Revenue Growth (Q1 2026)
Worldwide revenue of $1.19 billion, up 15% year-over-year (YoY) vs Q1 2025; organic revenue growth of 12% (organic excludes FX and recent M&A/divestitures).
U.S. and International Performance
U.S. revenue of $832 million, up 11% YoY; International revenue of $360 million, up 26% YoY (international organic growth 17%). Growth was broad-based with notable strength in markets like France and Canada.
Material Margin Expansion and Profitability
Gross profit of $757.4 million (63.5% of revenue) versus 57.5% in 2025 (+600 basis points). Operating income of $264.4 million (22.2% of revenue) compared with $143.1 million (13.8% in 2025). Adjusted EBITDA of $364.5 million (36.0% of revenue) vs $230.4 million (22.2% in 2025). Net income of $216.3 million ($0.56 per share), a 75% increase YoY.
Strong Cash Generation
Closed the quarter with approximately $2.4 billion in cash and cash equivalents, up >$400 million versus year-end 2025, driven by significant free cash flow in Q1.
Reaffirmed Revenue Guidance and Raised Margin Targets
Reaffirmed full-year revenue guidance of $5.16–$5.20 billion (growth of 11%–13%). Maintained non-GAAP gross profit margin guidance of 63%–64% and increased non-GAAP operating profit margin guidance to 23%–23.5% and adjusted EBITDA margin guidance to 31%–31.5%.
Successful G7 15-Day Product Launch and Adoption
Broad U.S. rollout of G7 15-day with excellent customer and physician feedback; improved sensor algorithm and longer wear time cited as drivers for new patient starts and conversions. Management estimates ~50% of the installed base will convert to the 15-day product by year-end.
Reimbursement Wins and Access Expansion
Prime Therapeutics announced to begin covering CGM for all people with diabetes in the commercial type 2 non-insulin population this summer, putting DexCom on track for >7 million type 2 non-insulin commercial lives covered by year-end. International reimbursement wins helped drive OUS growth.
Strengthening Clinical Evidence
12-month type 2 non-insulin registry showed a statistically significant A1c reduction; a randomized controlled trial (RCT) in type 2 non-insulin patients will be read out at ADA 2026, expected to bolster payer adoption and reimbursement.
Operational and Product Improvements
Operational efficiencies (manufacturing throughput, normalized freight, inventory improvements) drove margin gains. May manufacturing began with new patch adhesive technology to improve sensor survivability; software updates (Stello redesign with AI-driven insights) and Smart Basal pilot advancing.