Best CGMs in 2025 – The Complete Guide
The development of continuous glucose monitors (CGMs) has transformed diabetes care by allowing people to track their glucose levels continuously without the need to perform regular fingerstick tests. The CGM market continues to experience rapid growth during 2025 because of outstanding improvements in precision alongside better user interface and expanded availability. This complete guide assists users in selecting the best CGM according to their management requirements and lifestyle needs.
The Current State of CGM Technology in 2025
The CGM market during 2025 shows remarkable technological progress and greater availability for users. Recent clinical studies have shown that modern CGMs can significantly lower A1C levels and help users spend more time in their target glucose range. People who do not use insulin can now purchase glucose monitors over the counter which expands the potential number of users substantially.
Research indicates that CGMs now provide predictive alerts with seamless smartphone integration and improved comfort which makes them essential tools for managing both Type 1 and Type 2 diabetes.
Top CGM Devices in 2025: Complete Comparison
Dexcom G7: The Accuracy Leader
The Dexcom G7 maintains its position as the leading CGM for accuracy in 2025 based on clinical testing that demonstrated exceptional results across various performance metrics.
Key Features:
- Accuracy: 8.2% MARD (Mean Absolute Relative Difference)
- Wear Time: 10 days with 12-hour grace period
- Warm-up Time: Just 30 minutes (fastest in class)
- Age Range: 2 years and up
- Integration: Compatible with multiple insulin pumps and AID systems
Pros:
- Most accurate CGM available
- Predictive “Urgent Low Soon” alerts (20 minutes advance warning)
- Direct Apple Watch connectivity
- Customizable “Delay 1st High Alert” to prevent insulin stacking
- Can make treatment decisions immediately after warm-up
Cons:
- Higher cost for uninsured patients
- Shorter wear time compared to some competitors
- Requires sensor replacement every 10 days
Best For: Users prioritizing accuracy, those using insulin pumps, and people who need predictive low glucose alerts. Check out my full Dexcom G7 review!
FreeStyle Libre 3: The Budget-Friendly Choice
Abbott’s FreeStyle Libre 3 offers an excellent balance of performance and affordability, making it one of the most popular CGMs globally.
Key Features:
- Accuracy: 8.9% MARD
- Wear Time: 14 days
- Warm-up Time: 60 minutes
- Age Range: 4 years and up
- Size: Ultra-slim profile (world’s smallest CGM)
Pros:
- Most affordable CGM option
- 14-day wear time
- No calibration required
- Real-time readings sent every minute
- Excellent for swimming and water activities
Cons:
- Less accurate than Dexcom G7
- Cannot make treatment decisions in first 12 hours
- Limited AID system compatibility
- Only one Bluetooth connection at a time
Best For: Budget-conscious users, those seeking longer wear time, and people who prioritize discretion.
Medtronic Simplera: The Hypoglycemia Detective
Medtronic’s newest sensor represents a significant improvement over their previous Guardian 4, particularly excelling at low glucose detection.
Key Features:
- Accuracy: 11.6% MARD overall, excellent for hypoglycemia detection
- Wear Time: 7 days
- Age Range: 2 years and up
- Integration: Works with MiniMed 780G and other Medtronic systems
Pros:
- Best-in-class hypoglycemia detection (93% of low events detected)
- Integrated with Medtronic’s SmartGuard technology
- Flat, square design for comfort
- Excellent for users prone to dangerous lows
Cons:
- Shortest wear time at 7 days
- Less reliable for high glucose events
- Takes longer to stabilize after insertion
- Higher MARD compared to top competitors
Best For: Medtronic pump users and individuals with frequent hypoglycemic episodes.
Eversense 365: The Year-Long Solution
The Eversense 365 stands apart as the only implantable CGM with a full year of wear time, offering a unique solution for users tired of frequent sensor changes.
Key Features:
- Accuracy: 8.8% MARD
- Wear Time: 365 days (1 full year)
- Installation: Requires minor surgical procedure by healthcare provider
- Calibration: Requires calibration twice daily
Pros:
- Longest wear time available
- No adhesive-related skin issues
- Excellent for swimming and contact sports
- High user satisfaction once established
Cons:
- Requires surgical insertion and removal
- Most expensive upfront cost
- Daily calibrations needed
- Limited integration with other diabetes devices
- Not suitable for MRI scans
Best For: Users who want to minimize sensor changes, those with adhesive allergies, and individuals leading very active lifestyles.
Dexcom Stelo: The Over-the-Counter Game Changer
Launched in 2024, Stelo represents the first over-the-counter CGM available without prescription, opening CGM technology to a broader audience.
