Dexcom G7 Updates & Dexcom Stelo | Interview with Dexcom COO Jake Leach
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- เผยแพร่เมื่อ 5 ต.ค. 2024
- #diabetes #dexcom #cgm
This year we’ve seen updates to Dexcom G7 and the launch of Dexcom Stelo, the first OTC, no-prescription-needed CGM for people living with Type 2 diabetes and do not use insulin.
This is great, but it also leaves the questions; will we see more updates to G7, what does Dexcom Stelo bring to the table and what can we expect next from Dexcom?
To help answer these questions and more, I had a chance to chat with Dexcom COO Jake Leach.
In this video, you’ll also find the answers to many of the questions you had come up with, and I also asked about the price difference between Dexcom G7 and Dexcom Stelo.
Among the questions covered are Dexcom G7 wear time, compression lows, skin irritation, off-label use, broader Android phone compatibility, Dexcom trash reduction, Stelo reading updates, Stelo calibration, and Stelo pricing.
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Video Chapters:
01:04 Overview of the current Dexcom product portfolio
02:18 Will there be further updates to Dexcom G7
08:52 What makes Dexcom different than other CGMs?
11:31 What can Dexcom Stelo offer?
19:45 Rapidfire - Questions from the Diabetes Strong viewers
After first starting to use my Dexcom CGM (G7), I was getting WILDLY inaccurate readings and pain from the sensor site. It was appalling and very confusing trying to get a consistent explanation for this ... from Dexcom, from my doctor, and from my pharmacist ... and also from the folks that post videos on the subject on You Tube. What I discovered .... what should be obvious to EVERYONE, is that if the sensor needle MUST be sitting in fat, not muscle, then the insertion location can't always be on the back of the arm for an adult. If I pinch the skin on the back of my arm, I only have about 1/4 inch of skin and fat ... that translates into 1/8 of an inch to work with for that needle ... and that needle is longer than 1/8 of an inch. Bottom line: the Dexcom sensor needle was hitting my tricep muscle and was BENDING! The first sensor was bent at 90 degrees and the second, 45 degrees! That would be a good explanation for my inaccurate readings. With the permission of my doctor, I inserted the G7 sensor into my abdomen, where I have more than enough fat to keep the G7 needle in a happy place. Instantly, my 2 test strip meters and my Dexcom readings were VERY close to one another, and most importantly, very close to my recent blood work. I do not understand why the professionals we rely on have so little technical knowledge and critical thinking skills. I was ready to give up on this device.
Had the same situation with insertion if removed you lose a sensor which cost $$ especially if you don't have a replacement. If there is not enough fat it is very uncomfortable.
I learned this from a TH-cam video and where to properly place it
@@thetackroomtxI have my first Stello arriving this week. I am male with very little fat on my arms. Can you provide links or key words to search for, for alternative locations? Thank you
@sunrisetacticalgear2676 this is my video where I show different placements: th-cam.com/video/oifd5lyMWaQ/w-d-xo.htmlsi=hoWNPbf0Pyu2klSw
There are many diabetics who do not use insulin but need a sensor WITH alarms. Medicare only covers sensors for people who use insulin. I have to pay out of pocket for sensors for info to KEEP FROM needing to use insulin. This is an overlooked population.
Comparable accuracy finger stick meters cost 20 cents per test and have been available OTC for decades. I paid out of pocket for them as a person with T1D for many years to keep my A1C under 6.5 . Neither CGM sensors nor FS tests will keep a person with diabetes glucose within control. That requires a person who is willing to learn from experience, and committed to make whatever lifestyle changes are necessary. Diabetes is a "gift" that keeps on taking away carefree life.
I am in the same boat. Having diabetes for 40 years, hard to control with regular meter. I have no fingers left to prick by the afternoon.
Hi. Great video. I am 73 and have been a non- insulin T2 diabetic for about 20 years. This year I have been very lethargic and feeling not well. I figured it was age and a heart problem I have. I did not know CGM was a thing until I was given a couple of G7 sensors to try. I was shocked at my glucose levels. Almost constant from 150 to 225 on the G7 and I have been doing BG by finger stick to cross check the accuracy. The G 7 is on average 10 minutes behind in readings. I consider this very accurate.
