×

Novo Nordisk launches weekly insulin Awiqli in India as diabetes burden rises

By Thomson Reuters Jul 9, 2026 | 1:23 AM

By Rishika Sadam

July 9 (Reuters) – Danish drugmaker Novo Nordisk launched its weekly basal insulin injection, Awiqli, in India on Thursday, where diabetes rates are among the highest in ​the world.

Awiqli, which Novo describes as the world’s ‌first once-weekly basal, or background long-acting, insulin approved for clinical use, is prescribed for the treatment of type 1 and type 2 diabetes in adults, the company said, and will likely compete with daily-dose options available in ‌the ​market.

More than 101 million people in India ⁠are living with diabetes, ⁠while another 136 million have prediabetes, Novo said in a statement.

Insulin initiation in India is delayed by an average of 7-9 years, partly due to fear of injections, anticipated pain, ​and cost concerns, it said.

“We believe Awiqli will reduce the psychological and physical barriers to insulin initiation,” Novo Nordisk ⁠India Managing Director Vikrant Shrotriya said.

Unlike daily ⁠basal insulin injections, typically taken once every 24 ​hours, Awiqli is designed to provide background insulin support throughout the ​week, reducing the number of injections from 365 per ‌year to 52, Novo said.

India’s insulin market is projected to grow from $660.5 million in 2025 to $916.4 million by 2034, according to IMARC, driven by rising diabetes prevalence linked to sedentary lifestyles, ⁠poor diets, and genetic predisposition.

Awiqli, known generically as insulin icodec and available in a pen device, received U.S. approval earlier this year and ⁠has also been ‌approved in the European Union and several other ⁠countries.

In India, the drug is expected to compete ​with ‌other basal insulin brands such as Sanofi’s Lantus, ​as well ⁠as lower-cost insulin glargine products marketed by domestic companies including domestic drugmakers including Biocon, Eris Lifesciences and Lupin.

Separately, Novo is competing with Eli Lilly and a growing number of Indian generic drugmakers in the country’s expanding obesity treatment market.

(Reporting by Rishika Sadam; Editing ​by Rashmi Aich)