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CGM Comparison

Dexcom G7 vs Stelo 2026: Prescription vs OTC

GlucoseForge Editorial Team · Updated June 2026

Dexcom makes two CGMs — the prescription G7 and the OTC Stelo. They share the Dexcom brand and Clarity platform but serve fundamentally different users at very different price points. This comparison helps you decide which (if either) is the right Dexcom device.

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Medical Disclaimer: This content is for informational purposes only. Always consult your healthcare provider before making health decisions.

Quick verdict

The G7 and Stelo are not competing products — they serve different users. Get the G7 if you have a prescription, use AID systems, or need clinical-grade monitoring. Get Stelo if you want Dexcom's platform OTC without a prescription. If cost is your priority and you don't need Dexcom specifically, Abbott Lingo at $49/month is more accurate than Stelo at half the price.

Dexcom G7 vs Stelo: full comparison

AttributeDexcom G7Dexcom Stelo
MARD accuracy8.2%8.7%
Sensor life10 days15 days
Reading intervalEvery 5 minEvery 5 min
Calibration requiredNoneNone
Warm-up time30 min30 min
Retail price/month~$350~$99
With insuranceOften $0–50Not covered (OTC)
Prescription requiredYesNo
AID system compatibleYes — multiple systemsNo
Apple Watch directYesVia iPhone only
Dexcom ClarityYes — full clinicalYes — wellness mode
Wear locationArm or abdomenBack of upper arm only
Intended userDiabetes managementWellness, non-diabetics
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The key difference: who each device is for

The G7 and Stelo are not interchangeable options at different price points — they are designed for different users and cleared by the FDA for different purposes.

Dexcom G7 is cleared for diabetes management including insulin dosing decisions. It integrates with AID systems, supports data sharing with clinicians through Clarity, and is covered by insurance for qualifying patients. It requires a prescription.

Dexcom Stelo is cleared for wellness monitoring in people without insulin-treated diabetes. It cannot be used to guide insulin dosing, is not covered by insurance, and requires no prescription. It uses similar sensor technology to the G7 but with a different calibration profile optimised for non-diabetic glucose ranges.

When to choose G7 over Stelo

Choose the G7 if you have a diabetes diagnosis and a prescription, use or plan to use an AID system, need to share data with your healthcare provider through Clarity's clinical interface, or want to wear the sensor on your abdomen as well as your arm.

When to choose Stelo over G7

Choose Stelo if you don't have insulin-treated diabetes, don't have or don't want a prescription, specifically want the Dexcom ecosystem and Clarity platform, and need the longest sensor life of any OTC device (15 days). If you don't specifically need Dexcom, Abbott Lingo at $49/month offers better accuracy at half the price.

Frequently asked questions

What is the difference between Dexcom G7 and Stelo?
The G7 is a prescription CGM cleared for diabetes management including insulin dosing decisions, with AID system compatibility and clinical Clarity integration. Stelo is an OTC CGM for wellness monitoring without a prescription, not cleared for insulin dosing, and not AID-compatible. G7 costs ~$350/month; Stelo costs ~$99/month. G7 is often covered by insurance; Stelo is not.
Is Dexcom Stelo as accurate as G7?
No — G7 is more accurate than Stelo based on published MARD data (8.2% vs 8.7%). However, Abbott Lingo at $49/month is more accurate than Stelo (7.8% MARD) and costs half as much. If accuracy is your priority for OTC use, Abbott Lingo is the stronger choice.
Can Dexcom Stelo be used for diabetes management?
No. Dexcom Stelo is FDA-cleared for wellness monitoring only and is not indicated for use in diabetes management or insulin dosing decisions. People with insulin-treated diabetes should use the Dexcom G7 or another clinically cleared device.
Does Dexcom Stelo work with AID systems?
No. Dexcom Stelo is not compatible with automated insulin delivery (AID) systems. Closed-loop insulin delivery systems require Dexcom G7.
Is there a cheaper alternative to Dexcom Stelo?
Yes — Abbott Lingo at ~$49/month is OTC, requires no prescription, and has better published accuracy than Stelo (7.8% vs 8.7% MARD). If you don't specifically need the Dexcom platform, Lingo is the better value. See our full Stelo vs Lingo comparison.
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