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Freedom251 › Blog › blood glucose

Smartwatch Glucose Tracking vs. a Continuous Glucose Monitor: What’s the Difference?

By Freedom251 Team · · 3 min read

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A smartwatch that claims to measure glucose by itself is not a continuous glucose monitor (CGM). A CGM uses a wearable sensor to measure glucose continuously or frequently; a compatible smartwatch can display the sensor’s readings, but it does not measure glucose. The U.S. Food and Drug Administration (FDA) warns consumers not to use watches or rings that claim to measure glucose independently.

What measures the glucose?

A CGM measures glucose using a wearable sensor. FDA descriptions define these systems as automatically measuring glucose in bodily fluids continuously or frequently, with readings that can be transmitted securely to digitally connected devices. The precise intended use varies by device and classification.

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A standalone watch claim is different: the watch purports to measure or estimate glucose without relying on an authorized glucose-measuring device. The FDA says it has not authorized, cleared, or approved any smartwatch or smart ring intended to measure or estimate blood glucose on its own. This warning concerns independent glucose measurement; it does not mean every smartwatch health feature lacks authorization.

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Sources: FDA classification for integrated CGM systems, FDA classification for over-the-counter integrated CGMs, and the FDA safety communication.

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How do the readings reach a watch?

Some CGM systems can send sensor readings to a compatible phone, receiver, or smartwatch. In that setup, the CGM sensor is still doing the measuring; the watch is a display. The FDA’s review of the Dexcom G7 describes a wearable sensor and transmitter, with a mobile app or receiver as display options, and an optional Direct to Watch feature for users with a compatible iPhone and Apple Watch. The watch app receives data from the sensor—it is not the glucose sensor.

Compatibility is specific to the CGM system and feature. Check the manufacturer’s current instructions for supported phone and watch models, operating systems, region, and setup requirements; support for one system does not establish compatibility for another.

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  • OPTIMIZE YOUR NUTRITION. Discover which foods work for you and those that don't. The Lingo app shows you how specific meals and other factors impact your glucose, so you can learn from your insights and build healthier habits.
  • NAVIGATE PREDIABETES WITH A NEW VIEW OF YOU. More time in healthy glucose range is linked to lower diabetes risk. Three out of four users with prediabetes say Lingo was effective in helping to achieve their health goals¹.
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Source: FDA review document for the Dexcom G7 CGM system.

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How does a CGM compare with a blood glucose meter?

A blood glucose meter is another way to measure glucose, but it provides a spot check rather than the continuous or frequent readings of a CGM. FDA consumer guidance describes a meter-and-strip system: a handheld meter reads a test strip used with a small blood sample.

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Method What measures glucose How readings are obtained What a smartwatch does
Standalone watch claim The watch is claimed to measure or estimate glucose on its own; the FDA says it has not authorized, cleared, or approved such a watch for that purpose. Not an FDA-authorized glucose-measuring method under the FDA safety communication. Purports to measure; it is not displaying readings from a CGM sensor.
CGM A wearable glucose sensor. Continuous or frequent measurements, with readings that may be transmitted to connected devices. May display readings or alerts if the system supports a compatible watch feature.
Blood glucose meter A handheld meter and test strip used with a small blood sample. Intermittent, individual tests. No watch measurement is implied by using a meter.

Sources: FDA guidance on blood glucose monitoring devices and FDA CGM classification information.

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Why the distinction matters for safety

The FDA warns that inaccurate glucose readings can lead to diabetes-management errors, including incorrect doses of insulin or other medicines that can rapidly lower glucose. Its February 21, 2024 safety communication advises consumers not to buy or use smartwatches or rings that claim to measure glucose independently, regardless of brand.

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  • OPTIMIZE YOUR NUTRITION. Discover which foods work for you and those that don't. The Lingo app shows you how specific meals and other factors impact your glucose, so you can learn from your insights and build healthier habits
  • NAVIGATE PREDIABETES WITH A NEW VIEW OF YOU. More time in healthy glucose range is linked to lower diabetes risk. Three out of four users with prediabetes say Lingo was effective in helping to achieve their health goals¹.

For glucose readings used in care decisions, use an appropriate FDA-authorized glucose-measuring device and follow your healthcare provider’s guidance. A watch app does not make a CGM compatible unless the manufacturer supports that combination and feature.

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Source: FDA safety communication on smartwatches and smart rings.

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Product prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on Amazon at the time of purchase will apply.

blood glucoseCGMcontinuous glucose monitorFDAsmartwatch

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