Fact Check: Is CGM over the counter?

Fact Check: Is CGM over the counter?

Published May 10, 2025
VERDICT
True

# Is CGM Over the Counter? The claim that continuous glucose monitors (CGMs) are now available over the counter (OTC) has gained traction following r...

Is CGM Over the Counter?

The claim that continuous glucose monitors (CGMs) are now available over the counter (OTC) has gained traction following recent announcements from the U.S. Food and Drug Administration (FDA) regarding the clearance of several CGM devices for OTC sale. This development raises questions about the accessibility of these devices for individuals with and without diabetes, as well as the implications for health management.

What We Know

  1. FDA Clearance: On March 5, 2024, the FDA announced the clearance of the first OTC continuous glucose monitor, the Dexcom Stelo, which is intended for adults aged 18 and older who are not on insulin therapy. This monitor is designed to continuously measure glucose levels without the need for fingersticks 110.

  2. Additional Devices: Following the clearance of the Stelo, Abbott's Lingo and Libre Rio CGMs have also been cleared for OTC use. While the Stelo and Lingo are currently available for purchase, the Libre Rio is not yet on the market 23.

  3. Market Context: Continuous glucose monitoring has historically required a prescription in the U.S., although similar devices have been available OTC in other countries for years. The introduction of OTC CGMs is seen as a significant step towards improving access for individuals who may benefit from glucose monitoring, including those without diabetes 9.

  4. Consumer Interest: There is an expectation that the availability of OTC CGMs will attract a broader audience, including those who are health-conscious but do not have diabetes. This shift could potentially help individuals make informed lifestyle choices based on their glucose levels 34.

Analysis

The claim that CGMs are now available OTC is substantiated by multiple credible sources, including official announcements from the FDA and reputable medical news outlets. However, it is essential to critically evaluate the reliability of these sources:

  • FDA Announcements: The FDA is a primary regulatory body and is generally considered a reliable source for information regarding medical devices. Their announcements are based on rigorous evaluation processes, although they may not always provide comprehensive details about the long-term implications of such approvals 110.

  • Medical News Outlets: Publications like MedTech Dive and Healio provide industry insights and updates on medical technology. While they are generally credible, it is important to consider their potential biases, particularly if they have financial ties to the companies involved in the CGM market 310.

  • Consumer Health Platforms: Websites like GoodRx offer consumer-friendly information about medical devices and medications. While they can provide useful summaries, their interpretations may lack the depth needed for comprehensive understanding, and they may also have commercial interests 24.

  • Company Press Releases: Information from Dexcom and Abbott about their products is typically promotional in nature. While these sources provide details about the features and intended uses of their devices, they may not fully disclose potential limitations or risks associated with OTC use 69.

Conflicts of Interest

It is crucial to note that some sources may have conflicts of interest. For example, articles from company press releases or those that promote specific products may not provide an unbiased view of the implications of OTC availability. Furthermore, the financial interests of companies in the CGM market could influence the portrayal of their products in the media.

Methodology and Evidence

The methodology behind the FDA's clearance process involves clinical trials and safety evaluations, but the specifics of these trials are not always disclosed in public announcements. Additional information about the trial designs, participant demographics, and long-term efficacy data would be beneficial for a more comprehensive understanding of the implications of OTC CGMs.

Conclusion

Verdict: True

The claim that continuous glucose monitors (CGMs) are now available over the counter is true, as evidenced by the FDA's recent clearance of the Dexcom Stelo and other devices for OTC sale. This marks a significant shift in the accessibility of glucose monitoring technology, allowing individuals without diabetes to monitor their glucose levels more easily.

However, while the FDA is a reputable source, it is important to recognize that the long-term implications of OTC availability are not fully understood. The clearance process, while rigorous, does not always provide exhaustive details about the safety and efficacy of these devices in a broader population. Additionally, potential conflicts of interest in reporting and marketing may influence public perception.

