Dexcom G7 15-Day
Dexcom
The longest-wearing version of the Dexcom G7 — a factory-calibrated 15-day sensor with the lowest MARD (~8.0%) Dexcom has reported, and the platform the company is making its baseline going forward.
The scorecard
Overall MARD 8.0% in the pivotal study — Dexcom's most accurate sensor and among the best cleared to iCGM criteria.[1]
Still reads interstitial fluid, so the ~10–15 min physiological lag is unchanged from the standard G7; not a differentiator.
Same G7 ecosystem (phones, Apple Watch direct-to-watch, open-source loops); AID compatibility was rolling out at launch (iLet, Omnipod 5, then Tandem), so slightly behind the mature G7 at first.[4]
Up to 15.5 days incl. a 12-hour grace session — ties the longest nominal wear (15 days, also matched by Abbott's FreeStyle Libre 3 Plus), with a 12-hour grace window; ~74% of sensors reached the full 15 days in trial.[1]
Configurable high/low alerts plus the predictive Urgent Low Soon alert, carried over from the G7 platform.[6]
Same all-in-one G7 sensor footprint; 60-minute warm-up (longer than the standard G7's ~30 min) is the main usability trade-off for the extra wear.[5]
No ketone sensing — glucose only. (Dexcom has signalled ketone/multi-analyte sensing for the next-gen G8, not this product.)[9]
US-only at launch (Dec 2025), adults 18+; no UK/EU/CA/AU/JP availability yet and out-of-pocket cost is significant. Early-wear sensor failures (~26%) can also strain replacement allowances.[4]
The full picture
The G7 15-Day is Dexcom's longer-wearing G7. It is the same kind of small, all-in-one sensor people already know from the standard G7, but a new glucose algorithm stretches each sensor to up to 15.5 days of wear (15 days plus a 12-hour grace window to swap sensors).1 That ties it with Abbott's FreeStyle Libre 3 Plus for the longest nominal wear time (15 days) of any CGM on the market — among the longest-wearing sensors available.12 It does not require fingerstick calibration — it is factory-calibrated and starts giving readings once warm-up finishes.3
How accurate is it? In the pivotal study of 130 adults (about 87% with type 1), the G7 15-Day had an overall MARD of 8.0% — meaning readings landed, on average, within about 8% of lab glucose — across more than 20,000 paired measurements over the full 15.5 days.4 That is the lowest MARD Dexcom has reported and among the best for any sensor cleared to the FDA's stricter "iCGM" standard.1 In the trial, 87.7% of readings fell within 15 mg/dL (below 70) or 15% (at or above 70) of the lab value, and the sensor stayed accurate from day 1 through day 15.4 Dexcom does not publish a separate hypo-range MARD; the iCGM clearance itself certifies that low-glucose accuracy meets FDA special controls.5
Wear, warm-up and calibration. Each sensor warms up in 60 minutes — longer than the standard G7's ~30 minutes, the trade-off for the extra five days of wear.3 No routine fingersticks are needed.3 One honest caveat: in the trial about 74% of sensors lasted the full 15 days, so roughly 1 in 4 may end early — worth knowing if your supply is rationed.4
Alerts and predictive features. It keeps the G7's customizable high/low alerts and the predictive Urgent Low Soon alert that warns before you actually go low.6
What it works with. Readings go to a phone or receiver and can stream directly to an Apple Watch without the phone nearby, like the rest of the G7 line.3 On the do-it-yourself side, the open-source Loop app supports the Dexcom G7.7 For automated insulin delivery, compatibility was rolling out at launch: the iLet Bionic Pancreas and Omnipod 5 were targeted first, with Tandem to follow shortly after — so AID support was slightly behind the mature standard G7 early on.8 It is water-resistant (submersible to 2.4 m for 24 hours).6 It senses glucose only — no ketone sensing.9
Who it's for, and where. Cleared for adults 18 and older; the standard G7 stays available for ages 2+.5 It is US-only for now, launched December 1, 2025, with no UK/EU/Canada/Australia/Japan availability yet.8 Out-of-pocket cost without insurance is significant, as with all Dexcom sensors.
What's coming. Dexcom has been explicit that 15-day wear is now its baseline going forward — its next-generation G8 uses the same 15-day platform, is about 50% smaller than the G7, and has ketone and multi-analyte sensing on its roadmap (not at first launch).9 In other words, the 15-Day isn't a one-off; it's the direction the whole product line is moving.
