Dexcom Stelo vs Zoe

CGM Head-to-Head Comparison

Compare pricing, sensor technology, app features, and coaching support to find the best CGM for your goals

Dexcom Stelo
$89/mo
Dexcom Stelo
Zoe
$10/mo
Zoe
✓ Independent Analysis✓ January 2026 Pricing✓ Feature-by-Feature Comparison

Quick Comparison Summary

Best Value
Zoe
Lower monthly cost
Best Accuracy
Dexcom Stelo
Lower MARD%
Best Support
Dexcom Stelo
Better coaching
Longest Wear Time
Dexcom Stelo
Longer sensor life

Pricing & Plans Comparison

Dexcom Stelo

Monthly Cost$89
Annual Cost$1068
Sensors IncludedYes (2/month)
Min. CommitmentNone

Zoe

Monthly Cost$10
Annual Cost$414
Sensors IncludedNo (gut test only)
Min. Commitment4 months (Start) or 12 months (Core)

Sensor Technology

SpecificationDexcom SteloZoe
Sensor TypeDexcom SteloN/A - no CGM
Accuracy (MARD)8.3%N/A
Reading FrequencyEvery 5 minN/A
Warm-up Time30 minN/A
Wear Time15 daysN/A
Water Resistance8ft/24hrN/A

App Features & Coaching

FeatureDexcom SteloZoe
Coaching TypeAI-powered insightsAI nutrition coach (AskZiggie)
Food LoggingManual + AI photo loggingPhoto + manual + barcode scanning
Scoring SystemTime in range onlyZOE score (0-100) per food
App IntegrationsApple Health, Apple Watch, Oura Ring, Nutrisense, Heads Up HealthApple Health
Prescription RequiredNot requiredNot required
HSA/FSA Eligible✓ YesNo

Key Features

Dexcom Stelo

Best for: People wanting simple OTC CGM with AI insights and no coaching commitment

Key features: 24/7 tracking, trend alerts, glucose patterns, GenAI insights (Dec 2024), AI photo meal logging (July 2025), Clarity Clinic provider sharing

Not recommended for: Type 1 diabetes, insulin users

Zoe

Best for: Those prioritizing gut microbiome health and AI-powered nutrition over real-time glucose

Key features: Gut microbiome analysis, AI food tracking with photo logging, Processed Food Risk Scale, plant diversity counter, personalized food scoring

Not recommended for: Those wanting CGM tracking

Dexcom Stelo Details

$99 one-time or $89/mo subscription. 3-month option with 15% savings. First OTC CGM (March 2024). GenAI features added Dec 2024. Available direct and Amazon.

Zoe Details

US:$294 test kit + $9.99-24.99/mo. Core plan:$414/yr total. Jan 2026 update:simplified next-gen test no longer includes CGM or blood tests - uses gut microbiome only with predictive algorithms. UK-based. Not available in NY.

Ready to Choose?

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Frequently Asked Questions

Which is better:Dexcom Stelo or Zoe?
Dexcom Stelo is best for people wanting simple otc cgm with ai insights and no coaching commitment, while Zoe is ideal for those prioritizing gut microbiome health and ai-powered nutrition over real-time glucose. Zoe is more affordable at $10/month compared to Dexcom Stelo's $89/month. The best choice depends on your specific health goals and budget.
How much do Dexcom Stelo and Zoe cost?
Dexcom Stelo costs $89/month ($1068/year), while Zoe costs $10/month ($414/year). Both services are HSA/FSA eligible.
Which CGM sensor is more accurate?
Dexcom Stelo uses Dexcom Stelo with 8.3% MARD, while Zoe uses N/A - no CGM with N/A MARD. Lower MARD indicates better accuracy. Both are considered highly accurate for wellness purposes.
Do I need a prescription for Dexcom Stelo or Zoe?
Neither Dexcom Stelo nor Zoe requires a prescription. Both are available over-the-counter.
Which has better coaching support?
Dexcom Stelo offers AI-powered insights, while Zoe provides AI nutrition coach (AskZiggie).
Can I use Dexcom Stelo or Zoe for weight loss?
Both services can be used for weight loss by helping you understand how different foods affect your blood sugar. Stable glucose levels can support weight management goals. CGMs help identify which foods spike your blood sugar, enabling dietary changes that support weight loss without medication.

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