Readers are encouraged to critically evaluate the information presented and consider the nuances surrounding the use of OTC CGMs, including their intended audience and the potential need for professional guidance in interpreting glucose data.

Sources

  1. FDA Clears First Over-the-Counter Continuous Glucose Monitor. (2024). Retrieved from FDA
  2. 7 Over-the-Counter Continuous Glucose Monitoring FAQs Answered - GoodRx. Retrieved from GoodRx
  3. Abbott and Dexcom are launching the first over-the-counter CGMs. Here. Retrieved from MedTech Dive
  4. How to Get A Continuous Glucose Monitor OTC Without Diabetes - GoodRx. Retrieved from GoodRx
  5. The OTC CGM Market: Comparing Stelo, Lingo, & Libre Rio. Retrieved from Sequenex
  6. Stelo by Dexcom, the First Over-the-Counter Glucose Biosensor in the U.S., Is Now Available. Retrieved from Dexcom
  7. Stelo Wearable Glucose Biosensor | Stelo by Dexcom. Retrieved from Stelo
  8. Two OTC continuous glucose monitors won awards at CES. Retrieved from ZDNet
  9. Abbott Receives U.S. FDA Clearance for Two New Over-the-Counter Continuous Glucose Monitoring Systems. Retrieved from Abbott
  10. FDA clears first OTC CGM for adults with and without diabetes. Retrieved from Healio

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Fact Check: Autistic Non-Verbal Episodes in Marriage: Why Words Vanish Sometimes and What to Do About It Neurodiverse Couples Tuesday, august 12, 2025. Here’s the scene: You’re in the middle of a conversation with your spouse. Maybe the topic is small (“Did you pay the water bill?”) or monumental (“Are we happy?”). And then—without warning—your autistic partner’s voice disappears. No yelling, no slammed doors. Just… gone. You’re left holding the conversational steering wheel while they’ve quietly climbed into the trunk. If you’ve never lived with high-functioning autism, this can be tragically misconstrued as stonewalling or contempt. It isn’t. It’s just neurology pulling the emergency brake. Why This Happens: The Science Without the Lab Coat Smell For autistic adults, losing speech under stress is often a shutdown—a form of nervous system overload that knocks language production offline. Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. 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In other words: you’re building a marriage that can survive the occasional moments when the words are gone for the time being. Be Well, Stay Kind, and Godspeed. REFERENCES: Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2017). “Putting on my best normal”: Social camouflaging in adults with autism spectrum conditions. Autism, 21(5), 611–622. https://doi.org/10.1177/1362361316671012 Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., … & Nicolaidis, C. (2020). “Having all of your internal resources exhausted beyond measure and being left with no clean-up crew”: Defining autistic burnout. Autism in Adulthood, 2(2), 132–143. https://doi.org/10.1089/aut.2019.0079 Mantzalas, J., Richdale, A. L., Adikari, A., Lowe, J., & Dissanayake, C. (2022). What Is Autistic Burnout? A thematic analysis of posts on two online platforms. Autism in Adulthood, 4(1), 52–65. https://doi.org/10.1089/aut.2021.0079 Lewis, L. F., et al. (2023). The lived experience of meltdowns for autistic adults. Autism, 27(7), 1787–1799. https://doi.org/10.1177/13623613221145783 Malik, J., et al. (2019). Emotional flooding in response to negative affect in romantic relationships. Journal of Couple & Relationship Therapy, 18(4), 327–349. https://doi.org/10.1080/15332691.2019.1641188 Gottman Institute. (2024, March 4). Making sure emotional flooding doesn’t capsize your relationship. Retrieved from https://www.gottman.com/blog/making-sure-emotional-flooding-doesnt-capsize-your-relationship/