When I got readings above 300 I contacted my doctor and was informed I would probably be started on insulin and an extra oral medication at my upcoming appointment on Oct 3. I knew I had developed sudden neuropathy in my feet but was amazed it happened so quickly.
I feel that T2 diabetics should all have the option to use these devices and that insurance should cover them whether or not they use insulin. I feel that the G7 has saved my life. Extreme highs can kill as well as lows.
I also wonder if the receivers could eventually be made into a type of wearable like a watch. Wouldn’t that be great? I am allergic to medical adhesives and was hesitant in using the sensor, but so far I am having no problem. I even forget I am wearing it and I am at the end of the 2nd sensor (worn low on the back of my arm).
I love all your videos and am binge watching them.
Thank you so much,
Sharon
Sadly many type 2's aren't receiving adequate treatment from their doctors. People tend to think it must not b that serious if they r only taking pills. People trust that the doctor is doing what's necessary but many type 2's should b on insulin if pills alone aren't keeping the blood sugar in the non-diabetic range. Best of luck 2 u.
imo Every person with T2D should be using professional CGMs (paid for by insurance) under medical supervision, to determine what specifically in their lifestyle is preventing them from managing their glucose effectively. Relying on patients to learn to analyze and apply personal CGM data to manage their own therapy is a failure of doctors to apply very well known principles and by failure to apply them and teach them to patients, is causing harm.
Hi Sharon, Thank you for watching and I'm glad my videos are helpful.
I'm so glad you got treatment but also upset on your behalf that it took that high blood sugar and diabetes complications to get the care you needed. Your doctor should have been monitoring your blood sugars frequently. Glad you took charge and that Dexcom is helping you
Rcvd my stelo 3 weeks ago. I didn’t realize the product was brand new. Love it. Don’t put it on your thigh like some people recommend.
G7 Warrior Here. Well Done My Friend ! Thank You for the Updated information
Much appreciated. Thank you
I have been wearing the Stelo for a week and love it. It’s been accurate and I haven’t had compression lows with it like I did with Libre 3.
Make the software more compatible with more android phones, please
Wow! You've reached the best person to speak to! 😊
I think so too! Thank you for watching
Thanks for interviewing him.
Thank you for watching, did you notice we did get to your question in the end?
@@DiabetesStrong yes,
Less trash would be good
The 5 minute readings was something I discovered on my own with the Stelo. I thought it was going to just give a reading every 15 minutes, but then I noticed the 15 minute update posted three 5 minute readings from the last posting.
Is this true?? 5 minute readings??
@@hmmmguy Even though the App updates every 15 minutes. When it does update it gives you readings for each five minute period since the last update. For example I got a updated reading at 7:38 P.M., but at the next update at 7:53 P.M. it also posted readings for 7:43 P.M. and 7:48 P.M.
Great job on the interview. It was great to hear what Dexcom is working on and why somethings end up the way they are.
Thank you, and thank you for watching
I have had the last 3 and never had as much trouble as I
have had with the G7 sensors. Everything. else I really like
I saw this last night, totally different to our UK processing, but this is a step forward with excellent information, thank you Cristal👍🏻🙏🏻🙏🏻👏🏻👏🏻👏🏻
Glad you enjoyed it! Thank you for watching
Awesome video!! Learned a lot. Keep up the good work.
Thank you. Glad to hear it!
As far as placement I'm having better readings with it on the upper thigh. First one on the arm was 20 to 30 points high. Now was the sensor detective or the thigh just works better for me. I'm sticking with the thigh. Just next time I'm going to use the right leg, since I tend to lay on my left leg when sleeping.
I am type 1, and will stick with my G7, Question should have been asked about the RX cost will it be lower in the future, with Blue Cross/CVS Caremark, I still pay over $73.00 for 3 sensors, and have been using it religiously since March of 2024, since a very low reading at 9pm, and having my first and only seizure. Thank you for this info.
