DXCM vs TNDM Stock Comparison: AI Score, Valuation, Performance and Upside
DXCM and TNDM are complementary diabetes technology companies whose devices integrate to create closed-loop automated insulin delivery systems. Dexcom provides the glucose sensing, while Tandem provides the insulin pump with the Control-IQ algorithm that acts on Dexcom's data. Dexcom is the larger, faster-growing platform while Tandem faces more competitive pressure in insulin pumps.
DXCM vs TNDM covers complementary diabetes technology platforms — Dexcom's glucose sensor leadership and massive Type 2 expansion opportunity against Tandem's AID insulin pump competing in a smaller but clinically important market.
DXCM holds the edge across 3 of 5 key metrics in this comparison. DXCM leads on both 1-year return (-11.44%) and forward P/E (24.45x vs 260.20x for TNDM), a relatively favorable combination of momentum and valuation. Analyst consensus implies meaningfully more upside for TNDM (+90.85%) than for DXCM (+12.33%).
- →Want the leading CGM platform with established Type 1 dominance and a massive Type 2 expansion opportunity ahead
- →Value Dexcom's G7 technology upgrade as improving competitive positioning versus Abbott FreeStyle Libre
- →See CGM adoption in the broader diabetes population (not just insulin-dependent) as a decades-long growth runway
- →Want insulin pump technology exposure with an automated insulin delivery (AID) system respected by endocrinologists and patients
- →Value Tandem's Control-IQ algorithm clinical performance and software update capability as technology differentiators
- →See Mobi launch as expanding Tandem's addressable market into the tubeless patch pump segment
| Metric | DXCM | TNDM |
|---|---|---|
| AI score | 50.6 | 24.9 |
| AI rank | #434 | #2940 |
| Latest close | $72.47 | $15.30 |
| 1M return | +8.24% | +10.39% |
| 6M return | +10.22% | -31.76% |
| 1Y return | -11.44% | -25.02% |
How much would $10,000 be worth today if invested at the start of each period, with all dividends reinvested?
| Period | DXCM | TNDM |
|---|---|---|
| 1Y ago | $8.95K (-10.5%) started 2025-06-18 | $7.5K (-25.0%) started 2025-06-18 |
| 5Y ago | $6.85K (-31.5%) started 2021-06-21 | $1.63K (-83.7%) started 2021-06-18 |
| 10Y ago | $37.53K (+275.3%) started 2016-06-20 | $2.04K (-79.6%) started 2016-06-20 |
Hypothetical — past performance does not guarantee future results.
| Metric | DXCM | TNDM |
|---|---|---|
| Market cap | $29.08B | $1.05B |
| Trailing P/E | 32.35 | N/A |
| Forward P/E | 24.45 | 260.20 |
| Price/Sales | 8.19 | 1.02 |
| EV/Revenue | 5.82 | 1.27 |
| Analyst target | $84.67 | $29.20 |
| Target upside | +12.33% | +90.85% |
| Metric | DXCM | TNDM |
|---|---|---|
| Revenue growth | 15.00% | 5.50% |
| Earnings growth | 92.20% | N/A |
| EPS growth | +92.20% | N/A |
| FCF margin | +21.93% | -1.97% |
| Operating margin | 21.42% | N/A |
| Profit margin | 19.31% | -9.20% |
| ROIC proxy | 35.62% | -65.73% |
| Return on equity | 35.62% | -65.73% |
| Dividend yield | N/A | 0.00% |
| Beta | 1.44 | 1.57 |
| Debt/equity | 46.83 | 554.92 |
| Current ratio | 1.95 | 3.58 |
| Quick ratio | 1.58 | 2.87 |
Lower drawdown and smaller single-period drops generally indicate a smoother ride, though they do not guarantee lower future risk.
| Period | Metric | DXCM | TNDM |
|---|---|---|---|
| 1Y | Growth | -10.54% | -25.02% |
| CAGR | -10.56% | -25.03% | |
| Sharpe ratio | -0.18 | -0.04 | |
| Max drawdown | 38.75% | 54.64% | |
| Max daily drop | 14.63% | 19.94% | |
| Max wkly drop | 17.22% | 34.40% | |
| 5Y | Growth | -31.48% | -83.68% |
| CAGR | -7.29% | -30.42% | |
| Sharpe ratio | -0.01 | -0.26 | |
| Max drawdown | 66.32% | 93.40% | |
| Max daily drop | 40.66% | 35.25% | |
| Max wkly drop | 42.68% | 43.11% | |
| 10Y | Growth | +275.30% | -79.63% |
| CAGR | +14.15% | -14.72% | |
| Sharpe ratio | 0.43 | 0.14 | |
| Max drawdown | 66.32% | 97.44% | |
| Max daily drop | 40.66% | 58.88% | |
| Max wkly drop | 42.68% | 67.77% |
| Category | DXCM | TNDM |
|---|---|---|
| Company | DexCom, Inc. | Tandem Diabetes Care, Inc. |
| Sector | Healthcare | Health Care - Medical Devices / Diabetes Technology |
| Industry | Medical Devices | N/A |
| Core business | Dexcom designs and markets wearable continuous glucose monitoring (CGM) systems that measure blood glucose levels in real time using a small sensor worn on the body, providing real-time readings and trend alerts to patients and caregivers without fingerstick blood tests. | Tandem Diabetes Care develops t:slim X2 insulin pumps with the Control-IQ closed-loop automated insulin delivery (AID) algorithm, integrating with CGM sensors (including Dexcom) to automatically adjust basal insulin delivery to maintain glucose in range. |
| Investor focus | Investors track Dexcom's revenue growth in Type 1 and Type 2 diabetes users, expansion into Type 2 non-insulin users (a massive untapped market), G7 sensor adoption driving ASP improvements, and global market expansion. | Investors track Tandem's new pump shipments, installed base growth, Control-IQ international adoption, Mobi tubeless pump launch traction, and the company's revenue per unit and path toward profitability. |
- →CGM has become the standard of care for Type 1 diabetes management — Dexcom is the leading CGM provider with the most clinically validated system
- →G7 is a smaller, more accurate, more comfortable sensor than predecessors, improving competitive positioning versus Abbott FreeStyle Libre
- →Type 2 diabetes expansion represents a massive market opportunity — hundreds of millions of Type 2 patients globally could benefit from CGM
- →Control-IQ AID algorithm is highly regarded by endocrinologists and patients for its clinical performance in maintaining time-in-range glucose control
- →Tandem's t:connect app and software update capability (over-the-air pump updates) provide a technology differentiation in the insulin pump market
- →Mobi launch addresses the tubeless patch pump market segment dominated by Insulet's Omnipod
- →Abbott FreeStyle Libre is a strong, lower-cost CGM competitor that has gained significant market share globally and threatens Dexcom in Type 2 expansion
- →CGM sensor pricing faces ongoing reimbursement pressure from payers and potential commoditization risk as technology matures
- →Manufacturing scale-up for the large Type 2 market opportunity requires significant capital investment
- →Insulet's Omnipod DASH and Omnipod 5 tubeless AID system compete directly for users who prefer patch pumps over traditional tubed pumps
- →Pump market is maturing and requires ongoing technology differentiation to sustain new customer growth
- →Competition from Abbott and Medtronic integrated systems could reduce Tandem's CGM integration flexibility advantage
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