{
  "docId": "019dd923-622c-750b-8b98-916758668d1f",
  "docSlug": "34401c2968d1",
  "documentTitle": "Dexcom, Inc. (DXCM)",
  "authorId": "54_Spruce_Point_Capital",
  "authorName": "Ben Axler",
  "documentKindSlug": "activist-deck",
  "documentKindLabel": "Activist deck",
  "sourceTypeSlug": "short_seller",
  "sourceTypeLabel": "Short seller",
  "presentationDate": "2019-03-21 00:00:00",
  "orientation": "landscape",
  "aspectRatio": 1.3333334,
  "pageNumber": 17,
  "pageCount": 83,
  "prevPage": 16,
  "nextPage": 18,
  "slideType": "competitive_analysis",
  "function": "compare_peers",
  "density": "dense",
  "nDataPoints": 0,
  "notes": "The slide uses a visual grouping strategy to distinguish between niche/integrated products and the 'most common' stand-alone products.",
  "elementsJson": [
    "headline_text",
    "paragraph",
    "photo",
    "callout_box",
    "footnote"
  ],
  "metadataConfidence": 1,
  "imagePath": null,
  "slideHref": "/slides/019dd923-622c-750b-8b98-916758668d1f/17",
  "deckHref": "/decks/019dd923-622c-750b-8b98-916758668d1f",
  "deckJsonHref": "/decks/019dd923-622c-750b-8b98-916758668d1f.json",
  "deckAnchorHref": "/decks/019dd923-622c-750b-8b98-916758668d1f#slide-17",
  "components": [
    {
      "bbox": {
        "h": 0.06,
        "w": 0.16,
        "x": 0.42,
        "y": 0.78
      },
      "kind": "callout",
      "text": "Most common stand-alone CGMs",
      "attrs": null,
      "subkind": "primary",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "e27ff143-163f-451e-b218-fdddc2d061af",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.18,
        "w": 0.18,
        "x": 0.66,
        "y": 0.71
      },
      "kind": "image",
      "text": "Dexcom G-Series",
      "attrs": null,
      "subkind": "illustration",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "4a2e4beb-b7f6-4f75-a541-db153c96c305",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.18,
        "w": 0.18,
        "x": 0.15,
        "y": 0.71
      },
      "kind": "image",
      "text": "Abbott FreeStyle Libre",
      "attrs": null,
      "subkind": "illustration",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "826c6e89-c61a-43ea-a477-cdb0cb853dfc",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.18,
        "w": 0.18,
        "x": 0.15,
        "y": 0.41
      },
      "kind": "image",
      "text": "Medtronic CGM and Insulin Pump",
      "attrs": null,
      "subkind": "illustration",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "8a463f33-c3f6-4b9e-b43e-3b132d7bdddc",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.18,
        "w": 0.18,
        "x": 0.66,
        "y": 0.41
      },
      "kind": "image",
      "text": "Senseonics Eversense",
      "attrs": null,
      "subkind": "illustration",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "d2b5d052-020b-4fa5-9e79-2c4041c256b6",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.16,
        "w": 0.96,
        "x": 0.02,
        "y": 0.16
      },
      "kind": "paragraph",
      "text": "The competitive landscape for CGMs is not straight-forward, as each of the four major players provide slightly different products. Until recently, Medtronic did not sell stand-alone CGMs, but rather offered CGMs only to users of its insulin pump. It recently re-entered the stand-alone CGM space in 2018, but it remains a small player. Senseonics sells a CGM which is implanted into the patient and replaced with subsequent procedures every 90 days. This device – typically paired with an insulin pump – is generally reserved for Type 1 diabetics with intensive needs, and medical professionals with whom we spoke believe that it is not yet practical for a wider market. The Dexcom G-Series CGM and Abbot FreeStyle Libre CGM are the most comparable products: both are stand-alone CGMs which are worn outside the body and replaced by the user at regular intervals, generally between 7 and 14 days.",
      "attrs": null,
      "subkind": "paragraph",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "5b7e12d4-2616-4ab2-9568-b79ece79f4a6",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.02,
        "w": 0.04,
        "x": 0.01,
        "y": 0.98
      },
      "kind": "source-note",
      "text": "1. Source",
      "attrs": null,
      "subkind": null,
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "f9a161ed-89aa-454c-bf69-f6e2fc953af8",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.04,
        "w": 0.38,
        "x": 0.31,
        "y": 0.04
      },
      "kind": "title",
      "text": "The CGM Competitive Landscape",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "f0e9b8ee-eaa6-47e9-8bf2-f544a8a4f8d2",
      "frameworkName": null,
      "frameworkSlug": null
    }
  ],
  "metrics": [],
  "tools": [],
  "frameworks": [],
  "arcBeats": [
    {
      "to": 20,
      "from": 15,
      "beatId": "1dfab57a-ac26-4f22-83aa-82d569d9d3c4",
      "arcName": "Overcoming the Monster",
      "arcSlug": "overcoming-monster",
      "beatName": "The Monster",
      "beatSlug": null,
      "evidence": "The deck presents the 'monster' of increasing competition from Abbott's Libre and pricing pressure in the CGM market.",
      "position": 2,
      "confidence": 0.8,
      "parentBeatName": null,
      "parentBeatSlug": null
    }
  ],
  "loops": [],
  "imagePathAlt": null,
  "thumbSrc": null,
  "thumbSrcAlt": null,
  "locked": true
}