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The Dexcom G7: A guide to Dexcom's latest continuous glucose monitor

The Dexcom G7 represents the latest advancement in continuous glucose monitoring technology, building on years of clinical experience while introducing meaningful improvements that address real-world user needs. As Dexcom's newest CGM system available in Canada, the G7 combines enhanced convenience with proven accuracy, offering a streamlined experience for people living with diabetes. This article explores how the G7 works, what sets it apart from previous systems, and whether it might be the right choice for your diabetes management.
Published:
November 28, 2025

Understanding the Dexcom G7 design

The most immediately noticeable change with the G7 is its physical design. Unlike previous systems that used separate sensor and transmitter components, the G7 integrates everything into a single, discreet wearable unit. This all-in-one sensor is roughly 60% smaller than the G6 sensor and transmitter combined, making it less noticeable under clothing and more comfortable during sleep or physical activity. 

The streamlined design eliminates the need to snap a transmitter onto each new sensor. You simply apply the complete unit every 10 days, significantly simplifying the sensor change process. The smaller profile also means less bulk at the insertion site, which many users find particularly valuable during sports, swimming, or other activities where a lower profile matters.

What makes the G7 an advancement

The improvements in the G7 go beyond physical size. Dexcom focused on addressing specific user feedback and clinical needs that emerged from years of real-world G6 use. 

Dramatically faster warmup: The 30-minute warmup time is a substantial improvement over the G6's two-hour wait. This means you can apply a new sensor in the morning and have reliable readings by the time you sit down for breakfast, or change your sensor before bed and wake up with full monitoring in place. For many users, this eliminates the planning and timing concerns that came with the longer warmup period. 

Simplified sensor changes: With no separate transmitter to manage, track, or replace every three months, the G7 reduces the overall complexity of CGM use. You apply a complete new sensor unit every 10 days, and that's it. There's no wondering if your transmitter battery is getting low or keeping track of when you last replaced it. 

Grace period option: When your 10-day sensor session ends, the G7 offers an optional 12-hour grace period. If you choose to use it, you can continue wearing your sensor for up to 12 additional hours while it continues to provide readings. This flexibility helps if you're traveling, in an important meeting, or simply not ready to change your sensor at that exact moment. You maintain continuous monitoring while you find a convenient time for the change. 

Maintained accuracy with faster response: Clinical studies show the G7 maintains the high accuracy standards established by the G6, with a mean absolute relative difference (MARD) of approximately 8.2% in adults and 8.1% in pediatric users. The faster warmup doesn't compromise measurement quality.

Dexcom G7 vs. Dexcom G6: Key differences

If you're currently using the G6 or considering which Dexcom system to choose, this comparison will help you understand the practical differences between these two systems.

Feature Dexcom G7 Dexcom G6
Design All-in-one sensor (60% smaller overall) Two-part system with separate sensor and transmitter
Warmup time 30 minutes 2 hours
Sensor wear time 10 days (with optional 12-hour grace period) 10 days per sensor
Transmitter management None (integrated into each sensor) Reusable transmitter replaced every ~3 months
Accuracy (MARD) ~8.2% (adults), ~8.1% (pediatric) ~9% (all age groups)
Profile/size Smaller, more discreet Larger combined sensor + transmitter
Calibration Factory calibrated (no routine fingersticks) Factory calibrated (no routine fingersticks)
Reading frequency Every 5 minutes Every 5 minutes
Age range Ages 2 years and older Ages 2 years and older
Water resistance Up to 8 feet (2.4 m) for 24 hours Up to 8 feet (2.4 m) for 24 hours
Glucose display range 40 to 400 mg/dL 40 to 400 mg/dL
Phone compatibility Selected Android and iOS devices Selected Android and iOS devices
Pump compatibility (Canada) Tandem t:slim X2 with Control-IQ, Omnipod 5, Tidepool Loop and other AID systems Tandem t:slim X2 with Control-IQ, Omnipod 5, others
Monthly supply management Sensors only Sensors + periodic transmitter orders

Which system should you use?

For many users, the G7 represents a meaningful improvement in convenience without compromising the accuracy and reliability established by the G6. Both G6 and G7 now support major AID systems in Canada (assuming current pump firmware), so the choice often depends on personal preference, coverage, and device features.

