Dasiglucagon dosage in published studies and labels

These are the doses used for Dasiglucagon in FDA labelling and published clinical studies, reported as each source states them, one row per regimen. They describe what was studied or approved for a specific population. They are not a recommendation, and none of them is a dose for any individual.

Research and educational reference only. This is not medical advice, and no figure on this page is a dosing recommendation.

Last checked against primary sources:

Studied regimens and sources

Dasiglucagon has an FDA-approved human dose for emergency use only. As Zegalogue it is a single 0.6 mg subcutaneous injection for severe hypoglycemia in adults and children with diabetes who weigh at least 20 kg, with a second 0.6 mg dose from a new device if there is no response after 15 minutes. FDA's Drugs@FDA database lists both presentations as discontinued, though the approval still stands. Every other dose on this page is research.

FDA Approved
Dosage evidence summary for Dasiglucagon
Human dosing establishedYes
Studied dose range0.6 mg as a single rescue dose; a second 0.6 mg after 15 minutes if there is no response
RouteSubcutaneous
FrequencySingle dose for an emergency, not a scheduled medicine
Duration studiedSingle use
TitrationNone. The labeled dose is the same for adults and for children who weigh at least 20 kg.
Half-lifeAbout 30 minutes
Evidence levelFDA Approved
Last reviewed2026-10-30

Research-reported dosing

Doses as studied, one row per regimen. Different trials used different regimens; they are listed separately rather than averaged.

Research-reported dosing for Dasiglucagon, one row per studied regimen
Study / contextPopulationDoseRouteFrequencyDurationOutcome studiedSource
FDA label — Zegalogue (revised June 2026)FDA-approved label · FDA prescribing informationAdults and children with diabetes who weigh at least 20 kg, for severe hypoglycemia0.6 mg; a second 0.6 mg after 15 minutes if there is no responseSubcutaneous, by autoinjector or prefilled syringeSingle rescue dose—Rapid rise in blood glucoseZEGALOGUE (dasiglucagon) injection — FDA prescribing information, revised 06/2026 (Drugs@FDA)
Pieber et al., 2021 — phase 3, adults (label Trial A)Clinical trial · Randomised, double-blind phase 3Adults with type 1 diabetes during controlled insulin-induced hypoglycemia (n=170)0.6 mg, versus placebo or 1 mg of reconstituted glucagonSubcutaneousSingle dose—Median time to glucose recovery was 10 minutes versus 40 on placebo and 12 with glucagonPieber TR et al. Dasiglucagon-A Next-Generation Glucagon Analog for Rapid and Effective Treatment of Severe Hypoglycemia: Results of Phase 3 Randomized Double-Blind Clinical Trial. Diabetes Care. 2021.
Bailey et al., 2021 — phase 3, autoinjector (label Trial B)Clinical trial · Randomised, double-blind phase 3Adults with type 1 diabetes during controlled hypoglycemia (n=45)0.6 mg by autoinjector, versus placeboSubcutaneousSingle dose—Median time to glucose recovery was 10 minutes versus 35 on placeboBailey TS et al. Dasiglucagon, a next-generation glucagon analogue, for treatment of severe hypoglycaemia via an autoinjector device: Results of a phase 3, randomized, double-blind trial. Diabetes Obes Metab. 2021.
Battelino et al., 2021 — phase 3, children (label Trial C)Clinical trial · Randomised, double-blind phase 3Children and adolescents aged 6 to 17 with type 1 diabetes (n=42)0.6 mg, versus placebo or glucagon dosed per its labelSubcutaneousSingle dose—Median time to glucose recovery was 10 minutes versus 30 on placebo and 10 with glucagonBattelino T et al. Dasiglucagon, a next-generation ready-to-use glucagon analog, for treatment of severe hypoglycemia in children and adolescents with type 1 diabetes: Results of a phase 3, randomized controlled trial. Pediatr Diabetes. 2021.
NCT05378672 — phase 3, children under 6 (label Trial D)Clinical trial · Open-label phase 3 with posted resultsChildren under 6 years, above 8 kg, with type 1 diabetes (n=8)0.3 or 0.6 mg, one dose by prefilled syringe into the buttocksSubcutaneous——Supported the June 2026 change to a 20 kg weight limit; results posted on the registryNCT05378672 — A Study to Inv. Safety, Efficacy & PD of Dasiglucagon as Hypoglycemia Rescue Therapy in Children <6 Years With T1D
Hövelmann et al., 2018 — dose comparisonClinical trial · Randomised, double-blind pharmacokinetic and pharmacodynamic trialAdults with type 1 diabetes during insulin-induced hypoglycemia (n=58)0.1, 0.3, 0.6 or 1.0 mg, versus 0.5 or 1.0 mg of glucagonSubcutaneousSingle dose—Peak level at about 35 minutes and half-life of about 0.5 hours; early glucose response similar to glucagonHövelmann U et al. Pharmacokinetic and Pharmacodynamic Characteristics of Dasiglucagon, a Novel Soluble and Stable Glucagon Analog. Diabetes Care. 2018.
Laugesen et al., 2023 — low-dose pen, phase 2 (not an approved use)Clinical trial · Randomised, open-label crossover phase 2Adults with insulin pump-treated type 1 diabetes (n=24)80 mcgSubcutaneous, by penAs needed for impending or mild hypoglycemia2 weeksFaster recovery and 11% less daily carbohydrate intake than usual careLaugesen C et al. Pen-administered low-dose dasiglucagon vs usual care for prevention and treatment of non-severe hypoglycaemia in people with type 1 diabetes during free-living conditions: a Phase II, randomised, open-label, two-period crossover trial. Diabetologia. 2023.
Nielsen et al., 2023 — hypoglycemia after gastric bypass (not an approved use)Clinical trial · Randomised, double-blind, placebo-controlled crossover trialPeople with hypoglycemia after Roux-en-Y gastric bypass (n=24)120 mcgSubcutaneous self-injectionAs needed4 weeksTime in level 1 hypoglycemia fell 33% and in level 2 fell 54% versus placeboNielsen CK et al. Dasiglucagon Treatment for Postprandial Hypoglycemia After Gastric Bypass: A Randomized, Double-Blind, Placebo-Controlled Trial. Diabetes Care. 2023.
Thornton et al., 2024 — congenital hyperinsulinism, phase 3 (not an approved use)Clinical trial · Open-label, randomised phase 3Children aged 0.6 to 10.9 years with congenital hyperinsulinism (n=32)10 to 70 mcg per hourContinuous subcutaneous infusion—4 weeks randomized, then 4 weeks in all patientsNo significant difference on the primary endpoint; post hoc, 43% less hypoglycemia on continuous glucose monitoringThornton PS et al. Dasiglucagon for the Treatment of Congenital Hyperinsulinism: A Randomized Phase 3 Trial in Infants and Children. J Clin Endocrinol Metab. 2024.

