San Diego-based Dexcom said at the annual J.P. Morgan Healthcare Conference in San Francisco that it's first-gen product co-developed by Alphabet's Verily may never get launched in the U.S. Dexcom has partnered with digital health management companies like WellDoc and Livongo to unlock this value over the long term, Rose said. He's still learning, though, and enjoys studying and investing in a wide variety of businesses. Let’s remind ourselves of the current environment, with the incumbent behemoth that is Dexcom with their G6, which is widely regarded as the most accurate system on the market. Other details of the G7's features are still under wraps, so investors will be very interested to see how the product stacks up against the competition. Abbott will pursue the same opportunities. Aggressive investors may see a buying opportunity in DexCom here, but more conservative ones might want to consider adding some shares of Abbott instead. A sliver-thin Dexcom G7 device is about the size of a nickel, and it will have its own transmitter built into it. It’s not clear whether they’d offer 31 patches a month, but if so, it would bring the price in well below that of Dexcom’s G6. So while the available data suggests that it isn’t up there with Dexcom’s G6, it looks like it’s pretty good. I’ve only been using the system for 3 days. Again, DexCom has anticipated the pricing shift and has done an excellent job so far of bringing down the manufacturing costs of the G6 while maintaining its position as the premium product. Competition isn't new for DexCom. Walgreens will bill Medicare Part B and qualified supplemental insurance, which means little or no out of pocket cost to patients. DIY LoopLink – a smaller alternative to RileyLink 1) Transmitter last 3 yrs without charging. Most monitors are sold to patients with Type 1 diabetes on intensive insulin therapy. Similar to the G6 sensor, the G7 CGM will continue to allow DIY use for people using DIY looping. Visit the Dexcom SEVEN PLUS Site. Before I spent the $1500.00 out of pocket to start, I was told with my insurance that it would run me $120.00 a month until my deductible for the year was met, so even though this was a stretch for me financially I decided to invest in my health. The company has amassed a huge amount of data from connected devices in its cloud-based reporting system that it can use to create personalized diabetes treatment plans by analyzing trends. Tim , DexCom says that the coming G7 was designed with low cost in mind, and that the model will give it some flexibility to further lower price while keeping profits up. About CGM and the Medicare Coverage Criteria CGM devices are considered the most significant breakthrough in diabetes management in the past 40 years 1 and Dexcom has been a leader of those innovations. It remains to be seen if the production version is better than these figures, and whether additional clinical trials will be published. If they are looking at a pricing of £75 per month (which is what £1000 per year cheaper than Dexcom G6 looks like) and they truly have a 9.2% MARD then the UK CGM market has just been blown wide open. The Dexcom G6 transmitter offers real-time glucose readings on your smart phone or on the Dexcom G6 Receiver. The other question that these raise is the validity of their performance data. Between the two of them, they cover Dexcom at 100%. Dexcom’s next-generation 14-day G7 sensor will be disposable, smaller, and be available at a reduced cost. I just have it because I’m in a diabetics’ association). Increased competition with longer lasting and better performing sensors should lead to reduced costs and better access across the board. A transmitter that is placed on top of the sensor and sends data wirelessly to a compatible display device. For comparison, Dexcom G6 achieved 92% in zone A. However, many users try to circumnavigate this. Dexcom G6 Sensors - Pack of 3. There's a lot of quiet over here, because I passed out Hold on a second. There is a G6 upgrade program for both new and existing customers, with specifics varying based on … This three-pack of Dexcom G6 Sensors is an integral part of the Dexcom CGM system, along with the Dexcom G6 Transmitter and the Dexcom G6 Receiver . We are awaiting i3 to be launched in Malaysia. Include extended wear time of 14-15 days. Available with prescription for patients with diabetes ages 2 years and older, the personal Dexcom G6 Continuous Glucose Monitoring (CGM) System is the first real-time, integrated CGM (iCGM) that offers patients the benefits of a 10-day wear sensor, an easy-to-use applicator,1 and no required calibration. It’s due out in late 2020. Sayer also discussed the upcoming Dexcom G7 CGM. Hi, great blog. WIth no pricing information available right now, it’s hard to tell where this is likely to end up. Dexcom’s CTO had this to say about advancements for the G7: “The platform is designed to extend the wear beyond 10 days, so the electronics, etc. Aidex is a new CGM product from GlucoRX which appears to be a rebranding of the MicroTech