Choose the G7 if:

  • Want the smallest, most discreet sensor design 
  • Value the 30-minute warmup for greater flexibility
  • Prefer simplicity without transmitter management
  • Use CGM as a standalone system or with multiple daily injections
  • Are planning AID with a pump that now supports G7 (most current Tandem/Omnipod 5 users in Canada) 

Choose the G6 if: 

  • Are on an older AID setup or pump firmware that hasn't yet been updated for G7
  • Your insurance or coverage specifically requires G6
  • You've had excellent results with G6 and prefer to continue what's working
  • Your diabetes clinic specifically supports and trains on G6

Daily life with the Dexcom G7

Every 10 days, you apply a fresh G7 sensor using the integrated one-button applicator. The insertion process is quick and designed to be as comfortable as possible. Approved wear sites include:

  • Ages 7 and older: Back of the upper arm (and, in some Canadian materials, abdomen)
  • Ages 2-6: Back of the upper arm or upper buttocks

Each sensor provides 10 days of continuous monitoring. After a two-hour warmup period, the sensor works continuously until the 10-day session ends, at which point it automatically stops and you must start a new sensor.

Always follow the latest instructions from Dexcom Canada or your local regulator on approved wear sites, as these may change over time.

The 30-minute warmup begins immediately after application. During this brief period, the sensor calibrates itself and stabilizes. After warmup, the system provides continuous readings for the full 10-day session. When the session ends, you have the option to use the 12-hour grace period to extend monitoring until you're ready to apply a new sensor.

Maintaining good adhesion

To ensure your sensor stays securely attached for the full wear period, preparation matters. Clean the insertion site thoroughly with soap and water, avoiding any lotions, oils, or moisturizers that might interfere with adhesion. Let the area dry completely before application. 

Many users find that applying the sensor in the evening allows adhesive to set overnight, potentially improving overall adhesion during the 10-day session. If you engage in vigorous exercise, swimming, or activities that cause heavy sweating, you might consider using an overlay patch for additional security. Skin barrier wipes can help if you experience irritation or have sensitive skin.

Understanding CGM readings

The G7 measures glucose in the interstitial fluid (the fluid between your cells) rather than directly in your blood. This creates a physiological lag of approximately 5-10 minutes between changes in blood glucose and what the CGM displays. During stable glucose periods, this lag is minimal. During rapid rises or falls (such as after eating or during exercise), you may notice the CGM reading differs from a fingerstick test taken at the same moment. This is normal and affects all CGM systems. 

Trend arrows indicate rate of change:

  • Flat arrow (→): Glucose changing slowly (less than 1 mg/dL per minute)
  • Single arrow up (↑) or down (↓): Moderate rate of change (1-2 mg/dL per minute)
  • Double arrows up (↑↑) or down (↓↓): Rapid change (more than 2 mg/dL per minute)

Exact arrow definitions are given in the Dexcom G7 user guide; the speeds above are practical approximations used in many clinical education materials. The arrow is often more important than the number itself. A glucose of 140 mg/dL with a flat arrow might not require action, while the same 140 mg/dL with double arrows down could mean you need to act quickly to prevent a low.

Alerts and alarms

You can customize high and low glucose alerts to match your management goals. The Urgent Low Soon alert warns you when the system predicts you'll reach 55 mg/dL within approximately 20 minutes, giving you time to treat and prevent severe hypoglycemia. 

You can adjust alert settings based on your schedule and preferences while the system maintains essential safety alerts.

Analyzing patterns with Dexcom Clarity

Dexcom Clarity helps you identify meaningful patterns over days and weeks. The Ambulatory Glucose Profile (AGP) overlays multiple days onto a single 24-hour timeline, revealing consistent patterns that might not be obvious when looking at individual days. 

Clarity reports show time in range, time above and below range, glucose variability, and a Glucose Management Indicator (GMI, sometimes historically called "estimated A1C"), along with trends that warrant attention. Your diabetes care team can review these reports between appointments to make proactive adjustments to your treatment plan.

Sharing data with others 

The Dexcom Follow app lets you share your real-time glucose data with up to 10 followers who can receive alerts and monitor your readings. This provides peace of mind for parents monitoring children with diabetes, partners providing overnight support, and caregivers. You control who follows your data and what alerts they receive.

Clinical performance

The G7's clinical validation demonstrates high accuracy with a MARD of approximately 8.2% in adults and 8.1% in pediatric participants. Accuracy remained consistent across all glucose ranges and throughout the full 10-day wear period. 

