The Dexcom CGM is a continuous glucose monitoring system developed by Dexcom, Inc., a company specializing in glucose monitoring technology for individuals with diabetes. Several iterations of the Dexcom CGM wearable device have been released, beginning with the Dexcom Short-Term Sensor (STS), followed by the Dexcom Seven and Dexcom Seven Plus. Later models include the Dexcom G4, Dexcom G5, Dexcom G6, and Dexcom G7. The most recently released model, Stelo by Dexcom, is a more affordable option designed for individuals with type 2 diabetes.

Dexcom was founded in 1999 by John Burd and released its first CGM, the Dexcom STS, in 2006 following U.S. Food and Drug Administration (FDA) approval. As of 2025, only the Dexcom G6, Dexcom G7, and Stelo remain available.

The Dexcom Short-Term Sensor, commonly abbreviated as STS, was a three-day continuous glucose monitor designed to provide real-time glucose readings to assist individuals with type 1 (insulin-dependent) diabetes in managing their blood sugar levels. The STS received approval from the FDA in March 2006.

The STS was considered valuable for trend information, but not sufficiently accurate for insulin dosage decisions. The original STS was discontinued in 2007 and 2008 following the release of an improved device, the Dexcom Seven.

The STS-7, better known as the Dexcom Seven, that was introduced to the market in 2007, was the first CGM system to provide a full seven-day wear time, reducing the frequency of sensor changes. Before the introduction of the Dexcom Seven, the company's primary research and development efforts had been focused on creating a fully implantable glucose sensor that could function continuously for periods ranging from one month to an entire year.

The Dexcom Seven Plus, the successor to the original Dexcom Seven, was released in 2010 after obtaining FDA approval earlier that year. The Seven Plus featured improvements in accuracy, and introduced low and high blood sugar alarms, enhancing the system's ability to alert users to potential hypoglycemia and hyperglycemia. Dexcom marketed the Seven Plus as the "GPS of the CGM world." Both the Dexcom Seven and the Dexcom Seven Plus were eventually rendered obsolete and had their FDA approvals withdrawn in 2015 as newer and more advanced Dexcom fCGM systems became available.

In 2012, Dexcom received regulatory approval for the Dexcom G4 Platinum, commonly referred to as the Dexcom G4. This device introduced several aesthetic customization options, including various color choices for the G4 receiver; featured an expanded wireless transmission range of up to twenty feet without obstruction—an improvement over previous continuous glucose monitors; and, had improved accuracy, especially during hypoglycemic episodes. In 2014, the G4 was approved for pediatric use, thereby extending its applicability to younger patients.

In 2015, the Dexcom G5 was introduced. The G5 provided blood glucose readings at five‐minute intervals and was the first device in the Dexcom CGM series to offer direct compatibility with a mobile application. This advancement allowed users to view glucose data on their smartphones, share information via the Dexcom Share app, and track long‐term trends using the Dexcom Clarity app. Both the Dexcom G4 Platinum and the Dexcom G5 were discontinued at the end of 2020.