRHOEA
279
PAIN
271
FALL
269
BLOOD GLUCOSE ABNORMAL
267
DIABETES MELLITUS INADEQUATE CONTROL
264
HEADACHE
259
GLYCOSYLATED HAEMOGLOBIN INCREASED
253

Who Reports Side Effects

Gender Distribution

Female 4,904 (53%)
Male 4,360 (47%)
Unknown 40

Age Distribution

0-17 211 (3%)
18-44 970 (13%)
45-64 2,851 (39%)
65-74 1,861 (26%)
75+ 1,372 (19%)

Reporting Trend by Year

2005 2025

Reactions in Death Reports

Top reactions reported in 795 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 207
RENAL FAILURE 78
GASTROINTESTINAL HAEMORRHAGE 56
PNEUMONIA 49
BALANCE DISORDER 48
BLOOD GLUCOSE FLUCTUATION 48
COGNITIVE DISORDER 48
CONTRAINDICATED PRODUCT ADMINISTERED 47
HAEMATOMA 47
URINARY INCONTINENCE 47
DIZZINESS 45
ACUTE KIDNEY INJURY 44
CARDIO-RESPIRATORY ARREST 44
DYSPNOEA 39
HYPERHIDROSIS 39
CONFUSIONAL STATE 38
DRUG INTERACTION 36
BLOOD GLUCOSE ABNORMAL 34
FALL 34
RESPIRATORY FAILURE 34

Reactions in Hospitalization Reports

Top reactions in 4,001 reports where hospitalization was an outcome.

Reaction Reports
BLOOD GLUCOSE INCREASED 359
HYPOGLYCAEMIA 335
HYPERGLYCAEMIA 330
DYSPNOEA 246
ACUTE KIDNEY INJURY 225
VOMITING 218
DIABETIC KETOACIDOSIS 192
PNEUMONIA 170
MALAISE 162
ASTHENIA 160
ANAEMIA 157
NAUSEA 153
FALL 152
DIARRHOEA 148
GENERAL PHYSICAL HEALTH DETERIORATION 144
DIZZINESS 139
FATIGUE 138
PYREXIA 138
HYPOTENSION 117

Compare insulin glulisine vs acarbose →

What the FAERS Data Reveals About insulin glulisine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 9,944 voluntary reports linked to insulin glulisine and its brand equivalents (Apidra), spanning 2005 through 2025. Of those, 795 (8.0%) listed death as an outcome and 4,001 (40.2%) involved hospitalization. The most common indication reported alongside adverse events was Diabetes Mellitus.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 53% were female and 47% male; age distribution skews toward 45-64, with 2,851 reports in that bracket. The single most reported reaction is blood glucose increased with 1,526 submissions, followed by hypoglycaemia and hyperglycaemia.

How to read these numbers

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.

Drugs With a Similar FAERS Report Volume

Other medications with a total FDA adverse-event report count closest to insulin glulisine's 9,944.