Medical CGM system from China. “According to Sayer, Dexcom is taking a different approach with the design of the G7 than they did with previous generations of Dexcom CGMs. Interestingly quoting a MARD of 9.2% !Also stating a cost saving of £1000 per annum compared to current CGM options. It’s also not entirely clear that the system yet has a CE mark. The Dexcom G6 Pro Continuous Glucose Monitoring (CGM) System offers powerful features and benefits that support individualized treatment plans. Last month, we chatted with Jake Leach, Dexcom’s chief technology officer (CTO) to get the latest scoop on the release timeline and new features of the Dexcom G7 continuous glucose monitor (CGM), a highly-anticipated diabetes technology that will be released in 2021. I'm excited. 3) After warm up, do 1st calibration. Everything, he said, is being manufactured to a high standard, but at “a lower cost in a more reliable way.” http://www.gluco-active.com/. Cramer also revealed that Dexcom is working on its new G7 wearable platform, which is a joint venture with Verily, an offshoot of Alphabet (the parent company of Google). DexCom introduced the G6 in 2018 and since then, CGMs have become the standard of care for patients with diabetes. Without further The company is pushing to increase sales through pharmacies -- a channel already utilized by Abbott and one that requires lower prices than the distributor channel. “According to Sayer, Dexcom is taking a different approach with the design of the G7 than they did with previous generations of Dexcom CGMs. That pricing doesn’t seem to align with what I was told at ATTD, which was that they were targeting around €120-€130 per month. And that's just one feature of this revolutionary technology. It also says that the user experience delivered by its software platform will be the big differentiator in the future. G7 is a bigger departure from G6 than G6 was from G5.” The cost of the G6, of course, is still prohibitive for many. The last communication from Dexcom on the G7 was that they expected to do a limited roll out in late 2020 with wider roll out in 2021, so it would seem unlikely that G7 will beat these out. Whilst there are no available MARD figures for the system yet, there is a consensus error grid, and the data suggests 100% of the results fall in zones A and B, which isn’t a bad result. It’s also worth noting that they’re talking about a 14 day sensor life. One effect of increasing competition, however, has been pressure on the selling price. Dexcom G6 Starter Kit. As noted in the previous Diabettech article, PocTech had published the following accuracy data, with no source information: Should they be trusted then? I’m even considering self-funding! The Dexcom 7 Continuous Glucose Monitor (CGM) is a standout among its slim competitive field. As far as we can see, Ascensia have picked up where other companies had left off and plan to release it as their CGM offering. According to the AgaMatrix Waveform Cascade CE mark approval press release, we know the following: They also talk about a very customisable app, especially when looking at alarms, which is often a common complaint with Dexcom’s app. About CGM and the Medicare Coverage Criteria CGM devices are considered the most significant breakthrough in diabetes management in the past 40 years 1 and Dexcom has been a leader of those innovations. DexCom G6 Sensors - Pack of 3. We have a primary insurance through the health insurance marketplace (which we got to allow her to continue out of state at at Cleveland Clinic) and her secondary is PA Medicaid. The company estimates it will have about $1.3 billion in … Is it time for investors to bail on DexCom? The company is actively working on its G7 version, which is in clinical trials. Dexcom reportedly stood up its first automated manufacturing line for G7 in San Diego, which will be producing the devices for trialing. ... it will be a lower cost profile for us than G6. The company also raised its full-year guidance for gross margin by a full point to 66%. We’ve seen before that unbacked up statements about accuracy can be wildly out when the devices reach those of us in the real world, and that the reliability of them can also be as big a challenge as the accuracy. The company was the first mover into the market for continuous glucose monitors (CGMs). The transmitter kit has 2 rechargeable transmitters in it (supposedly so you always have one full charged when switching sensors), and they say it has a lifespan of 5 years. But on topic, Waveform system is in Portugal but sold by Menarini but the name is still Glucoman Day CGM. The newly improved sleek and slim Dexcom G6 sensors continuously measure your glucose levels and send that data wirelessly to a display device through a transmitter. Continuous glucose monitoring (CGM) technology is an incredibly useful tool that can improve diabetes management, and the release of Dexcom’s new CGM, the G7 is certainly one to look out for. At the conference, Dexcom highlighted their upcoming next-gen G7 updates. I don’t know