Before my insurance stopped covering, i was paying 178. 300 with no insurance. I did get a coupon now back to 178. I think he is full of it when he said most pay only 40 with insurance.
Ouch! I have BCBS of Texas and pay $35 for 3 sensors.
I have T1D and am using G6 sensors. After 1 month of using what they showed to modify my diet, the only hypo alerts I've had were all false alarms from sensors that were very slow to "warm up", most likely from bad sites. I have to replace 3-4 such per year, and there is no real world evidence that the G7 sensors are better in this regard. If you are truly using a CGM "religiously" you will pay attention to what it tells you about your carefully MEASURED diet and activity.
@@psdaengr911 Thank you, I do still do finger pricks with a Virta Meter provided by my provider, but have not had any bad issues with my G7.
I would have liked to have heard him address the poor quality of Decom G7 sensors. I started using it last week and doubt I am going to continue because of the poor quality. Three days is not enough for sensor life.
You should contact your provider because my husband's last 10 days.
I’ve used G7 for two years and have had very few sensor issues or failures. And when I have had a failed sensor, Dexcom has always rapidly sent me a free replacement. What kind of failures are you having?
The g7 should last 10 days with 12 hours added at the end.
@@sabbys7750 Dexcom concluded that the first sensor I tried was faulty and sent me a replacement. This does not inspire confidence.
@@sabbys7750 As they do in my experience with a very low failure rate.
i am pre diabetes and do not take insulin should i continue using the G7 or should i use something else. i am very pleased with the g7.
If your doctor thinks G7 is the most appropriate CGM for you I’d continue with that. But you could discuss Stelo with your doctor. If it’s cheaper than G7 it might be worth switching
@@DiabetesStrong thank you for the reply, my insurance covers the g7 and i really like the g7 my A1C has gone from 7 to 6.1 i find it very easy to my gulcose between 70 to 170. I enjoy your videos
If I was pre-diabetic at my doctor thought that the most appropriate thing for me to do was to use a personal CGM, but is not dynamically analyzing my lifestyle to find out where my problem areas were and address them, I wouldn't worry about the CGM model. I'd find a different doctor who understands and can apply CGM data effectively.
I found that the spikes for me are off by as much as 45 points as compared to finger stick
Love your videos. Even though a Type II I still learn so much. But, I hate Apple products. Use Samsung Galaxy products (S24 Ultra and Galaxy Watch 7). I am sure that if not more there are at least equal number of folks who use Android products and based watches as Apple. Would truly love to see them get if not full compatibility to Android based watches at least be able to read the Decom Android App on the watches. Have been thinking also about switching to Stelo as since losing a lot of weight I am no longer taking insulin. But sadly I still don't think I can make that switch due to some restrictions in the Stelo product. Keep up the GREAT work!!!
I work with vision impaired patient. I would love to see a voice option to read the blood glucose in the future Dexcom.
If your patient has an iPhone they can set Siri up to read the blood sugars out loud
Thanks for the videos I can't wait for the new device❤❤❤❤
It would be great for those of us not on insulin to have a manufacturers coupon to help with the copay. I can get a prescription for a g7, but insurance won’t pay. I had to go with the Libre 3 because of the coupon they offer.
I am also not on insulin and have been using Stelo for 4 weeks and have been very pleased with it.
Hopefully what I read on Stelo will get better, what I've heard is that you can't get readings graphs for previous days readings. This part is very valuable to me to know what like what my last week looked like. I currently use the G7 and I'm type 2 not on insulin. It has helped me tremendously with my control. Also having the alarms does make me feel safer to know what happens with I sleep. If Dexcom improves the Stelo to have a download function like the clarity app and also a follow options so I can have my readings on my watch, I may look to switch to that CGM. Thanks for the video
I'll be trying it out over the next month and will make a more detailed video on how I like it. Thank you for leaving this comment, I'll keep it in mind when testing Stelo
The Clarity app works with the Stelo. At least it does for me.
awesome video! I really would’ve liked to hear him say if they’re working on the known issues with the antenna signal strength on the Dexcom G7 I had a lot of connectivity issues losing signal from both the Tandem X to insulin pump and now the Omni pod 5 system. Also, I’d like to know when the Dexcom G7 will get FDA clearance to be worn on the stomach as well as the arm?
