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CGM Comparison

Dexcom G7 vs Stelo 2026: Prescription vs OTC

This comparison covers original prescription G7 and OTC Stelo. G7 15 Day is another distinct model; intended use, software and reporting differ across models.

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

Summary

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.

Dexcom G7 vs Stelo: full comparison

AttributeDexcom G7Dexcom Stelo
MARD accuracy8.2% adult arm7.3–9.1% historical adult wear-period results
Sensor life10 days15 days
Reading intervalEvery 5 minSensor every 5 min; app display every 15 min
Calibration requiredNoneNone
Warm-up time30 min30 min
Retail price/monthCheck priceCheck price
With insuranceDepends on planCheck with your insurer
Prescription requiredYesNo
AID system compatibleYes — multiple systemsNo
Apple Watch directYes; compatible equipmentFDA-cleared June 2026; check app availability
Dexcom ClarityYes — full clinicalYes — wellness mode
Wear locationBack of upper arm (US); upper buttocks also ages 2–6Back upper arm; upper buttocks additionally ages 2–6
Intended userDiabetes managementPeople aged 2+ not on insulin (children under adult supervision)
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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 an over-the-counter device for people aged 2 years and older who do not use insulin, with caregiver supervision below 18. It is not intended for problematic hypoglycemia or dialysis and has no clinical high/low alarms. Platform enrollment may have narrower eligibility. FDA K260935 specifies display of 55–350 mg/dL, data transmission every five minutes and app updates every fifteen minutes. It includes Direct to Watch; verify current app availability and compatible equipment. Historical adult K234070 results must not be treated as pediatric accuracy.

G7: intended use

People with diabetes, ages 2+. G7 is a prescription CGM; AID compatibility and provider sharing through Dexcom Clarity are model- and software-specific (Dexcom).

Stelo: intended use

People not on insulin; FDA-cleared from age 2 (June 2026). FDA says Stelo is not for people with problematic hypoglycemia or on dialysis, and users should consult a health care provider before changing medication based on its output.

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.

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 people aged 2 years and older (children under adult supervision) who do not use insulin, available without a prescription, not cleared for insulin dosing, and not AID-compatible. Compare current prices with the manufacturers or in the cost calculator. G7 is often covered by insurance for qualifying patients; for Stelo, check with your insurer whether your plan covers the device.
Is Dexcom Stelo as accurate as G7?
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.
Can Dexcom Stelo be used for diabetes management?
Not for insulin dosing decisions. Dexcom Stelo is FDA-cleared in the US for people aged 2 years and older (children under adult supervision) who do not use insulin; talk to your healthcare provider before acting on its readings. 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 need a prescription CGM that the pump lists as compatible, for example the Dexcom G7 or, for some pumps, the FreeStyle Libre 3 Plus.
Is there another OTC CGM besides Dexcom Stelo?
Abbott Lingo is another over-the-counter CGM. Check manufacturers for current prices; separate MARD studies do not establish which device is more accurate.
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Medical source review, 25 October 2026. Sources apply to their named models, populations and endpoints: Stelo FDA K260935; Original Libre 3, Alva 2023; Libre 3 Plus manufacturer kit, page 5; Guardian 4 FDA, table 17; Eversense E3 US IFU; Eversense 365 ENHANCE; Lingo FDA K233655; Abbott Lingo Count.