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Which is more accurate, the Dexcom G7 or the finger stick?

Published in Blood Glucose Accuracy 3 mins read

While both the Dexcom G7 and traditional finger stick glucometers offer reliable blood glucose readings, the specific accuracy can vary. Generally, finger stick glucometers can offer a slightly lower margin of error at their most accurate, but the Dexcom G7 provides a highly consistent and comparable level of accuracy.

The accuracy of both continuous glucose monitors (CGMs) like the Dexcom G7 and finger stick glucometers is measured using the Mean Absolute Relative Difference (MARD) percentage. A lower MARD percentage indicates higher accuracy.

Understanding Accuracy: Mean Absolute Relative Difference (MARD)

The Mean Absolute Relative Difference (MARD) is a crucial metric for evaluating the accuracy of glucose monitoring devices. It represents the average percentage difference between a device's readings and a highly accurate lab reference measurement. For instance, an 8% MARD means that, on average, a device's reading will be within 8% of the true blood glucose value. The lower the MARD, the more accurate the device.

Accuracy Comparison: Dexcom G7 vs. Finger Stick

When comparing the MARD values:
  • Finger Stick Glucometers: Typically have a MARD ranging from 5% to 10%. This range signifies that while some finger stick devices can be exceptionally accurate (closer to 5%), others might be less precise.
  • Dexcom G7: Demonstrates a MARD of 8.7% over a 10-day sensor wear period.

Here's a breakdown in table format:

Device Type Mean Absolute Relative Difference (MARD)
Finger Stick Glucometer 5% - 10%
Dexcom G7 8.7%

Key Differences and Practical Considerations

Based on these figures, the Dexcom G7's 8.7% MARD falls within the typical range of finger stick glucometers. This means:
  • Potentially More Accurate Finger Sticks: Some individual finger stick glucometers, particularly those performing at the lower end of the 5% MARD range, could be slightly more accurate than the Dexcom G7.
  • Consistent CGM Accuracy: The Dexcom G7 offers a consistent and predictable level of accuracy (8.7%), which is very competitive with the broader range of finger stick devices.
  • Convenience vs. Spot Check:
    • Finger Sticks provide a precise, immediate "spot check" reading at a specific moment. They are often considered the gold standard for calibration or confirming CGM readings, especially during rapid glucose changes or when symptoms don't match CGM readings.
    • CGMs like the Dexcom G7 offer continuous glucose data, showing trends, highs, lows, and how glucose levels change in real-time. This continuous insight is invaluable for understanding glucose patterns, making timely adjustments to diet, activity, or medication, and preventing severe highs or lows.

While a finger stick can give you a single, often highly accurate, snapshot, the Dexcom G7 provides a stream of data that paints a much fuller picture of your glucose management, all without the need for repeated finger pricks. Both methods have their unique strengths and play complementary roles in effective diabetes management.