the price of the kit because it was offered to me. The website also says that the sensors last for 14 days and are calibration free. from an investment banker report today: DXCM speaks on G7 (its next gen CGM): ABT could have an iCGM designation in the next few months in our view, but our meetings with DXCM yesterday suggest the rising tide thesis remains quite valid.In our meeting w/ DXCM yesterday, management mentioned that they are building manufacturing capacity that would allow them to handle patient … DexCom estimates that pricing will be a $175 million headwind to total revenue in 2020, which it's expecting will come to about $1.9 billion. But calibration at good reading time (stable) can improve accuracy. Refer to Glunovo sensor, we have a chance to try its test version (before i3). Experienced growth investors might want to add a third inescapable truth to that list: Companies with a high-margin, fast-growing market to themselves will eventually see their space invaded by competition. And that's just one feature of this revolutionary technology. There has so far been little communication from Ascensia in relation to cost or availability of this solution, so we await further indications from the company. I haven’t found anyone on any of the diabetes forums who are using this CGM yet. Last month, we chatted with Jake Leach, Dexcom’s chief technology officer (CTO) to get the latest scoop on the release timeline and new features of the Dexcom G7 continuous glucose monitor (CGM), a highly-anticipated diabetes technology that will be released in 2021. Many follow-up questions from our readers prompted us to follow-up further. We talk about issues with the G6 sensors, Medicare, what happened to the Share servers New Year’s Eve and he takes lots of questions from listeners. The Dexcom 7 Continuous Glucose Monitor (CGM) is a standout among its slim competitive field. What is the Dexcom CGM? Let’s remind ourselves of the current environment, with the incumbent behemoth that is Dexcom with their G6, which is widely regarded as the most accurate system on the market. Some of those listed here have already raised questions on that front and it will be interesting to see if the investment from deep pocketed companies has improved this aspect. They are calling it the Glucomen Day CGM. Continuous glucose monitoring company Dexcom projected doubling its revenue within five years, growing from approximately $1.9 billion in 2020 to between $4 billion and $4.5 billion by 2025. For UK users the NHS angle is key as you note – I’m currently Libre (funded) + MiaoMiao and would need a compelling reason to go the self-funding route (I’m not sure what it would take TBH). Sayer promises that they are trying to bring the price down, and I asked him how he’d accomplish that: “One of the easiest ways to bring the cost down is to make the model for getting sensors to people easier. Chris Pierce 10:40 Those features make the G6 the premium model CGM, but Abbott's FreeStyle Libre 2 is a step toward closing the gap. While the device still isn't approved for use in automated insulin dosing systems and the smartphone app hasn't yet been approved by the FDA, the company claims the Libre 2's accuracy is superior to the competition. As a nurse, a person with diabetes and a mom to diabetes my appreciation for this medical technology is tremendous. Diyabet teknolojilerinde önemli bir yere sahip dexcom en son G6 ve G7 modellerinin omnipod horizon ile entegre olmasını sağlamak için insulet ile partner olacağını açıklamıştı. Gross margin actually expanded in the latest quarter to 68%, compared with 62.3% in the period a year earlier. It is an inherently risky play, but it is worth the reward. Notify me of follow-up comments by email. DexCom's customers have been willing to pay up for the advantages of its products. The imagery available online suggests it perhaps looks the most like a Dexcom device. The prices above are cash prices with no insurance. 7) No link to Nightscout. When the Dexcom G6 Sensor is attached to a transmitter it offers real-time glucose readings on your smart device or on the Dexcom G6 Receiver. $26 in one and 90 cents, $26 and 90 cents for a transmitter. Many users are looking at the existing $349 retail cost of a box of four sensors now, and clearly wondering how their overall costs for Dexcom use may change. This may be the Dexcom G5 App on your smart device, the Dexcom G5 Receiver or the t:slim X2 insulin pump^. Dexcom G6 Continuous Glucose Monitoring (CGM) System can show you where your glucose levels are, where they're heading and how fast. Aside from Waveform taking Dexcom to court over patent infringement, and Dexcom winning. Highlights are supposed to be one calibration per day and a transmitter that allows the battery to be replaced, theoretically providing an unlimited life on the transmitter hardware, or at least, until the watertight seal fails. DexCom is still expecting a strong top line in Q4, but the full impact of the competitive pressure hasn't hit yet. This may be the Dexcom G5 App on your