Dexcom
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Dexcom (DXCM) investor relations material

Dexcom Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary30 Apr, 2026

Executive summary

  • Q1 2026 revenue reached $1.192 billion, up 15% year-over-year, with 12% organic growth, driven by strong global demand, new product launches, and expanded access.

  • U.S. revenue grew 11% to $832.3 million; international revenue rose 26% to $359.6 million, with significant share gains in the U.S. Type 2 diabetes segment and expanded access in key international markets.

  • Launched G7 15-Day system in the U.S. and internationally, receiving positive feedback for improved accuracy and longer wear time; new Smart Meal Logging and Stelo biosensor features introduced.

  • Record global new patient starts in Q1, with U.S. new patient starts near record levels.

  • Free cash flow exceeded $400 million, ending Q1 with $2.42 billion in cash, cash equivalents, and marketable securities.

Financial highlights

  • Q1 2026 worldwide revenue: $1.192 billion (+15% YoY); U.S.: $832.3 million (+11% YoY); International: $359.6 million (+26% YoY reported, 17% organic).

  • Gross profit was $757.4 million (63.5% non-GAAP margin), up from $596.2 million (57.5%) in Q1 2025.

  • Operating income was $264.4 million (22.2% non-GAAP margin), up from $143.1 million (13.8%) year-over-year.

  • Adjusted EBITDA was $364.5 million (30.6% margin), up from $230.4 million (22.2%).

  • Net income was $216.3 million ($0.56 per share non-GAAP), up from $127.7 million ($0.32) in Q1 2025; GAAP net income was $199.5 million ($0.51 per share).

Outlook and guidance

  • 2026 revenue guidance reaffirmed at $5.16–$5.25 billion (11–13% growth).

  • Non-GAAP gross profit margin expected at 63–64%; non-GAAP operating margin at 23–23.5%; adjusted EBITDA margin at 31–31.5%.

  • Margin expansion driven by improved freight, manufacturing efficiencies, and growing G7 15 Day contribution.

  • Guidance reflects caution due to geopolitical risks, fuel prices, and shipping uncertainties.

Drivers for the 840 bps margin expansion
G7 15-day launch impact on US revenue growth
Logic for raising margin but not revenue outlook
RCT impact on CMS coverage and global adoption
G7 15 Day rollout vs fuel and resin cost risks
Stelo international expansion and market entry
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One of the very few apps you could call perfect. If something was to add to it, maybe the share price of the company when you search for it, but it's already excellent.
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