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Dexcom (DXCM) investor relations material
Dexcom 44th Annual J.P. Morgan Healthcare Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Strategic Vision, Innovation, and Industry Context
Focus on expanding access to CGM technology globally to address the diabetes crisis, with 589 million adults affected in 2024 and projections reaching 853 million by 2050.
Priorities include being the premier glucose solution, setting the standard for customer experience, and expanding international market share.
Emphasis on continuous innovation, including new product launches like the G7 15-day sensor, Dexcom ONE+, and upcoming G8 system.
Investment in digital experiences, AI-driven features, and partnerships for broader health insights.
Commitment to quality, supply chain resilience, and scalable infrastructure, with Ireland facility on track for Q4 2026 production.
Financial Performance and Guidance
2025 revenue reached approximately $4.662 billion, up 16% year-over-year, with a record 3.5 million active customers (excluding Stelo users).
2026 revenue guidance is $5.16–$5.25 billion, representing 11%–13% growth, with gross margin expected at 63%–64% and operating margin at 22%–23%.
Free cash flow projected at $1 billion and adjusted EBITDA at $1.5 billion for 2026, with over 200 basis points of gross margin expansion.
Stelo, the over-the-counter CGM, contributed $130 million in 2025 revenue and is expected to grow.
Guidance assumes no major coverage expansions in 2026, but ongoing efforts may unlock future growth.
Market Expansion and Clinical Evidence
Less than 2% of the global diabetes population uses CGM, highlighting significant growth potential.
Broadened US coverage with the three largest PBMs, now covering CGM for all diabetes patients, including non-insulin users.
Strong clinical evidence supports CGM use in non-insulin patients, with sustained improvements in A1C and glucose metrics over 12 months.
International wins in Japan, France, Ontario, and Quebec, with anticipated access gains in Western Europe and Australia.
Upcoming randomized controlled trial results for non-insulin users expected to drive further global coverage.
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