First look: New Dexcom G7 glucose monitor

Posted:
in General Discussion edited December 2022
After months of international availability, the Dexcom G7 constant glucose monitor received its FDA clearance to distribute in the US. Ahead of the wide rollout, we got to go hands-on with a demo model to see how it looks and fits.

Holding the new Dexcom G7 CGM
Holding the new Dexcom G7 CGM


Initially, Dexcom had hoped to launch the G7 much earlier here stateside. But a massive rewrite to the mobile app and sensor algorithms prompted increased scrutiny from the FDA before it could begin sales.

It launched first abroad before the FDA clearance came in early December. The device is still unavailable to order in the US but will start hitting pharmacies in early 2023.

Now that the final certification is in, we got a demo model that shows off the final form factor, insertion process, and how it compares to the G6.

What's new

The Dexcom G7 is known as a CGM, or constant glucose monitor. It sends readings every five minutes from a tiny sensor under your skin to your smartphone or a receiver via Bluetooth.

With the G7, Dexcom has continued to refine the product with several improvements over the G6.
  • Smaller design

  • Faster warmup period

  • New mobile app with Clarity reporting built in

  • 12-hour grace period for migrating to a new sensor

  • New wear locations

  • Less plastic waste

  • New insertion device

  • Better, more customizable alerts
Comparing the Dexcom G7 to a quarter
Comparing the Dexcom G7 to a quarter


The biggest of the changes is the new design, which is 60 percent smaller than its predecessor. It's an all-in-one design that combines the previously-separate transmitter and sensor.

This requires a new insertion tool that looks more akin to the Freestyle Libre with a button on the side. The whole unit is disposable, no longer requiring the transmitter to be reused.

It connects to the redesigned G7 app, which is yet to release in the US. The new app combines the Dexcom Clarity app with the CGM app so you can view your CGM data and reports in one location.

The new app has more granular alerts too. These new alerts can be personalized to your needs and can be more discrete.

The Dexcom G7 only requires a 30-minute warm-up, compared to two hours with the G6, and still requires no manual fingerstick calibration.

Dexcom allows a 12-hour grace period when the sensor expires, which is excellent for parents with children. They no longer have to decide between sending them to school with a sensor about to expire and ending the wear session early.

Finally, the G7 is approved to be worn in two new body locations. The G6 was only supposed to be worn on the abdomen. The G7 can be worn on the arm for those older than two, and on the upper buttocks for kids ages two through 17.

G6 app on Apple Watch
G6 app on Apple Watch


Post-launch, Dexcom has told AppleInsider that it plans to allow the G7 to connect directly to Apple Watch without requiring the iPhone as an intermediary.

This will allow users to leave their iPhone behind, possibly for a workout, and still receive glucose readings on their Apple Watch.

Practical use of the Dexcom G7

We've been using the Dexcom G6 CGM for some time, making it an easy comparison to the new G7. The size difference is deceivingly minuscule when holding them side-by-side.

Wearing the Dexcom G6 and G7
Wearing the Dexcom G6 and G7


As the Dexcom G6 must go in a clip, its size is noticeably larger when worn. The G7 also has beveled edges, allowing clothing to pass more easily on top of it without getting caught.

Side view of of the Dexcom G7 and G6
Side view of of the Dexcom G7 and G6


In our sample photo above, you can see how much more slim the G7 is when just placed on the skin. It will sit more flush with the adhesive applied.

The G7 has a soft-touch finish that is almost rubber-like but isn't as tacky as rubber or silicone. The G6 has a hard, slippery exterior.

Dexcom G7 sensor
Dexcom G7 sensor


We like the new insertion tool that is even easier to use than the G6 model. The sensor is magnetically held in place and inserted with a button.

A cap is screwed onto the bottom, making for quick disposal.

Coming in 2023

Our demo model is non-functioning, meaning we still need to test the accuracy or connectivity features.

The app and sensor will begin shipping in early 2023 and requires a prescription to order. Dexcom says it is continuing to work with insulin pump providers, such as Tandem, to support the new sensors as fast as possible.

Read on AppleInsider

Comments

  • Reply 1 of 16
    How long does it last ?
  • Reply 2 of 16
    It will last 10 days
  • Reply 3 of 16
    Andrew_OSUAndrew_OSU Posts: 573member, editor
    mtanika said:
    How long does it last ?
    Both the G6 and the new G7 have 10 day wear times
  • Reply 4 of 16
    I read that you really need to use something like a tegaderm plastic cover, as the adhesive gives prior to 10 days. Is this true?
  • Reply 5 of 16
    What I want to know is how much this is going to cost. The Libre currently is a one unit prescription. So most people have to pay 35 bucks for each sensor. So will that mean that every 10 days you have to by a new sensor/transmitter. I would stick with the G6 if that is so. Having to reuse the transmitet is not that bad. 


    don.h65
  • Reply 6 of 16
    scstrrf said:
    mtanika said:
    How long does it last ?
    Both the G6 and the new G7 have 10 day wear times
    This is a flaw in articles everywhere. It is critical to understand how often the sensor needs to be replaced. It’s a big point of comparison. But this is  not made prominent. I believe it’s a disservice to readers to leave this info in the “fine print” since you’re managing your schedule and life.

