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FDA Approves First Weekly Insulin Shot for Type 2 Diabetes

Novo Nordisk’s insulin icodec offers a once-weekly alternative to daily injections for type 2 diabetes, improving adherence in 2,680 adults in the ONWARDS trials.

  • On Friday, the FDA approved insulin icodec as the first once-weekly basal insulin for glycemic control in adults with Type 2 diabetes as an adjunct to diet and exercise.
  • Designed to reduce treatment burden, the once-weekly injection aims to improve patient compliance compared to daily basal insulin by helping transport blood sugar into cells.
  • The phase IIIa ONWARDS program enrolled roughly 2,680 adults, showing insulin icodec achieved greater average HbA1c reduction than once-daily insulin glargine U100 over 52 weeks with an estimated difference of-0.19%.
  • Safety concerns previously led the FDA to reject insulin icodec for Type 1 diabetes in 2024, citing manufacturing issues and higher risk of severe hypoglycemia.
  • Novo Nordisk expects to launch once-weekly insulin icodec in the second half of this year, with patients administering doses on the same day each week using a pre-filled FlexTouch device.
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FDA approves Novo Nordisk's Awiqli®, the first and only once-weekly basal insulin treatment for adults with type 2 diabetes

Awiqli® (insulin icodec-abae) injection is the first-ever once-weekly basal insulin approved by the FDA1Awiqli® offers adults with type 2 diabetes an alternative to daily basal insulin injections, reducing these injections from seven to one per week1The Awiqli® approval reflects Novo…

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The Manila Times broke the news in Manila, Philippines (the) on Thursday, March 26, 2026.
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