top of page

Dexcom's Stelo: First Over-the-Counter Wearable Glucose Biosensor Enters Market


Dexcom has launched Stelo, the first over-the-counter wearable glucose biosensor, targeting a wider consumer market, including those with prediabetes or other health-conscious individuals. The device offers continuous glucose monitoring without a prescription, aiming to help users understand their body's glucose responses to various factors like diet, exercise, and stress.


Key Findings:

  • FDA Clearance: Stelo is the first over-the-counter CGM device cleared by the FDA, making it accessible for general health monitoring.

  • Target Audience: Aimed at adults without diabetes who are keen on understanding their metabolic health.

  • Device Features: Includes a sensor worn on the arm, providing glucose data for up to 15 days, with a companion app for tracking.

  • Availability: Only sold through stelo.com for now.


How It Works:

Stelo uses a small, wearable sensor applied to the back of the upper arm. This sensor continuously measures glucose levels in the interstitial fluid just beneath the skin. The data is transmitted to a smartphone app, which displays glucose readings and trends. Users can track how their glucose levels respond to various lifestyle factors, helping them make informed decisions about diet, exercise, and overall health.


Why This Matters:

The introduction of Stelo represents a shift in diabetes care, empowering more individuals to monitor their glucose levels independently. By making CGM available without a prescription, Dexcom is expanding access to advanced health monitoring tools beyond the traditional diabetic market. This could lead to increased health awareness and preventive care among the general population, potentially helping to identify pre-diabetic conditions earlier and promote healthier lifestyles.


In Practice:

Healthcare providers may see an increase in patients seeking advice on interpreting their glucose data. This could lead to more informed discussions about diet, exercise, and metabolic health. Pharmacists may need to be prepared to answer questions about the device, its accuracy, and how it compares to traditional blood glucose meters.


Big Picture:

Stelo's launch reflects a broader trend towards consumer-driven healthcare and the increasing integration of technology in personal health management. This move by Dexcom could pave the way for other medical device companies to develop consumer-oriented versions of traditionally prescription-only technologies. It also highlights the growing interest in preventive health measures and personalized wellness strategies.


Innovation Spotlight:

Stelo represents an innovative leap in making advanced biosensing technology accessible to the general public. The device's ability to provide continuous data without the need for fingersticks or prescriptions showcases the potential for consumer health tech to become more sophisticated and less invasive. This could inspire further innovations in wearable health monitoring devices across various health parameters.


Ethical/Other Considerations:

The availability of continuous glucose data to non-diabetic consumers raises questions about data privacy, the potential for anxiety or obsessive behavior around health metrics, and the risk of self-diagnosis or misinterpretation of data. Healthcare providers may need to consider how to address these concerns and provide guidance on the responsible use of such devices.


bottom of page