Unlikely that Dexcom would do clinical trials in the US for abdominal applications to resubmit the G7 to the FDA. It's already approved in the EU for both arm and abdomen so I wouldn't wait to use it on either. I'm more concerned about the poor Bluetooth performance which is stopping me from switching from the G6 to the G7.
What I have found that works for me so I don’t get those false Lowes because of the way I sleep. I cannot wear my Dexcom on the outside of my arm or the backside of my arm, so I wear mine on the inside of my arm about oh from the bend of my elbow to just below my bicep somewhere in that area
The performance of Dexcom's stock since July 25 isn't confidence-building. The best tech in the world can't help a company borrow, if the share price crashes because shareholders lost confidence from its declining profitability. I'm a G customer and a shareholder and am reconsidering both choices. .
Thanks for doing this video. It answered a few of my lingering questions as well. I’m on my 2nd Stelo CGM. I’m pre-diabetic so I really needed this to see my patterns and spikes. I did not place it on my upper arm as my skin is wrinkled from weight loss and it said not to place it over wrinkled skin. So I put on my stomach just above my belly button and to the side. It has worked well there and does not get in the way. The first CGM was very close to my meter readings. The 2nd one took a few days to sync with my meter but eventually did. Yesterday I had food poisoning and vomited, had diarrhea and a low fever. In the middle of the night my sugar spiked to 185 and it took quite awhile for it to come down. Ever since, the meter and CGM #’s r not in sync… the CGM is consistently 20 points higher than the meter. Although the CGM looks fine, I’m wondering if the heaving caused some internal malfunction.🤔
You could be dehydrated. Drink water.
Thank you for sharing. +/-20 is considered accurate for all CGMs. But I would like to see the calibration feature for all CGMs
@@dwightl5863 Thanks for that suggestion. I did drink a lot at the time it happened but maybe it wasn’t enough.
@@DiabetesStrong I believe that is +/- 20% of a fingerstick reading. Ex. Glucometer reads 120, CGM is in spec if it reads between 96-144.
@@DiabetesStrong Thanks for the quick reply. But a 20 point difference would make me spike every time. If I didn’t know that, then I would be struggling to get it down all the time when it’s not accurate. That’s very disappointing to me. I might as well just use my meter.
After two weeks of using the Dexcom Stelo, I found it fell short of my expectations. Since I am not diabetic, my goal was to use the device to understand how different foods affected my body, with the hope of making healthier choices and reducing the risk of developing sugar intolerance in the future.
However, when I compared Stelo’s readings to actual fingerstick tests, I noticed a consistent discrepancy: the Stelo was always 30 to 40 points higher. This inaccuracy meant it constantly triggered alarms for glucose spikes above 140, no matter how healthy my meals were. Its daily reports even suggested I was diabetic, which was far from the truth.
Because of these inconsistencies, I couldn’t reliably track how specific foods impacted my body. Instead, the device seemed only to detect that I had eaten, assigning glucose levels almost randomly. Frustration set in as it became clear that the Stelo provided little more than general tendencies, making it impossible for me to draw any meaningful conclusions about my diet.
In the end, I was left questioning whether it was measuring anything beyond when I ate, with the actual glucose readings feeling almost arbitrary.
Thank you for sharing your experience
Great info! Thank you!!
Glad it was helpful!
When will the Stello be able to connect with an Apple Watch like the G7 does? Thanks.
It does connect to Apple Watch as a complication.
@@vdquery6613 Thank you SO much! it does work.
I’m sorry the direct to watched feature only worked once with me never worked again afterwards
😕
Also when will the dexcom stelo be coming out? I cant wait
It’s here. You can by it through the Dexcom Stelo website
It's been available for about a month now.
