Adverse effect · Insulin

How common is weight gain with Insulin?

A
Grade A — established in humansUKPDS and many · effect size: small · adverse
Short answerEstablished in humans. UKPDS and many point the same way: a small effect. Intensive treatment added about 2.9 kg over ten years in UKPDS — the reason insulin is the wrong tool for anyone seeking to lose weight and one reason the GLP-1 drugs exist.

What the studies show

Intensive treatment added about 2.9 kg over ten years in UKPDS — the reason insulin is the wrong tool for anyone seeking to lose weight and one reason the GLP-1 drugs exist.

Several well-run randomised trials in people, pointing the same way. You can plan around this. It still says nothing about whether the effect is worth the side effects for you.

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In context

Insulin is the 51-amino-acid hormone that lets cells take up glucose; recombinant human insulin and its engineered analogues are the treatment for type 1 diabetes and a mainstay of type 2. The landmark trials are settled: intensive insulin therapy cut new diabetic eye disease by 76% over six and a half years in the DCCT, and intensive glucose control reduced microvascular complications by a quarter over ten years in UKPDS. The cost, quantified in the same trials, is severe hypoglycaemia. It is on this site as the reference peptide, and because it is on WADA's list.

Insulin is approved (rx). Legal status differs by country — see the regulation section or the jurisdiction pages.

Questions

Is Insulin proven to cause weight gain?
Yes, as far as human trials can show it: UKPDS and many. LYO grades this outcome A.
What studies are behind the grade?
Intensive treatment added about 2.9 kg over ten years in UKPDS — the reason insulin is the wrong tool for anyone seeking to lose weight and one reason the GLP-1 drugs exist.
Is Insulin approved for this?
Insulin is an approved medicine (Approved (Rx)); whether this particular outcome is a licensed indication is stated on the compound page's regulation section.

Other outcomes for Insulin

Written and maintained by LYO Research — how pages are written and checked. Reviewed 7 October 2026. Grades count human evidence only; see how LYO grades. Not medical advice. Correct this page →