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Medical Disclaimer

This content is for informational purposes only. Always consult your healthcare provider before making health decisions. CGM accuracy data comes from manufacturer-sponsored clinical studies; real-world accuracy may vary.

Our methodology

The sources below report different summaries. Original Libre 3 and G7 have their own study results; Lingo’s selected glucose-bin figures and Stelo’s historical adult wear-period range are not pooled overall MARD. Read model, population and reference method with each figure.

What MARD means and why it matters

MARD stands for Mean Absolute Relative Difference. It is the standard accuracy metric for CGM devices, calculated by comparing CGM readings to a reference blood glucose measurement (typically a laboratory glucose analyzer) across many paired readings during a clinical trial.

The formula is simple: for each paired reading, the absolute percentage difference between the CGM reading and the reference is calculated. MARD is the average of those percentage differences across the full study dataset.

How to read MARD

A lower MARD means a smaller average difference in that study. A MARD of 7.8% means the device's readings differed from the reference by 7.8% on average in that study. MARD figures from different studies, protocols and reference methods cannot be compared directly, so a 7.8% figure and a 9.0% figure from separate studies do not show that one device is more accurate.

MARD summarizes average absolute relative differences in a study. It is one measure of performance; it does not replace the complete study results, the device indication or its current instructions.

Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.

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Published MARD by device: 2026 data

Dexcom G7 15 Day
8.0%
FreeStyle Libre 3
7.8%
Dexcom G7 (10 Day)
8.2%
Dexcom Stelo
7.3–9.1% (historical adults, by wear period)
Abbott Lingo
8.1–10.7% (range, by glucose range)

This comparison quotes study figures for specifically named sensor models. Do not transfer a figure from the original Libre 3 to a Plus variant or to another sensor; consult current manufacturer documentation for the model you will use.

FreeStyle Libre 3: 7.8% MARD

This comparison quotes study figures for specifically named sensor models. Do not transfer a figure from the original Libre 3 to a Plus variant or to another sensor; consult current manufacturer documentation for the model you will use.

Abbott Lingo: 8.1–10.7% MARD (by glucose range)

Published MARD figures come from separate manufacturer studies and do not establish which device is more accurate. Choose a device based on its intended use and the features you need with advice from your healthcare professional, and check manufacturers for current prices.

Dexcom G7: 8.2% MARD (10 Day) / 8.0% MARD (15 Day)

Published MARD figures come from separate manufacturer studies and do not establish which device is more accurate. Choose a device based on its intended use and the features you need with advice from your healthcare professional, and check manufacturers for current prices.

Dexcom Stelo: 7.3–9.1% MARD (by wear period)

Published MARD figures come from separate manufacturer studies and do not establish which device is more accurate. Choose a device based on the features you need with advice from your healthcare professional, and check manufacturers for current prices.

Full accuracy comparison table

DeviceMARDSensor lifeMonthly costRx required
Dexcom G7 15 Day8.0%~15.5 daysCheck priceYes
Abbott Lingo8.1–10.7% (by glucose range)14 daysCheck priceNo
FreeStyle Libre 37.8%14 daysCheck priceYes
FreeStyle Libre 3 Plus8.2% adults / ages 6–17 (manufacturer, YSI); 9.7% ages 2–5 (BGM)Up to 15 daysCheck priceYes
Dexcom G7 (10 Day)8.2%10 daysCheck priceYes
Dexcom Stelo7.3–9.1% (historical adults, by wear period)15 daysCheck priceNo

Published study figures use different protocols and reference methods. Check manufacturers, pharmacies and your insurer for current prices and coverage.

Before you decide on accuracy alone

Accuracy isn't the whole picture; it doesn't tell you what you'll pay, whether a device needs a prescription, or which plan fits how you'll use it. For OTC access, pricing, and plan details, see our Stelo cost and plans breakdown and Stelo vs Abbott Lingo comparison.

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What affects real-world CGM accuracy

Sensor placement

Approved sites depend on device and age: US G7 uses the back of the upper arm, with upper buttocks also allowed at ages 2–6; G7 15 Day uses the back of the upper arm in adults. Follow the exact model instructions, not general placement advice.

Compression lows

A low reading may be real or an artifact, including pressure on a sensor. Do not dismiss an isolated low or assume a position change resolves it. Follow your device instructions and care plan for low readings, symptoms or a mismatch with a blood glucose measurement.

Calibration

Calibration requirements and any need to confirm readings with a blood glucose meter are device-specific. Follow your current device instructions, including what to do when a reading does not match your symptoms.

Altitude

Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.

Extreme temperatures

Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.

Rapid glucose changes

Interstitial glucose can lag behind blood glucose; the lag depends on the device and the situation. During periods of rapid change (right after meals or during intense exercise), the CGM reading may differ meaningfully from a simultaneous blood glucose measurement.

Accuracy during exercise versus rest

Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.

Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.

Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.

Interpreting the published figures

OTC model

Abbott Lingo: OTC CGM

Published MARD figures come from separate manufacturer studies and do not establish which device is more accurate. Choose a device based on its intended use and the features you need with advice from your healthcare professional, and check manufacturers for current prices.

Read full Lingo review →
For prescription users

Read each model’s study separately

This comparison quotes study figures for specifically named sensor models. Do not transfer a figure from the original Libre 3 to a Plus variant or to another sensor; consult current manufacturer documentation for the model you will use.

Read full Libre 3 review →
Compare device features and current prices

Compare all CGM costs for any monitoring period.

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Frequently asked questions

What does MARD stand for in CGM?
MARD is the mean absolute relative difference between sensor readings and reference measurements in a particular study. It is an average across paired readings, not an error bound for each reading or a direct clinical ranking across separate studies.
Is the FreeStyle Libre 3 more accurate than the Dexcom G7?
The published figures are 7.8% MARD for FreeStyle Libre 3 and 8.2% for the G7, with 8.0% for the newer G7 15 Day variant. These come from separate manufacturer studies, so they do not establish that either device is more accurate; accuracy in the low glucose range also depends on the study and device, so ask your prescriber which fits your treatment.
How should published CGM accuracy figures be interpreted?
The two ranges are not the same kind of figure: Stelo's 7.3–9.1% is MARD by wear period (FDA K234070), while Lingo's 8.1–10.7% is the lowest and highest of six MARD values in the FDA decision summary for K233655 (FreeStyle Libre 2 clinical data, glucose 55–200 mg/dL): three binned by the sensor's own glucose reading (8.1–9.9%) and three binned by the reference comparator's glucose (8.9–10.7%). Neither is an overall MARD or an error bound, and they do not show that one OTC device is more accurate. They are also not directly comparable with single prescription figures such as Dexcom G7 15 Day's 8.0% MARD and FreeStyle Libre 3's 7.8% MARD.
Do I need to calibrate my CGM for accuracy?
Calibration requirements and any need to confirm readings with a blood glucose meter are device-specific. Follow your current device instructions, including what to do when a reading does not match your symptoms.
Does CGM accuracy change over the wear period?
Accuracy depends on the device, glucose range and measurement conditions. A study-wide MARD does not guarantee the accuracy of an individual reading. Follow the current instructions for your specific device and discuss clinical decisions with your healthcare professional.
Are CGM readings accurate enough to replace fingerstick tests?
Intended uses and clinical features differ between devices. In the US, Stelo and Lingo are cleared for adults aged 18 and older (Lingo) or people aged 2 years and older (Stelo, since June 2026) who do not use insulin. This does not establish that their performance is clinically interchangeable with prescription CGMs. Follow the current device instructions and consult your healthcare professional before taking medical action.