CGM is a sensor placed on the arm or abdomen that reads glucose from interstitial fluid every 1–5 minutes. Bluetooth-connected to a phone app.

Summary

CGM = no finger pricks. 14-day disposable sensors typically $50–80. Standard for type 1, growing in type 2 and metabolic health.

Popular models (2026)

ModelWearCalibrationApprox price
FreeStyle Libre 314 daysFactory$50–70/sensor
Dexcom G710 daysFactory$80–100/sensor
Medtronic Guardian 47 daysDaily$80–120/sensor
Eversense (implant)180 days2x daily$1000–1500/year

Who should use it?

  • Type 1 diabetes (standard)
  • Insulin-using type 2
  • Frequent hypoglycemia
  • Gestational diabetes
  • Prediabetes (motivation)
  • Anyone interested in metabolic health

Pros

  • 288 readings/day vs 4–8 finger pricks
  • Trend arrows
  • Hypoglycemia alarms
  • Time in Range tracking
  • See food/exercise effects

Cons

  • Cost ($1000–2000/year)
  • Skin irritation (~5%)
  • Compression hypoglycemia
  • Lag in fast changes
  • Water/sauna limitations

Time in Range targets

GroupTIR (70–180 mg/dL)
Type 1/Type 2 adult> 70%
Elderly / at-risk> 50%
Pregnancy> 70% (63–140)

Frequently asked questions

Does CGM hurt?

Insertion uses a thin filament ~5mm. Most users report no pain.

Is CGM covered by insurance?

Type 1 typically covered. Type 2 coverage varies. Check your plan.

I don't have diabetes — should I wear one?

No medical necessity, but valuable for behavior change in metabolic health. Consult a clinician.

Do I still need finger pricks with CGM?

Modern factory-calibrated CGMs don't require routine finger pricks.


Medical disclaimer: This content is for educational purposes only and does not replace individual medical advice.