Key Features:
- Target Users: Adults with Type 2 diabetes not on insulin
- Wear Time: 15 days per sensor
- Cost: $89-99 per month (2-sensor pack)
- Availability: No prescription required
Pros:
- No prescription needed
- HSA/FSA eligible
- Good accuracy for non-prescription device
- Affordable compared to prescription CGMs
- Easy online ordering
Cons:
- Limited to Type 2 diabetes patients not on insulin
- No integration with insulin delivery systems
- Fewer customization options than prescription CGMs
- Not covered by insurance
Best For: People with Type 2 diabetes not on insulin, those interested in metabolic health tracking, and users wanting to try CGM technology without medical visits.
Detailed Accuracy Comparison: 2025 Clinical Study Results
Recent independent research published in the Journal of Diabetes Science and Technology compared the three leading CGM systems in real-world conditions. The head-to-head study involved 24 adults with Type 1 diabetes wearing all three sensors simultaneously.
Overall Accuracy Rankings (MARD vs Lab Reference)
| Device | Overall MARD | First Day MARD | Low Glucose Detection | High Glucose Detection |
|---|---|---|---|---|
| Dexcom G7 | 12.0% | 12.8% | 80% | 99% |
| FreeStyle Libre 3 | 11.6% | 10.9% | 73% | 99% |
| Medtronic Simplera | 11.6% | 20.0% | 93% | 85% |
Key Accuracy Insights:
Most Stable from Day One: FreeStyle Libre 3 showed the most consistent accuracy immediately after insertion, making it ideal for users who need reliable readings from the start.
Best for Hypoglycemia: Medtronic Simplera detected 93% of low glucose events, significantly outperforming competitors in this critical safety area.
Most Consistent Overall: Dexcom G7 and FreeStyle Libre 3 maintained steady performance across all glucose ranges, while Simplera struggled with high glucose events.
Cost Analysis: What You’ll Really Pay in 2025
With Insurance Coverage
| Device | Monthly Cost (Insured) | Most Common Copay | Medicare Coverage |
|---|---|---|---|
| Dexcom G7 | $0-50 | $0 (most patients) | Yes, 80% coverage |
| FreeStyle Libre 3 | $40-80 | $40 | Yes, 80% coverage |
| Medtronic Simplera | $50-100 | $50 | Yes, varies by plan |
| Eversense 365 | $199-400 | $199 | Limited coverage |
| Dexcom Stelo | $89-99 | Not covered | Not applicable |
Without Insurance (Annual Costs)
| Device | Annual Cost | Monthly Average | Available Discounts |
|---|---|---|---|
| Dexcom G7 | $5,000-6,000 | $400-500 | Up to $200/month savings |
| FreeStyle Libre 3 | $1,950-2,400 | $160-200 | Free trial sensors |
| Medtronic Simplera | $3,500-4,200 | $290-350 | Patient assistance programs |
| Eversense 365 | $6,000-8,000 | $500-650 | Annual payment discounts |
| Dexcom Stelo | $1,068-1,188 | $89-99 | HSA/FSA eligible |
Money-Saving Tips:
- Check Insurance Coverage: Most plans cover CGMs for insulin users with prior authorization
- Use Manufacturer Programs: All major brands offer patient assistance programs
- Consider HSA/FSA: Tax-advantaged accounts can cover CGM costs
- Try Free Samples: Most manufacturers offer free trial sensors for new users
- Compare Pharmacy vs. DME: Pricing can vary significantly between pharmacy and durable medical equipment coverage
Features Comparison Table
| Feature | Dexcom G7 | Libre 3 | Simplera | Eversense 365 | Stelo |
|---|---|---|---|---|---|
| Warm-up Time | 30 minutes | 60 minutes | 60 minutes | 24 hours* | 60 minutes |
| Wear Duration | 10 days | 14 days | 7 days | 365 days | 15 days |
| Water Resistance | 8 feet/24 hrs | 3 feet/30 min | 8 feet/24 hrs | Unlimited** | 3 feet/30 min |
| Smartphone App | ✓ | ✓ | ✓ | ✓ | ✓ |
| Apple Watch Direct | ✓ | ✗ | ✗ | ✗ | ✗ |
| Predictive Alerts | ✓ | ✗ | ✓ | ✗ | ✗ |
| AID Integration | Multiple | Limited | Medtronic only | ✗ | ✗ |
| Age Minimum | 2 years | 4 years | 2 years | 18 years | 18 years |
| Calibration Required | ✗ | ✗ | ✗ | ✓ (2x daily) | ✗ |
*After initial surgical insertion **Transmitter only; sensor is fully implanted
User Experience Insights: Real-World Feedback
Comfort and Wearability
Most Comfortable: The FreeStyle Libre 3 stands out as the most comfortable option because its slim profile and 14-day wear duration creates the best wearing experience for users.