Randomized trials such as DIAMOND and GOLD (using earlier Dexcom G4 CGM systems) demonstrated improved A1C, more time in range, less hypoglycemia, and better quality of life compared with fingerstick-only management. Given that G7 is more accurate than these older systems, it is reasonable to expect at least similar clinical benefits when used consistently, though long-term outcome data with G7 specifically are still evolving.

Who should consider the Dexcom G7?

The G7 is indicated for people with diabetes ages 2 and older, including those with type 1, type 2, and gestational diabetes. While it's approved for all types of diabetes, it's most commonly prescribed for those on intensive insulin therapy (multiple daily injections or insulin pump therapy) because they can make immediate use of the detailed, real-time glucose information. 

Successful use requires the ability to apply sensors, understand when readings might be inaccurate, respond appropriately to alerts, and basic device operation skills. As such, the system is not suitable for children under 2, or anyone unable to recognize and respond to hypoglycemia. High doses of acetaminophen (more than 1,000 mg every 6 hours in adults) can make Dexcom readings falsely higher than your actual blood sugar. If you routinely need high-dose acetaminophen or medications like hydroxyurea that interfere with CGM accuracy, work closely with your diabetes team and use fingerstick testing for critical decisions.

Costs and coverage in Canada

G7 sensors: In Canada, out-of-pocket pharmacy prices for Dexcom G7 sensors typically range around $84-$104 CAD per 10-day sensor (about $250-$310 per month for three sensors), with some pharmacies such as Costco on the lower end of that range. Dexcom Canada also offers a patient benefit/copay program that can provide up to 20% off the pharmacy sensor price.

Optional receiver: A G7 receiver usually costs in the range of $60-$80 CAD if needed.

Actual costs vary by province, pharmacy, and insurance coverage, so always verify your own pricing. Many private insurance plans cover CGM for people on intensive insulin therapy. Provincial coverage programs differ substantially across Canada.

Before ordering, verify your specific insurance coverage, provincial program eligibility, and out-of-pocket costs.

Getting started with the Dexcom G7

Getting started with the Dexcom G7 generally involves a few steps. A prescription is required when using insurance or provincial coverage programs, but it is not required for out-of-pocket purchases.

  • Prescription and consultation (for insurance-covered use): Discuss with your diabetes care team whether CGM is appropriate for your treatment regimen and goals.
  • Out-of-pocket purchases (no prescription required): If you are paying without insurance or provincial program coverage, the Dexcom G7 can be obtained without a prescription.
  • Verify coverage: Check provincial program eligibility and private insurance coverage, including any prior authorization requirements.
  • Training and onboarding: Dexcom provides video tutorials, printed guides, and phone support. Your diabetes clinic may offer hands-on training.

Timelines vary depending on insurance and pharmacy processing; some people start within a few weeks, others may wait longer depending on coverage approval.

Endor carries the Dexcom G7

Endor Health makes it simple to access the Dexcom G7 with fast delivery and comprehensive support. We guide you through the entire process, from verifying coverage to getting your first sensor up and running. Download the Endor Health app to get started with the G7.

References

  1. Dexcom, Inc. Dexcom G7 CGM System User Guide. Retrieved from https://www.dexcom.com/
  2. Martens, T., Beck, R.W., Bailey, R., et al. (2021). Effect of continuous glucose monitoring on glycemic control in patients with type 2 diabetes treated with basal insulin: A randomized clinical trial. JAMA, 325(22), 2262-2272. https://doi.org/10.1001/jama.2021.7444
  3. Laffel, L.M., Kanapka, L.G., Beck, R.W., et al. (2020). Effect of continuous glucose monitoring on glycemic control in adolescents and young adults with type 1 diabetes: A randomized clinical trial. JAMA, 323(23), 2388-2396. https://doi.org/10.1001/jama.2020.6940
  4. Beck, R.W., Riddlesworth, T., Ruedy, K., et al. (2017). Effect of continuous glucose monitoring on glycemic control in adults with type 1 diabetes using insulin injections: The DIAMOND randomized clinical trial. JAMA, 317(4), 371-378. https://doi.org/10.1001/jama.2016.19975

The information in this article is for educational purposes only and should not replace advice from your healthcare provider. Always consult with your diabetes care team before making changes to your diabetes management. 

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