smart device, the Dexcom G5 Receiver or the t:slim X2 insulin pump^. Selling CGMs to new populations of potential users, including those in underserved markets outside the U.S., represents huge opportunity for all the players. The reported MARD is apparently 11.92% with one calibration daily (as mentioned in these slides) although in the low range (60-80mg/dl) this widens to 19.28%, so while you may have something non-invasive, it’s not that great when in hypo territory. What are these non-hardware assets worth? More recent ones have resulted in the values at around 11.0%. DexCom says that the coming G7 was designed with low cost in mind, and that the model will give it some flexibility to further lower price while keeping profits up. In addition, it has a 25 minute warm up period and may or may not require calibration (in the submission to the FDA this hasn’t been clarified. So far, there’s no data relating to costs or release dates available on the web. "That said, the non-intensive T2 opportunity will rely on the lower-cost G7 sensor which positions it as a 2021 or beyond growth driver (possibly later if the pivotal trial delays continue)," Rose said. It was accurate enough to be the first CGM approved by the U.S. Food and Drug Administration (FDA) for use in an integrated system with other devices, such as insulin pumps. Is it as good as the G6, anything I should be aware of, etc? Ordered a starter kit this morning, so I’m waiting to see how I get on with it. So if my Glucoman CSVs data and simultaneous G6 CSVs data is useful let me know – fast because I just inserted my last dexcom The G7 is in clinical trials and the company expects it to launch in the second half of 2021. MARD is 11% to 12%. Newbie. The key thing – it’s non-invasive. The Dexcom G6 Continuous Glucose Monitoring System (CGM) is a comprehensive system that has changed the way individuals living with diabetes have monitored and maintained their blood glucose levels. Dexcom patients won't have access to G7, the latest version of the company's popular continuous glucose monitoring (CGM) sensor, in 2020. However you take it, the news looks positive for those with T1D. There’s no data published directly on the press release, however, in 2018, there was an accuracy comparison published that had a small sample size of 15 users, and we assume followed the once daily calibration described as part of their CE mark. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email this to a friend (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Skype (Opens in new window), Click to share on Reddit (Opens in new window). Which insurances cover Dexcom? Hi Janeo8760, I am frustrated as well with the cost, but more with Dexcom’s suppliers. At ATTD 2020, we had the chance to see some of what is on the horizon for Dexcom, including the future Dexcom G7. Reply Tim Dexcom patients won't have access to G7, the latest version of the company's popular continuous glucose monitoring (CGM) sensor, in 2020. With zero fingersticks* required, the Dexcom G6 Continuous Glucose Monitoring (CGM) System allows professional hockey player, Max Domi to keep his gloves on and his head in the game. In addition, there is the annually underperforming Medtronic, with solutions that, when they work are okay, but that they have yet to figure out how to make their CGM manage without at least one, of not two calibrations per day. The U.S. could see that product within the next year or two. Dependent on how you look at it, the model they provide may be useful for people that don’t want constant glucose monitoring, or need it in certain conditions, however, the performance outside of a normal glucose range may limit its use for some. DexCom maintains that it'll continue to have the best CGM hardware on the market as it innovates. Returns as of 12/31/2020. The company is actively working on its G7 … In addition, Medtrum have come to the awareness of many, although my personal experiences with their A… Additionally with Dexcom G5 Share, you can … That would be a question for Partha Kar, who has already hinted at discussions with Dexcom and maybe others via Twitter. Jim bought his first stocks in 1967 with paper route money and has been invested in equities ever since. It can help empower you, your staff, and your patients to make treatment decisions with the accuracy 1 of the personal Dexcom G6 CGM System. With that first-mover position has come a technological advantage that put Abbott and other competitors in catch-up mode. Upload glucose data from a Dexcom CGM device and then view the data in easy-to-read graphs. Could DexCom Be a Millionaire-Maker Stock? Ultimately someone has to be responsible. Sorry, your blog cannot share posts by email. Read more about the G7 here. Good to see more options in the pipeline, as a long time Dexcom user, now with g6 and the tslim x2, I’m concerned they are falling behind, with the latest g6+ transmitters allowing 14 day sensor usage, as far as I know only released in South Africa atm, they seem to be spending more time trying to block