Became available in August.
How can I use the G7 a cover not to get any skin issue as you showed in a previous video with the G6? I am interested in the Dexcom Stelo CGM . Thank you for all you do. Since your prior video it has prevented skin irritation using your method with my Dexcom G6.
Glad that was helpful. I haven't made any new videos on that. But I'm working on a video on how to get the sensor to stick and not fall off before the 10 days are up
@@DiabetesStrong I know you can figure it out, especially how you got the idea with the patch for people that have skin irritation. I would use that same method to put an overlay patch would be the same thing as putting a cover patch. Tell me what you think. Thank you.
@@fbs1917 you could. I would still go for the SkinGrip. Order one of the free ones first and if you don’t have a skin reaction you can buy some
I use my on stomache it seems to b more correct readings
I wear it on my stomach too. Because I don't sleep on my stomach, being there has ending connection failures and compression lows.
I have a Samsung Galaxy S9+. Now I get alerts stating that the G7 doesn't support my phone. I have my wife's phone linked to mine. Her phone receives my #'s but not the low alert. This is a problem if I am asleep and don't hear my phone. Also if my phone is more than 10 feet away from the sensor, my phone will not read it. G6 never had that problem.
Seems ludicrous that Dexcom won't produce an app that is 100% standards-compliant with stock Android, but will devote resources to constantly maintaining an app compatible with the bastardized versions of Android from Samsung that break compatibility several times a year. I abandoned the Dexcom apps after one week, switched to the open source, far better featured, XDrip+ app, and have not had a compatibility issue since.
another nice video THANKS
Glad you enjoyed it
sensors are very expensive - what do people without insurance or high deductible insurance to do about this?
I think the best option is to use GoodRX coupons. It’s takes down the cost significantly
They do without it.
Excellent video!
Thank you very much!
Could you use it on your thighs
That’s what I do. But it’s off label
Stelo won’t give you an alarm when your blood glucose is very low.
Yes, it doesn’t give alarms at all
@@DiabetesStrong This could be life threatening if your blood glucose reading dipped well below 3.9 while you’re sound asleep.
@@WW3_Soon Stelo isn't meant for people who use insulin and need the alarms and alerts. I think Dexcom G7 would be a better choice for people struggling with low blood sugars
@@DiabetesStrong That may be so, however with Dexcom 6 and 7 costing more than Stelo, diabetics might buy Stelo instead and die in their sleep.
Got a two pack of Stelo. I wore one and my wife wore one. Useless!. Both were off by 15-30 points all the time when compared to KetoMojo meter. My blood sugar is normally about 90 so the Stelo showed flat line at 70 most of the time. After meals it would go up to mid 80s when my blood sugar was actually 120. Don't waste your money.
CGMs won't be the same as your meter in many cases since it measures in the fluid under your skin and not in the blood. It doesn't mean it's inaccurate. I explain it in a bit more detail in this video: th-cam.com/video/yjeNSKDnxUY/w-d-xo.html
I bought the Stelo scam and regretted it.
Oh no, why didn't you like it?
I just got my first CGM and I’m very disappointed,the Stelo is very inaccurate it’s giving me more than 40 points above my others glucose meter. Don’t trust this CGM’s
Did you let it settle in for 4-6 hours, maybe more? Most CGMs don’t do well in the first hours.
25:29 Had the same problem with my Stelo throughout the 2 week period, I don't understand why they don't let you calibrate the CGM with the finger sticks like the G7 allows.
My first one was reading 20 to 30 points high. I contacted them through their Web site with their Bot and told them my sensor was defective and they sent me a replacement. It's a little closer to my meter, but still gives readings the are a little high or low. I only use my meter first thing in the morning, or if the Stelo gives me a reading that is way out of line from the previous reading.
Mine is very accurate. I’ve checked it many times. Did you do the thing at installation where you hold it down for 10 seconds after application?
@@midtownbrownstyle321 I followed all their instructions.