Preclinical and analog research

Not human dosing evidence. Listed for completeness and never extrapolated to a human dose.

Research-reported dosing for Dasiglucagon, one row per studied regimen
Study / contextPopulationDoseRouteFrequencyDurationOutcome studiedSource
Preclinical — animal reproduction studiesPreclinical · Animal toxicology reported in the FDA labelPregnant rats and rabbits2, 10 or 24 mg/kg/day in rats and 0.1, 0.3 or 1 mg/kg/day in rabbits; not convertible to a human doseSubcutaneousDaily during organogenesis—Maternal toxicity, lower fetal weight and delayed bone formation at the higher doses; fetal malformations in rabbits at 0.3 mg/kg/day and aboveZEGALOGUE (dasiglucagon) injection — FDA prescribing information, section 8.1 (Drugs@FDA)

Where sources disagree

  • Dasiglucagon is not glucagon. It is a 29-amino-acid analog with seven substitutions that keep it stable in solution, so glucagon doses and dasiglucagon doses are not interchangeable: 0.6 mg of one was compared with 1 mg of the other.
  • FDA's Drugs@FDA database lists both Zegalogue presentations as discontinued, and FDA's NDC directory gives them a marketing end date of 31 August 2027, even though FDA approved a label change in June 2026. Approval and availability are separate questions.
  • The June 2026 label covers people who weigh at least 20 kg. DailyMed's copy still showed the older "aged 6 years and above" wording at this review.
  • Everything below 0.6 mg, and all continuous infusion, is research. The congenital hyperinsulinism and low-dose uses are not on the label.
  • In a low-dose study, nausea and vomiting were more frequent than with the same doses of commercial glucagon, which the authors thought might reflect higher potency.