Best Continuous Glucose Monitors · head-to-head

Dexcom Stelo vs Medtronic Guardian 4

A sourced, side-by-side comparison. Dexcom Stelo is cheaper at $99. Every spec and price links to its source.

Which is better: the Dexcom Stelo or Medtronic Guardian 4?

On the specs we track, they're closely matched. The Dexcom Stelo is the cheaper at $99.

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Full spec sheet

marks the stronger figure where "more" — or "less", for price and weight — is unambiguously better.

Spec Dexcom Stelo Medtronic Guardian 4
US price $99 $2478.3
BrandDexcomMedtronic
Released2024-082023-04
Wear duration days 15 7
Warmup time hours 0.5 2
Reading interval min 5 5
Water resistance Waterproof to 8 ft (2.4 m) for 24 hours Splash-resistant only; not rated for submersion
App platform iOS & Android (Stelo app); syncs with Apple Health and Google Health Connect iOS & Android (Guardian Connect app); also displays on the MiniMed 780G pump
Prescription required No Yes
Mard accuracy pct 8.3 10.6
Sensor size 1.1 x 0.9 x 0.2 in 1.50 x 2.60 x 2.00 in

Sources — Dexcom Stelo: consumerguide.diabetes.org (verified 2026-08-01). Medtronic Guardian 4: consumerguide.diabetes.org (verified 2026-08-01).

What's the difference between the Dexcom Stelo and Medtronic Guardian 4?

Where the two actually differ on the specs we track (7 of 8). Matching specs are omitted.

  • Wear duration days: Dexcom Stelo 15 vs Medtronic Guardian 4 7
  • Warmup time hours: Dexcom Stelo 0.5 vs Medtronic Guardian 4 2
  • Water resistance: Dexcom Stelo Waterproof to 8 ft (2.4 m) for 24 hours vs Medtronic Guardian 4 Splash-resistant only; not rated for submersion
  • App platform: Dexcom Stelo iOS & Android (Stelo app); syncs with Apple Health and Google Health Connect vs Medtronic Guardian 4 iOS & Android (Guardian Connect app); also displays on the MiniMed 780G pump
  • Prescription required: Dexcom Stelo false vs Medtronic Guardian 4 true
  • Mard accuracy pct: Dexcom Stelo 8.3 vs Medtronic Guardian 4 10.6
  • Sensor size: Dexcom Stelo 1.1 x 0.9 x 0.2 in vs Medtronic Guardian 4 1.50 x 2.60 x 2.00 in

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