References
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Dexcom, Inc. Dexcom G7 15 Day Receives FDA Clearance: the Longest Lasting Wearable and Most Accurate CGM System (press release, 10 Apr 2025). https://investors.dexcom.com/news/news-details/2025/Dexcom-G7-15-Day-Receives-FDA-Clearance-the-Longest-Lasting-Wearable-and-Most-Accurate-CGM-System/default.aspx ↩ ↩2 ↩3
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American Diabetes Association. FreeStyle Libre 3 and FreeStyle Libre 3 Plus CGM System — Consumer Guide (Sensor Duration: 15 days for the FreeStyle Libre 3 Plus). https://consumerguide.diabetes.org/products/cgms/freestyle-libre-3-and-freestyle-libre-3-plus ↩
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Dexcom. New Dexcom G7 15 Day CGM: Longer Wear Time, More Accuracy. https://www.dexcom.com/en-us/all-access/dexcom-cgm-explained/new-g7-15-day-cgm ↩ ↩2 ↩3 ↩4
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Garg SK, Bailey TS, Castorino K, et al. Accuracy of the 15.5-Day G7 iCGM in Adults with Diabetes. Diabetes Technology & Therapeutics 2025;27(6):430–438 (per PubMed). PMID 40108991. https://pubmed.ncbi.nlm.nih.gov/40108991/ ↩ ↩2 ↩3
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U.S. FDA. 510(k) K243214 — Dexcom G7 15 Day Continuous Glucose Monitoring System (substantial equivalence, product code QBJ / iCGM, 21 CFR 862.1355; decision 9 Apr 2025). https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/QBJ/K243214 ↩ ↩2
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American Diabetes Association. Dexcom G7 and G7 15 Day CGM System — Consumer Guide. https://consumerguide.diabetes.org/products/cgms/dexcom-g7-and-g7-15-day-cgm-system ↩ ↩2
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LoopDocs. Compatible CGM (Dexcom G7 support in the open-source Loop app). https://loopkit.github.io/loopdocs/build/cgm/ ↩
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Dexcom, Inc. Dexcom G7 15 Day Continuous Glucose Monitoring System to Launch on Dec. 1 in the United States (press release via Business Wire/Yahoo Finance, 20 Nov 2025). https://finance.yahoo.com/news/dexcom-g7-15-day-continuous-133000806.html ↩ ↩2
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Drug Delivery Business News. Dexcom unveils next-gen G8 CGM system — CEO Jake Leach: 15-day wear is the baseline for all sensors going forward; G8 ~50% smaller with ketone/multi-analyte sensing on the roadmap. https://www.drugdeliverybusiness.com/dexcom-unveils-next-gen-g8-cgm/ ↩ ↩2
What's next for this
- →Next-gen Dexcom G8 (~50% smaller, ketone / multi-analyte sensing on the roadmap) signalled to follow — a future product, not this sensor
Sources
- [1]Accuracy of the 15.5-Day G7 iCGM in Adults with Diabetes · peer-reviewed · 2025-03-20 — Garg SK, Bailey TS, Castorino K, et al. Diabetes Technol Ther 2025;27(6):430-438. DOI 10.1089/dia.2025.0139. PMID 40108991. Per PubMed. n=130 adults (86.9% T1D), 20,310 CGM–YSI pairs; overall MARD 8.0%, %15/15 87.7%. NCT05263258.
- [2]510(k) K243214 — Dexcom G7 15 Day Continuous Glucose Monitoring System · regulatory · 2025-04-09 — FDA 510(k) substantial-equivalence clearance, product code QBJ (iCGM), 21 CFR 862.1355; modification of G7 (K240902) adding a new algorithm and 15-day wear for ages 18+.
- [3]Dexcom G7 15 Day Receives FDA Clearance: the Longest Lasting Wearable and Most Accurate CGM System · manufacturer · 2025-04-10
- [4]Dexcom G7 15 Day Continuous Glucose Monitoring System to Launch on Dec. 1 in the United States · news · 2025-11-20
- [5]New Dexcom G7 15 Day CGM: Longer Wear Time, More Accuracy · manufacturer
- [6]Dexcom G7 and G7 15 Day CGM System — Consumer Guide · news — American Diabetes Association consumer guide listing for the G7 / G7 15 Day.
- [7]Compatible CGM — LoopDocs · community — Open-source Loop documentation confirming Dexcom G7 support.
- [8]Accuracy of the 15.5-day G7 integrated continuous glucose monitor in adults with diabetes · news — News release summarizing the pivotal study; notes the investigational 27-minute warm-up.
- [9]Dexcom unveils next-gen G8 CGM system · news — Reports CEO Jake Leach stating 15-day wear is the baseline for all sensors going forward; G8 ~50% smaller than G7 with ketone/multi-analyte sensing on the roadmap (not at launch).