Best for Active Lifestyles: Eversense 365 users prefer their system because it eliminates adhesive patches while they enjoy sports and swim without sensor detachment concerns.
Easiest Insertion: The spring-loaded applicator of Dexcom G7 achieves top marks for its single-handed painless insertion process.
App Experience Rankings
- Dexcom G7: Most comprehensive app with excellent data visualization and sharing capabilities
- FreeStyle Libre 3: Clean, intuitive interface with solid reporting features
- Medtronic Simplera: Good integration with Medtronic ecosystem but limited third-party connectivity
- Eversense 365: Basic functionality but reliable performance
- Dexcom Stelo: Simplified interface focused on trends and patterns rather than medical management
Customer Support Experience
Best Overall Support: Dexcom receives consistently high ratings for customer service, technical support, and replacement sensors.
Most Responsive: Abbott (FreeStyle) offers 24/7 support with generally quick resolution times.
Most Comprehensive Resources: Medtronic provides extensive educational materials and integration support for pump users.
Choosing the Right CGM: Decision Framework
Dexcom G7 if you:
- Prioritize accuracy above all else
- Use or plan to use an insulin pump
- Need predictive low glucose alerts
- Want direct smartwatch connectivity
- Have good insurance coverage
FreeStyle Libre 3 if you:
- Want the most affordable option
- Prefer longer wear time (14 days)
- Have a more predictable glucose pattern
- Are new to CGM technology
- Want minimal disruption to daily routine
Medtronic Simplera if you:
- Already use Medtronic insulin pumps
- Experience frequent hypoglycemic episodes
- Want integrated diabetes management system
- Prioritize low glucose detection over overall accuracy
Eversense 365 if you:
- Are tired of frequent sensor changes
- Have adhesive allergies or skin sensitivities
- Lead a very active lifestyle
- Can commit to twice-daily calibrations
- Want to minimize diabetes device visibility
Dexcom Stelo if you:
- Have Type 2 diabetes and don’t use insulin
- Want to try CGM without prescription requirements
- Are interested in metabolic health optimization
- Prefer to purchase directly rather than through insurance
- Want an entry point into CGM technology
Practical Tips for CGM Success
Skin Preparation
- Clean the area with soap and water (avoid alcohol wipes immediately before insertion)
- Consider skin adhesives for extended wear
- Rotate insertion sites to prevent tissue buildup
- Use hypoallergenic patches if you experience skin reactions
Maximizing Accuracy
- Avoid areas with scar tissue or lipodystrophy
- Stay hydrated to maintain interstitial fluid levels
- Don’t compress the sensor during sleep
- Follow manufacturer guidelines for calibration when required
Data Management
- Set up data sharing with healthcare providers
- Review weekly patterns rather than obsessing over individual readings
- Use trend arrows for treatment decisions, not just numbers
- Keep a backup glucose meter for confirmation when needed
Looking Ahead: CGM Technology Trends for Late 2025
Extended Wear Times
Expect to see more 14-day sensors from various manufacturers, with some pushing toward monthly wear periods.
Improved Integration
Better smartphone integration and direct connectivity with fitness trackers and health apps will continue expanding.
Enhanced Predictive Capabilities
Machine learning algorithms will provide more accurate predictions of glucose trends and personalized recommendations.
Increased Accessibility
More over-the-counter options and insurance coverage expansion will make CGMs available to broader populations.
Conclusion: The Best CGM for You
The best CGM in 2025 ultimately depends on your individual needs, lifestyle, and healthcare goals. For maximum accuracy and advanced features, the Dexcom G7 remains the gold standard. The FreeStyle Libre 3 provides excellent value to budget-conscious users who need longer wear time duration. The Medtronic Simplera stands out for users who experience repeated low blood glucose episodes while the Eversense 365 offers worth to users who want to avoid sensor replacements.
CGM technology shows fast development so your current best option may transform when new products emerge to the market. Your healthcare provider needs your collaboration to choose the CGM device which best matches your diabetes management requirements along with your preferred way of life.
Diabetes management shows increasing promise as CGM technology advances glucose control and reduces complications while enhancing the life quality of millions across the world.
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