    Isn’t there a CGM that’s changing sensors every 4 weeks? Isn’t that less burdensome than 10 days?
    I think the Dexcom is less burdensome. The Eversense, the system you were talking about, now lasts 6 months, but there is a full procedure that needs to be done to start using the sensor. You also have to take out the transmitter and charge it every day, making you miss readings.
  • Reply 7 of 16
    Still surprised Eversense CGM hasn’t made nationwide news regarding their 180-day CGM… Sensonics is just waiting for their 365 CGM and will change the whole diabetes CGM. 
  • Reply 8 of 16
    Andrew_OSUAndrew_OSU Posts: 573member, editor
    scstrrf said:
    mtanika said:
    How long does it last ?
    Both the G6 and the new G7 have 10 day wear times
    This is a flaw in articles everywhere. It is critical to understand how often the sensor needs to be replaced. It’s a big point of comparison. But this is  not made prominent. I believe it’s a disservice to readers to leave this info in the “fine print” since you’re managing your schedule and life.

    Isn’t there a CGM that’s changing sensors every 4 weeks? Isn’t that less burdensome than 10 days?
    There's no four week sensor
  • Reply 9 of 16
    Andrew_OSUAndrew_OSU Posts: 573member, editor
    wlbez said:
    I read that you really need to use something like a tegaderm plastic cover, as the adhesive gives prior to 10 days. Is this true?
    That is likely due to user error. I wear mine for a full 10 days with no issue and Im very active. The way to ensure it lasts all 10 days is to fully clean your skin with an alcohol pad and then let it fully dry. When applying the sensor, firmly push all around the edges and rub for no less than 30 seconds. The adhesive is pressure-activated and needs to be well-secured. Do this and you should have no issues. If you're worried, Dexcom offers free over patches, 
  • Reply 10 of 16
    Andrew_OSUAndrew_OSU Posts: 573member, editor
    Jeri said:
    Still surprised Eversense CGM hasn’t made nationwide news regarding their 180-day CGM… Sensonics is just waiting for their 365 CGM and will change the whole diabetes CGM. 
    Because it is still not available and has no pump integration. Id rather have a 10-day sensor with a hybrid closed-loop insulin pump than just an implantable sensor,
  • Reply 11 of 16
    Will you have a program available to help those obtain it for a cheaper price? Will medicare cover the cost of this device? What will be the monthly cost for the device and sensors be before and after medicaicare covers their part?   Will we still have to go through a medical and diabetic supply company or will we be able to get the G7 through a pharmacy? I apologize for so many questions I'm already using the G6 and after medicare it costs me 50.22 a month for three sensors. Im hoping the g7 will be cheaper or easier to obtain through a program. Will the g7 be able to work with all insulin pumps? Im an omnipod dash user and am hoping the g7 would work well with it as well as the g6 does currently. Thanks 😊  your response will be greatly appreciated.
  • Reply 12 of 16
    Hello? they need to integrate the dexcom w the medtronic pumps but of course it's not since medtronic already has their own cgm sensors that does this already so it's just another money thing.
    edited December 2022
  • Reply 13 of 16
    Andrew_OSUAndrew_OSU Posts: 573member, editor
    nobeac said:
    Hello? they need to integrate the dexcom w the medtronic pumps but of course it's not since medtronic already has their own cgm sensors that does this already so it's just another money thing.
    That's correct. Medtronic has its own CGM, the Enlite system, so it has no interest in integrating with a competing product. You should take a look at the Tandem T:Slim X2. It's a great bump and integrated seamlessly with the Dexcom G6 and soon the G7. Plus, Tandem, since it doesn't have its own CGM, wants to integrate with others too such as the Freestyle. Tandem has a done a great job with its hybrid closed loop system, automatically pausing when you go low and dosing when you go high. 
  • Reply 14 of 16
    Andrew_OSUAndrew_OSU Posts: 573member, editor
    Will you have a program available to help those obtain it for a cheaper price? Will medicare cover the cost of this device? What will be the monthly cost for the device and sensors be before and after medicaicare covers their part?   Will we still have to go through a medical and diabetic supply company or will we be able to get the G7 through a pharmacy? I apologize for so many questions I'm already using the G6 and after medicare it costs me 50.22 a month for three sensors. Im hoping the g7 will be cheaper or easier to obtain through a program. Will the g7 be able to work with all insulin pumps? Im an omnipod dash user and am hoping the g7 would work well with it as well as the g6 does currently. Thanks 😊  your response will be greatly appreciated.
    I'll do my best to answer! 
    Dexcom. usually has some programs to help with cost and is covered by most insurance companies, I think Medicare too. Dexcom has not announced the monthly cost for the G7 but it will likely be comparable to the G6 costs.

    As far as sourcing it goes, that will be dependent on your insurance. The G7, like the G6, will be available through some pharmacy channels but some insurance companies make you go through a specific provider as they've likely negotiated a discount with them. I wouldnt expect any big price differences between the two.

    The G7 will work with pumps too, though none yet. The Tandem TSlim X2 will have support soon and I assume the Ominipod will as well, though not sure how that works via software update or if that pump is undateable. 
  • Reply 15 of 16
    nobeac said:
    Hello? they need to integrate the dexcom w the medtronic pumps but of course it's not since medtronic already has their own cgm sensors that does this already so it's just another money thing.
    That's correct. Medtronic has its own CGM, the Enlite system, so it has no interest in integrating with a competing product. You should take a look at the Tandem T:Slim X2. It's a great bump and integrated seamlessly with the Dexcom G6 and soon the G7. Plus, Tandem, since it doesn't have its own CGM, wants to integrate with others too such as the Freestyle. Tandem has a done a great job with its hybrid closed loop system, automatically pausing when you go low and dosing when you go high. 
    yes dr has already recommended this one but unfortunately I'm not out of warranty until 6-23 so I got a while to wait until medicade can kick in again
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