Rankings / Diagnostics

Continuous glucose monitor (CGM — Dexcom / Libre / Stelo)

Diagnostics · Real-time glucose

Tier B+

fastingprescriptionotc
7.3 / 10
Tier B+
Ev 8.0 Bn 5.0 Sf 9.0 Ax 6.0

What this is

Stelo 2024 launch (Dexcom) and Lingo (Abbott) brought OTC CGM to biohackers. Most informative early finding: individual postprandial responses vary enormously, same 'healthy' meal spikes some people and not others. Target keeping excursions <140 mg/dL and time-in-range high. Watch for sensor drift and calibration issues.

Mechanism

Subcutaneous filament measures interstitial glucose every 1-5 min; shows postprandial peaks invisible to HbA1c and fasting glucose; Dexcom Stelo (OTC 2024) first OTC CGM in US for non-diabetics

Dose & route

Typical wear: 10-14 days per sensor

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.