Best Continuous Glucose Monitoring Devices for 2025

Continuous Glucose Monitoring (CGM) devices have transformed diabetes management, providing real-time blood sugar readings, trend insights, and customizable alerts. Whether you’re managing Type 1 or Type 2 diabetes, CGMs help optimize glucose control without frequent fingerstick tests.

continuous glucose monitoring devices

This guide compares the top continuous glucose monitoring devices available today, highlighting their features, benefits, and customer feedback. We’ll also include a detailed buyer’s guide to help you choose the best CGM for your lifestyle and medical needs.

Best Continuous Glucose Monitoring Devices

PRICE PROS
CONS
Dexcom G7Dexcom G7Buy
  • Highly accurate and real-time…
  • No fingerstick calibrations needed.
  • Compatible with Apple Watch,…
  • Data sharing for remote…
  • Customizable alerts for proactive…
  • Expensive sensors, especially without…
  • Some users experience Bluetooth…
  • Sensor lifespan is 10…
FreeStyle Libre 3FreeStyle Libre 3 Buy
  • Most affordable CGM compared…
  • 14-day sensor lifespan (longest…
  • No fingerstick calibrations required.
  • Small and discreet sensor.
  • Smartphone app integration.
  • Requires scanning with a…
  • Limited integration with insulin…
  • No predictive alerts for…
Medtronic Guardian ConnectMedtronic Guardian Connect Buy
  • Predictive alerts warn about…
  • Sugar.IQ app integration for…
  • Real-time glucose tracking.
  • Short sensor lifespan (only…
  • Requires calibration with fingerstick…
  • Not as widely available…

Dexcom G7

Dexcom G7View more

Key Features

  • Real-time glucose monitoring with automatic updates every 5 minutes.
  • No fingerstick calibrations required.
  • Customizable alerts for high and low glucose levels.
  • Smart device integration: Works with iOS, Android, Apple Watch, and select insulin pumps.
  • 10-day sensor wear time.
  • Data sharing with up to 10 people through the Dexcom Follow App.

Who is this best for?

  • Tech-savvy users who want smartphone and smartwatch integration.
  • Parents and caregivers who need remote monitoring capabilities.
  • **Individuals needing high accuracy and customizable alerts.

Customer Feedback Summary

The Dexcom G7 is widely praised for its accuracy, real-time tracking, and ability to share data with caregivers. Users love the no-fingerstick requirement and seamless smartphone integration. However, some find the sensors expensive, especially without insurance coverage.

PROS
  • Highly accurate and real-time monitoring.
  • No fingerstick calibrations needed.
  • Compatible with Apple Watch, iOS, and Android.
  • Data sharing for remote monitoring.
  • Customizable alerts for proactive glucose management.
CONS
  • Expensive sensors, especially without insurance.
  • Some users experience Bluetooth connectivity issues.
  • Sensor lifespan is 10 days, which is shorter than some competitors.

FreeStyle Libre 3

FreeStyle Libre 3View more

Key Features

  • 14-day sensor wear time (longer than most competitors).
  • Real-time glucose readings available via a smartphone app.
  • No routine fingerstick tests required.
  • Optional high and low glucose alerts.
  • Small and discreet sensor, about the size of a quarter.

Who is this best for?

  • Users looking for an affordable CGM with long sensor wear.
  • People who prefer a small, discreet sensor.
  • Those who want real-time glucose readings on their phone.

Customer Feedback Summary

Users love the affordability and the 14-day sensor wear time, making it one of the longest-lasting CGMs on the market. The compact design is praised for being discreet and comfortable. However, some users dislike that it requires scanning to obtain glucose readings.

PROS
  • Most affordable CGM compared to competitors.
  • 14-day sensor lifespan (longest in its class).
  • No fingerstick calibrations required.
  • Small and discreet sensor.
  • Smartphone app integration.
CONS
  • Requires scanning with a smartphone to check glucose levels.
  • Limited integration with insulin pumps.
  • No predictive alerts for glucose trends.

Medtronic Guardian Connect

Medtronic Guardian ConnectView more

Key Features

  • Predictive alerts up to 60 minutes in advance for high or low glucose levels.
  • Integration with the Sugar.IQ app, which provides personalized insights.
  • Real-time glucose monitoring.
  • Sensor lifespan: 7 days.
  • Requires calibration with fingerstick tests.

Who is this best for?

  • Users who want predictive alerts to prevent highs and lows.
  • People looking for personalized insights into their glucose trends.
  • Those who don’t mind fingerstick calibrations.

Customer Feedback Summary

Users appreciate the predictive alerts, allowing them to take action before glucose levels spike or drop dangerously. The Sugar.IQ app provides valuable insights, helping improve diabetes management. However, the 7-day sensor lifespan is shorter than competitors, and the requirement for calibration fingerstick tests is a drawback for some.

PROS
  • Predictive alerts warn about glucose changes 60 minutes in advance.
  • Sugar.IQ app integration for personalized insights.
  • Real-time glucose tracking.
CONS
  • Short sensor lifespan (only 7 days).
  • Requires calibration with fingerstick blood glucose tests.
  • Not as widely available as Dexcom and FreeStyle Libre.

Comparison Table Continuous Glucose Monitoring Devices

FeatureDexcom G7FreeStyle Libre 3Medtronic Guardian Connect
Calibration RequiredNoNoYes
Sensor Lifespan10 days14 days7 days
Real-Time MonitoringYesYesYes
Predictive AlertsNoNoYes (60 min in advance)
IntegrationSmart devices, pumpsSmartphone appSugar.IQ app

Buyer’s Guide: How to Choose the Best Continuous Glucose Monitoring Devices for You

When selecting a CGM, consider the following:

  1. Accuracy – Look for CGMs with high accuracy for reliable glucose readings.
  2. Sensor Wear Time – Longer wear times (like the 14-day FreeStyle Libre 3) mean fewer replacements.
  3. Calibration Requirements – Some CGMs (like Medtronic Guardian Connect) require fingerstick tests, while others do not.
  4. Alerts & Predictive Features – If you need early warnings for highs and lows, consider the Medtronic Guardian Connect.
  5. Integration – If you want smartphone or smartwatch compatibility, the Dexcom G7 is the best choice.
  6. Cost & Insurance Coverage – Check if your insurance covers the device and sensors.

FAQs Continuous Glucose Monitoring Devices

Q: Do CGM devices replace fingerstick blood glucose tests?

A: Some CGMs (like Dexcom G7 and FreeStyle Libre 3) eliminate the need for fingersticks, while others (like Medtronic Guardian Connect) still require them.

Q: Are CGM sensors reusable?

A: No, sensors must be replaced after their wear time expires (7-14 days, depending on the device).

Q: Will insurance cover CGM costs?

A: Most insurance providers cover CGMs, but coverage depends on the device and your diabetes type.

Conclusion: Which Continuous Glucose Monitoring Devices Are Right for You?

  • Best for Accuracy & Smart FeaturesDexcom G7
  • Best for Affordability & Long Sensor WearFreeStyle Libre 3
  • Best for Predictive Alerts & Proactive ManagementMedtronic Guardian Connect

Each of these devices helps manage diabetes more effectively, but the best choice depends on your budget, lifestyle, and medical needs. Always consult your healthcare provider to determine the best CGM for you.

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