Dexcom Stelo Review: A Game Changer for Diabetes Management

Understanding Continuous Glucose Monitors: A New Approach to Diabetes Management

As the world becomes increasingly health-conscious, wearables like continuous glucose monitors (CGMs) are gaining prominence. In my latest exploration, I've transitioned from monitoring sleep stats to analyzing glucose levels, thanks to the Dexcom Stelo CGM. Over the past two weeks, this device has offered both insights and relief regarding my blood sugar levels.

What is the Dexcom Stelo?

The Dexcom Stelo is one of three FDA-cleared over-the-counter (OTC) CGMs available (the other two coming from Abbott). Traditionally, CGMs have been primarily used by Type 1 diabetics—those who produce little to no insulin. However, the Stelo seeks to expand this tool's utility to Type 2 diabetics, specifically those who do not require insulin for management.

The Purpose Behind OTC CGMs

OTC CGMs like the Stelo aim to support Type 2 diabetics in their journey towards manageable blood sugar levels, potentially reducing or even eliminating the need for medication through lifestyle changes. The device could also be a valuable tool for prediabetics, helping to reverse their condition by tracking how different foods and activities impact glucose levels.

Accessibility and Pricing

A significant barrier to using CGMs is their cost, especially since many health insurance plans don’t cover them for individuals who do not take insulin. Dexcom’s COO, Jake Leach, emphasizes that the Stelo aims to be a more accessible solution. Users can choose to buy a single pack of two sensors for $99 or opt for a subscription model at $89/month for a monthly supply. The Stelo is also eligible for HSA and FSA payments, making it an option for many seeking to manage their health more effectively.

How Does the Stelo Work?

The Stelo operates similarly to CGMs designed for metabolic health optimization, such as Nutrisense. After an easy insertion process, users calibrate the device and can monitor their glucose levels via an intuitive app. The app integrates seamlessly with both iOS and Android platforms, allowing users to sync their exercise and sleep data and log meals manually.

User Experience and Feedback

Based on my initial experience with the Stelo, I found the device user-friendly and the data presented in a clear, structured manner. However, it's essential to remain vigilant while monitoring glucose levels—as I noticed a delay in alerts for glucose spikes, sometimes taking up to an hour after the event. I also found the process of logging meals cumbersome, particularly when cross-referencing with other apps.

Insights and Data Analysis

While I spent approximately 95% of my time within the recommended glucose range, I wanted more tools to analyze my daily glucose patterns. Unfortunately, the temporary version of the app I tested did not provide long-term data analysis, making it challenging to recognize trends to discuss with my doctor.

Personal Empowerment Through Monitoring

My experience with the Stelo has sparked proactive health decisions; I scheduled a doctor's appointment to evaluate my blood sugar levels further. As someone with a family history of Type 2 diabetes and polycystic ovary syndrome—which can increase insulin resistance—monitoring my glucose data is particularly personal for me.

Future Considerations for CGMs in Health Management

Despite some imperfections, the Stelo shows promise in aiding individuals with prediabetes and Type 2 diabetes, particularly when used in conjunction with a healthcare professional. However, as the market evolves, it remains to be seen how widely accepted CGMs will become outside traditional diabetic use. Currently, wellness influencers are promoting CGMs for weight loss and metabolic health fixes, but these claims require further evidence to substantiate their effectiveness.

Conclusion: The Potential of Continuous Glucose Monitoring

Overall, Dexcom has managed to deliver a product that shows potential for accessibility and effectiveness in diabetes management. As I continue to explore the capabilities of the Stelo, I look forward to determining its value in conjunction with professional medical advice. For those wrestling with prediabetes or Type 2 diabetes, this tool may represent a crucial step towards better health outcomes.