DexCom Q4 2025 Earnings Call Insights
Written by Emily J. Thompson, Senior Investment Analyst
Updated: 1 hour ago
0mins
Should l Buy DXCM?
Source: seekingalpha
- Significant Revenue Growth: DexCom reported $1.26 billion in revenue for Q4 2025, reflecting a 13% increase year-over-year, exceeding the high end of its guidance, driven by strong new customer demand and positive sales trends, with 2026 revenue expected to reach between $5.16 billion and $5.25 billion, representing an 11% to 13% growth.
- Product Innovation Driving Demand: The broad rollout of the G7 15 Day system has generated significant interest among customers and prescribers, with management highlighting its positive market reception, which is expected to further drive revenue growth and enhance market share.
- Operational Efficiency Improvements: The company successfully increased its gross margin to 63.5%, up from 59.4% in the previous year, by optimizing its supply chain and establishing more efficient shipping routes, demonstrating the effectiveness of operational enhancements.
- International Market Expansion: DexCom plans to introduce Stelo and a new CGM system to international markets in 2026, aiming to expand its market share, particularly in strong markets like France, which is expected to provide ongoing growth momentum for the company.
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Analyst Views on DXCM
Wall Street analysts forecast DXCM stock price to rise
23 Analyst Rating
19 Buy
3 Hold
1 Sell
Strong Buy
Current: 68.150
Low
68.00
Averages
84.81
High
112.00
Current: 68.150
Low
68.00
Averages
84.81
High
112.00
About DXCM
DexCom, Inc. is a medical device company. The Company is primarily focused on the design, development, and commercialization of continuous glucose monitoring (CGM), systems for the management of diabetes and metabolic health by patients, caregivers, and clinicians. Its products include Dexcom G6, Dexcom G7, Stelo, Dexcom Share, and Dexcom ONE. The Company enables people to take control of health through innovative biosensing technology. Dexcom G6 is its integrated continuous glucose monitoring system (iCGM). Stelo is designed specifically for people with type II diabetes who do not use insulin as the first over-the-counter glucose biosensor in the United States. The Dexcom Share remote monitoring system, offered for use with any Dexcom system, uses an app on the patient’s compatible mobile device. Its Dexcom G7 is for adults and children (2+ years) living with type I or type II diabetes who are on any insulin or medications, at risk of hypoglycemia, and those with gestational diabetes.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
- Significant Revenue Growth: DexCom reported $1.26 billion in revenue for Q4 2025, reflecting a 13% increase year-over-year, exceeding the high end of its guidance, driven by strong new customer demand and positive sales trends, with 2026 revenue expected to reach between $5.16 billion and $5.25 billion, representing an 11% to 13% growth.
- Product Innovation Driving Demand: The broad rollout of the G7 15 Day system has generated significant interest among customers and prescribers, with management highlighting its positive market reception, which is expected to further drive revenue growth and enhance market share.
- Operational Efficiency Improvements: The company successfully increased its gross margin to 63.5%, up from 59.4% in the previous year, by optimizing its supply chain and establishing more efficient shipping routes, demonstrating the effectiveness of operational enhancements.
- International Market Expansion: DexCom plans to introduce Stelo and a new CGM system to international markets in 2026, aiming to expand its market share, particularly in strong markets like France, which is expected to provide ongoing growth momentum for the company.
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- Strong Financial Performance: DexCom's Q4 2025 results revealed a non-GAAP EPS of $0.68, exceeding market expectations by $0.03, indicating robust performance in the continuous glucose monitoring sector.
- Significant Revenue Growth: The company reported Q4 revenue of $1.26 billion, a 13% year-over-year increase, with U.S. revenue rising 11% and international revenue growing 18%, showcasing DexCom's increasing competitiveness in global markets.
- 2026 Guidance Reaffirmed: DexCom reiterated its 2026 revenue guidance range of $5.16 billion to $5.25 billion, aligning with the consensus estimate of $5.23 billion, reflecting management's confidence in future growth.
- Improved Cash Position: By the end of 2025, DexCom had $2 billion in cash, cash equivalents, and marketable securities, down from $2.58 billion at the end of 2024, yet still maintaining a solid liquidity position to support future investments.
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- Quarterly Earnings Beat: DexCom reported earnings of $0.68 per share, surpassing the Street estimate of $0.65, indicating strong operational performance and boosting investor confidence.
- Significant Revenue Growth: The company achieved quarterly revenue of $1.26 billion, exceeding analyst expectations of $1.25 billion, showcasing successful sales and market expansion efforts that solidify its market position.
- U.S. and International Performance: U.S. revenue grew 11% year-over-year, while international revenue increased by 18%, reflecting strong demand and market penetration for DexCom globally, suggesting future growth potential.
- 2026 Financial Outlook: DexCom affirmed its fiscal 2026 revenue outlook in the range of $5.16 billion to $5.25 billion, demonstrating confidence in future performance and providing clear growth guidance for investors.
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- Earnings Beat: DexCompress (DXCM) reported a Q4 Non-GAAP EPS of $0.68, beating estimates by $0.03, with revenue of $1.26 billion reflecting a 13.5% year-over-year increase, surpassing expectations by $10 million, indicating robust market performance.
- 2026 Fiscal Guidance: The company reiterated its fiscal year 2026 guidance, projecting revenue between $5.16 billion and $5.25 billion, representing approximately 11-13% growth, while Non-GAAP Gross Profit Margin and Operating Margin are expected to be around 63-64% and 22-23%, respectively, showcasing confidence in future growth.
- Adjusted EBITDA Margin: DexCompress established an Adjusted EBITDA Margin guidance of approximately 30-31%, which is expected to enhance the company's profitability and investment appeal in the competitive healthcare sector.
- Market Reaction: Despite the strong earnings report, DexCompress shares fell by 0.84%, possibly reflecting market caution regarding future growth, prompting investors to closely monitor the company's competitive position and long-term development potential in the healthcare industry.
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- Earnings Announcement Date: DexCom (DXCM) is set to release its Q4 earnings on February 12 after market close, with a consensus EPS estimate of $0.65, reflecting a significant 44.4% year-over-year increase, indicating strong profitability growth.
- Revenue Growth Expectations: The anticipated Q4 revenue is $1.25 billion, representing a 12.6% year-over-year increase, showcasing DexCom's success in expanding market share and increasing product demand.
- Historical Performance: Over the past two years, DexCom has beaten EPS estimates 75% of the time and revenue estimates 88% of the time, demonstrating the company's financial stability and market confidence.
- Revision Trends: In the last three months, EPS estimates have seen 9 upward revisions and 2 downward, while revenue estimates have experienced 13 upward revisions with no downward adjustments, reflecting analysts' optimistic outlook on DexCom's future performance.
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