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DXCM FY2025 Q4 IMPROVING

DexCom, Inc. earnings call

Feb 12, 2026 · 16:30 ET Jake LeachJeremy SylvainShawn Christiansen
Buzzberg read

G7 15-day launched across all US channels with excellent feedback

DexCom reported Q4 2025 results with 13% revenue growth, beating guidance, and provided 2026 guidance of 11-13% growth. Management highlighted strong G7 15-day launch momentum, improving supply chain, and a path to major market expansion via Medicare coverage for type 2 non-insulin patients. They remained focused on innovation, customer experience, and international growth. Q4 2025 revenue grew 13% YoY to $1.26B, driving FY2025 results above the high end of guidance.

Buzzberg read G7 15-day launched across all US channels with excellent feedback DexCom reported Q4 2025 results with 13% revenue growth, beating guidance, and provided 2026 guidance of 11-13% growth. Management highlighted strong G7 15-day launch momentum, improving supply chain, and a path to major market expansion via Medicare coverage for type 2 non-insulin patients. They remained focused on innovation, customer experience, and international growth. Q4 2025 revenue grew 13% YoY to $1.26B, driving FY2025 results above the high end of guidance. Read full analysisCollapse analysis

DexCom reported Q4 2025 results with 13% revenue growth, beating guidance, and provided 2026 guidance of 11-13% growth. Management highlighted strong G7 15-day launch momentum, improving supply chain, and a path to major market expansion via Medicare coverage for type 2 non-insulin patients. They remained focused on innovation, customer experience, and international growth. Q4 2025 revenue grew 13% YoY to $1.26B, driving FY2025 results above the high end of guidance.

  • FY2026 revenue guidance of $5.16B-$5.25B implies 11-13% growth, assuming stable coverage landscape.
  • G7 15-day product is now available across all U.S. channels and is generating positive initial feedback.
  • Management sees a massive opportunity with potential Medicare coverage for type 2 non-insulin patients, which could unlock ~12 million lives.
Revenue $1.2596B reported
EPS $0.68 reported
Gross margin 62.93% reported
Op margin 25.64% reported

What changed this quarter

01
Product Launch

G7 15-day launched across all US channels with excellent feedback

DexCom reported Q4 2025 results with 13% revenue growth, beating guidance, and provided 2026 guidance of 11-13% growth. Management highlighted strong G7 15-day launch momentum, improving supply chain, and a path to major market expansion via Medicare coverage for type 2…

02
Coverage

CMS Medicare coverage for type 2 non-insulin expected soon

Q4 2025 revenue grew 13% YoY to $1.26B, driving FY2025 results above the high end of guidance.

03
International

International market opportunity seen larger than US over time

FY2026 revenue guidance of $5.16B-$5.25B implies 11-13% growth, assuming stable coverage landscape.

04
Guidance

2026 revenue guidance implies mid-to-upper teens unit growth

Guidance · revenue to $5.205B

AI, capex & demand read

AI

Platform & monetization

Management discussed plans to integrate AI into the customer experience, with additional offerings planned in the near future, and mentioned adding more AI insights to technology to potentially drive higher utilization.

Demand

Bookings & conversion

Management sounds positive on its own trajectory, citing strong demand, improved operational execution, and the launch of G7 15-day. They are guiding to continued 11-13% growth in 2026, but the tone is more about sustained momentum than an inflection.

Capex

Investment and capacity

The company is investing in a new Ireland manufacturing facility, with hiring, depreciation, and validation costs expected to impact OpEx in 2026 and then move to COGS when the facility turns on in Q4, positioning for global coverage expansion.

Tone · Confident

Management expressed optimism about growth opportunities, product launches, and international expansion, while acknowledging past challenges and framing them as resolved.

Supply-chain alpha

A1

Dexcom plans to open its Ireland manufacturing facility in Q4 2026, which will shift costs from OpEx to COGS, compressing gross margin in that quarter even as full-year margins expand.

“in the fourth quarter, we turn on Ireland. And so all of those fixed costs... flip to Cox. And so we'd actually expect a decline in our gross margin into the fourth quarter.”
Jeremy Sylvain
A2

Dexcom's new G7 15-day sensor is priced the same as the G7 10-day sensor, meaning it provides a higher-value product to payers without a price increase, which could be a competitive advantage.

“rebate rates... G7 15-day, G7 10-day are effectively the same price. So that, for a month supply... effectively, same revenue per month.”
Jeremy Sylvain
A3

Dexcom anticipates Medicare coverage for type 2 non-insulin patients as a major catalyst, but expects the pricing impact of the related competitive bidding process to kick in around 2028, not immediately.

“We'd expect that to kick in really here more in 2028. So I think that's at least how we're thinking about it in terms of how that unlock would play out.”
Jeremy Sylvain

Forward guidance

ImprovingGuidance · revenue to $5.205B
Forward guidance
MetricPeriodRangeMidpointStatus
Gross marginFY202663%–64%63.5%GUIDED
Op marginFY202622%–23%22.5%GUIDED
RevenueFY2026$5.16B–$5.25B$5.205BGUIDED