FDA Approves First OTC Continuous Glucose Monitor (2024)

The US Food and Drug Administration (FDA) has cleared Dexcom's Stelo Glucose Biosensor System as the first over-the-counter continuous glucose monitoring (CGM) system.

Unlike Dexcom's G6 and G7 CGM systems, the Stelo is intended for adults with or without diabetes who don't use insulin. "Importantly, this system is not for individuals with problematic hypoglycemia as the system it not designed to alert the user to this potentially dangerous condition," The FDA said on March 5, 2024 in a statement.

The Stelo system comprises a wearable sensor paired with an application installed on a smartphone or other reader device. It continuously measures, records, analyzes, and displays glucose values every 15 minutes. Each sensor can be worn for up to 15 days before it must be replaced. It is not intended to be used to make medical decisions without first checking with a healthcare provider.

Study data showed that the device performed similarly to other integrated CGMs, with similarly low adverse event rates.

"CGMs can be a powerful tool to help monitor blood glucose. Today's clearance expands access to these devices by allowing individuals to purchase a CGM without the involvement of a healthcare provider," said Jeff Shuren, MD, JD, director of the FDA's Center for Devices and Radiological Health.

"Giving more individuals valuable information about their health, regardless of their access to a doctor or health insurance, is an important step forward in advancing health equity for US patients," Shuren said.

Stelo will be available without a prescription starting summer 2024, according to the company website.

Miriam E. Tucker is a freelance journalist based in the Washington, DC area. She is a regular contributor to Medscape, with other work appearing in The Washington Post, NPR's Shots blog, and Diatribe. She is on X (formerly Twitter) @MiriamETucker.

FDA Approves First OTC Continuous Glucose Monitor (2024)

FAQs

FDA Approves First OTC Continuous Glucose Monitor? ›

The US Food and Drug Administration (FDA) has cleared Dexcom's Stelo Glucose Biosensor System as the first over-the-counter continuous glucose monitoring (CGM) system. Unlike Dexcom's G6 and G7 CGM systems, the Stelo is intended for adults with or without diabetes who don't use insulin.

What is the FDA approves first OTC continuous glucose monitor? ›

The Stelo Glucose Biosensor System is manufactured by Dexcom and will be available in the US this summer.

When will OTC CGM be available? ›

Dexcom's FDA-cleared Stelo CGM will be available in summer 2024. It'll be the first over-the-counter (OTC) option in the U.S., making CGMs more accessible. It's thought CGMs may help people shape lifestyle choices to improve their health.

When was the first CGM approved? ›

In 1999, the U.S. Food and Drug Administration approved the first “professional” CGM, with which the patient was blinded to glucose data collected for 3 days, and then the information was downloaded in the health care provider's office for review.

What is the new over-the-counter glucose monitor? ›

The Stelo Glucose Biosensor System uses a wearable sensor, paired with an application installed on a user's smartphone or other smart device, to continuously measure, record, analyze and display glucose values in people 18 years and older that are not on insulin and who do not have problematic hypoglycemia.

Are OTC approved by FDA? ›

Nonprescription drug products may be marketed via two pathways: an OTC monograph or the drug approval process (i.e., new drug application [NDA] or abbreviated new drug application [ANDA]). OTC monographs are regulations the FDA has been establishing since 1972.

Can you buy Libre 2 sensor over-the-counter? ›

While you can buy the FreeStyle Libre 2 at pharmacies, you cannot purchase this system over the counter.

Is the Dexcom going OTC? ›

Dexcom has received clearance for the first over-the-counter (OTC) glucose sensor in the U.S. The Food and Drug Administration cleared the device, Stelo, for use by people 18 years and older who are not on insulin therapy after seeing evidence that it performs similarly to other continuous glucose monitors (CGMs).

When will the Dexcom G7 be available over the counter? ›

Stelo will be available for purchase online without a prescription starting summer 2024.

What is the lowest cost CGM? ›

Abbott's FreeStyle Libre 2 is one of the most affordable CGMs and may cost you up to 70% less than other devices. As mentioned above, according to the FreeStyle Libre 2 website, most people with commercial health insurance pay around $65 for the reader and $0 to $60 for the sensors monthly.

Can you get a CGM over-the-counter? ›

Are there any OTC continuous glucose monitors (CGMs)? Yes, there is an OTC CGM. In March 2024, the FDA cleared Dexcom's Stelo Glucose Biosensor System for OTC use.

What is the longest lasting CGM device? ›

The Eversense E3 is an implantable CGM that can be used for 180 days before replacement. The components of the CGM include: Implantable sensor. The sensor is inserted under the skin of the upper arm (and removed) every six months by a trained healthcare provider.

Why are non diabetics using CGM? ›

The motivation behind people without diabetes wearing CGMs is to (1) improve their glucose patterns and avoid diabetes, prediabetes, or other states of glycemic fluctuations that are outside of the typical normal range; (2) optimize their blood glucose concentrations to achieve peak mental or physical performance; and ...

When will CGM be available in OTC? ›

Starting summer 2024, individuals across the US will be able to purchase a continuous glucose monitor (CGM) without needing a prescription.

Is the FDA approves OTC continuous glucose monitor? ›

On March 5, 2024, the US Food and Drug Administration (FDA) granted clearance to market the first over-the-counter (OTC) continuous glucose monitor (CGM). Dexcom's Stelo Glucose Biosensor System (Stelo) is an integrated CGM (iCGM) designed for individuals 18 years and older who do not use insulin.

Which CGM does not require a prescription? ›

The Stelo glucose monitor. [Image courtesy of Dexcom] Dexcom (Nasdaq:DXCM) announced today that the FDA cleared its Stelo glucose biosensor that does not require a prescription. This marks the first FDA clearance for a continuous glucose monitoring (CGM) technology for over-the-counter use.

When was Zegalogue FDA approved? ›

Today, June 24, 2021, Zealand Pharma announced that Zegalogue® (dasiglucagon) is commercially available in the U.S. in an auto-injector and prefilled syringe, after receiving FDA approval on March 22, 2021.

What was the first Dexcom CGM? ›

In 2006, Dexcom received U.S. Food and Drug Administration (FDA) approval and launched the Dexcom STS Continuous Glucose Monitoring System, which is a three-day sensor that provides up to 288 glucose measurements for every 24 hours.

When was FreeStyle Libre 3 FDA approved? ›

Abbott's FreeStyle Libre® 3 Receives U.S. FDA Clearance - Features World's Smallest, Thinnest and Most Accurate 14-Day Glucose Sensor - May 31, 2022.

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