Detailed fact-check analysis of: Autistic Non-Verbal Episodes in Marriage: Why Words Vanish Sometimes and What to Do About It Neurodiverse Couples Tuesday, august 12, 2025. Here’s the scene: You’re in the middle of a conversation with your spouse. Maybe the topic is small (“Did you pay the water bill?”) or monumental (“Are we happy?”). And then—without warning—your autistic partner’s voice disappears. No yelling, no slammed doors. Just… gone. You’re left holding the conversational steering wheel while they’ve quietly climbed into the trunk. If you’ve never lived with high-functioning autism, this can be tragically misconstrued as stonewalling or contempt. It isn’t. It’s just neurology pulling the emergency brake. Why This Happens: The Science Without the Lab Coat Smell For autistic adults, losing speech under stress is often a shutdown—a form of nervous system overload that knocks language production offline. Think of it like your phone freezing: all the apps are still there, but none of them open when you tap. Research calls this autistic burnout when it happens in a longer, chronic cycle—linked to masking (Hull et al., 2017; Raymaker et al., 2020). Masking is the art of “performing normal” so well that non-autistic people think you’re fine. The issue is that it eats through your energy reserves like a car idling in traffic with the A/C on full blast (Mantzalas et al., 2022). Eventually, one hard conversation can tip you from functional to frozen. And here’s where couples therapy meets neuroscience: physiological flooding—the body’s fight/flight/freeze switch—is a known relationship killer (Malik et al., 2019; Gottman Institute, 2024). In other words, for some autistic partners, flooding may tend to show up sooner, last longer, and is more likely to pull the plug on speech entirely. The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. No conflict gets left to rot in the corner. Spot burnout early. If shutdowns start clustering, it’s time to reduce demands, not double them. How This Isn’t Stonewalling Stonewalling is a choice. Shutdown is a lockout. Stonewalling says, “I won’t talk to you.” Shutdown says, “I can’t talk to you yet, but I will.” The key difference? Repair intention. A shutdown protocol builds that right into the process. The Ten-Minute At-Home Drill Co-create your signal and card. Agree on a pause window. Pack the downgrade kit. Rehearse the exchange (“Got it, I’m with you.”). Check in weekly to tweak the system. Remember, you’re not aiming for zero shutdowns. You’re aiming for shorter, kinder, safer ones. Why This Works Because it matches lived autistic experience (Raymaker et al., 2020; Lewis et al., 2023). Because it honors nervous system limits instead of punishing them (Malik et al., 2019). Because it lets both partners keep their dignity and still solve the problem. In other words: you’re building a marriage that can survive the occasional moments when the words are gone for the time being. Be Well, Stay Kind, and Godspeed. REFERENCES: Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2017). “Putting on my best normal”: Social camouflaging in adults with autism spectrum conditions. Autism, 21(5), 611–622. https://doi.org/10.1177/1362361316671012 Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., … & Nicolaidis, C. (2020). “Having all of your internal resources exhausted beyond measure and being left with no clean-up crew”: Defining autistic burnout. Autism in Adulthood, 2(2), 132–143. https://doi.org/10.1089/aut.2019.0079 Mantzalas, J., Richdale, A. L., Adikari, A., Lowe, J., & Dissanayake, C. (2022). What Is Autistic Burnout? A thematic analysis of posts on two online platforms. Autism in Adulthood, 4(1), 52–65. https://doi.org/10.1089/aut.2021.0079 Lewis, L. F., et al. (2023). The lived experience of meltdowns for autistic adults. Autism, 27(7), 1787–1799. https://doi.org/10.1177/13623613221145783 Malik, J., et al. (2019). Emotional flooding in response to negative affect in romantic relationships. Journal of Couple & Relationship Therapy, 18(4), 327–349. https://doi.org/10.1080/15332691.2019.1641188 Gottman Institute. (2024, March 4). Making sure emotional flooding doesn’t capsize your relationship. Retrieved from https://www.gottman.com/blog/making-sure-emotional-flooding-doesnt-capsize-your-relationship/

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