people extending the sensors and restarting transmitters than delivering improvements or lower costs. Copyright © 2020 | WordPress Theme by MH Themes. So what does that look like? Taking a step back, Agamatrix WaveForm’s CGM technology was acquired in early 2016 from iSense CGM Inc. and Bayer Healthcare, so isn’t especally new. This question is the only one on this list with a clear answer: yes. And while it might not have the greatest MARD, that’s a very big thing. Last month, we chatted with Jake Leach, Dexcom’s chief technology officer (CTO) to get the latest scoop on the release timeline and new features of the Dexcom G7 continuous glucose monitor (CGM), a highly-anticipated diabetes technology that will be released in 2021. Therefore, if possible, I’d really like to know how you’re getting on with it? I own shares of both companies with no plans to sell. Each image is a copyrighted image of Dexcom, Inc. To briefly look at all of these, we’ll review four points: I’ve previously written about PocTech here. One of the highlights of the various conferences during 2019 has been the slew of new CGM providers that appear to have CE marks (European approval) and are therefore entering the previously uncompetitive market that is CGM. they’ve published quite a bit more recently. I’m really interested in this CGM as £240 per year saving compared to dexcom G6 and less waste when it comes to the rechargeable transmitter, etc. There are a few upstarts and options that have been displayed at a number of events this year, with the following appearing to be the lead examples. DexCom's top line has grown 34% in the first nine months of 2020, despite the decline in selling price for the G6. Limited interference concerns, for example for those taking acetaminophen. Learn More. Messages: 4 Likes Received: 1 Trophy Points: 23. The latest model, the G6, came out in 2018. DEXCOM G6 CONTINUOUS GLUCOSE MONITORING (CGM) SYSTEM. Many follow-up questions from our readers prompted us to follow-up further. The incidence of diabetes is growing worldwide, and CGMs are still in their early days. In the context of these, there seems to be a fairly significant opportunity for the right player at the right price. For this to be the case, the systems named would have to be in discussion with the powers that be at NHS England and also the NHS BSA, and would have to be offering strongly competitive pricing and evidence that what they say they can do is real. Dexcom and Verily are launching the G7, a much thinner, less expensive, fully disposable continuous glucose monitor , in the US in about two years – late 2020 is the current estimate for the launch, followed by broader availability in 2021. Without further It has a CE Mark. Dexcom also accepts out-of-pocket payments, and while the company hasn't revealed the price yet, my G5 costs around $800 up front plus $35 for each sensor, so you can expect to spend a … Probably best tech info on diabetes devices, thanks. This three-pack of Dexcom G6 Sensors is an integral part of the Dexcom CGM system, along with the Dexcom G6 Transmitter and the Dexcom G6 Receiver . The key difference between this option and the others in this list is that it does not have a receiver. In addition, there is the annually underperforming Medtronic, with solutions that, when they work are okay, but that they have yet to figure out how to make their CGM manage without at least one, of not two calibrations per day. Its diabetes business contributes only about 10% of sales. Looks good to me but the device is not available for the public yet. Plus, a look ahead to the smaller G7. Even if some of these don’t ever find their way out to the public, it’s good that the incumbents can’t get entirely complacent. While they’ve displayed at EASD and other conferences, we’ve yet to see launch dates for them, and given that ATTD (the Diabetes technology conference) is taking place from 19-22 February, it’s not too unreasonable to suspect that this is when we’ll see some major launches taking place. Poctech’s unique points are their four electrode sensor that is supposed to enhance accuracy by enabling better management of noise, and the parallel insertion which places the sensor parallel to the skin, reducing the depth to which it is inserted. Needle-free sensor insertion, which is virtually painless and reduces insertion complications observed with other systems, such as bleeding at the insertion site. The price will be €52 per sensor – €104 per month, but that might be only in Portugal. On top of this, there’s the Abbott Freestyle Libre, and Libre 2 in some countries, that while technically not CGM, has sprouted a whole industry of add-ons and hacks to get CGM data out. According to one member on this DiabetesDaily.com forum thread, her insurance was charged $649 for the G4 receiver, $799 for the transmitter and another … DexCom G6 Transmitter. Being developed with Verily, the next-gen G7 product will: Have a faster warm-up time than the current G6 startup window. 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