510(k) Report

510(k) · Cleared

Cleared

Dexcom Smart Basal

K252818510(k) TraditionalCleared Nov 18, 202575-day reviewClass II21 CFR 862.1358

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Dexcom, Inc. · QRX Continuous Glucose Monitor Informed Insulin Dose Calculator

Cleared on Nov 18, 2025 as substantially equivalent to K222888 (Welldoc, Inc., 2023) after a 75-day review. Its family tree reaches back 5 generations to 2018. 1 later device descends from it.

Decided
Nov 18, 2025
Review
75 days
Class
Class II
Product code
QRX
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to DEN170043 (2018). 1 later device descends from it, 1 citing it directly.

  1. Root · 5 generations backDEN170043 DreaMed Advisor ProDreaMed Diabetes, Ltd. · 2018
  2. 4 generations backK191370 DreaMed Advisor ProDreaMed Diabetes, Ltd. · 2019
  3. 3 generations backK201476 DreaMed Advisor ProDreaMed Diabetes, Ltd. · 2020
  4. 2 generations backK203772 Omnipod 5 SmartBolus CalculatorInsulet Corporation · 2022
  5. 1 generation backK222888 BlueStar CGM insulin dose calculatorWelldoc, Inc. · 2023
  6. This deviceK252818 Dexcom Smart BasalDexcom, Inc. · 2025
  7. Descendant · cites it directly · 0 of its ownK260062 MODI SystemDreaMed Diabetes, Ltd. · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K260062MODI SystemDreaMed Diabetes, Ltd. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5DEN170043DreaMed Advisor ProDreaMed Diabetes, Ltd.2018—
−4K191370DreaMed Advisor ProDreaMed Diabetes, Ltd.2019—
−3K201476DreaMed Advisor ProDreaMed Diabetes, Ltd.2020—
−2K203772Omnipod 5 SmartBolus CalculatorInsulet Corporation2022—
−1K222888BlueStar CGM insulin dose calculatorWelldoc, Inc.2023—
0 (this device)K252818Dexcom Smart BasalDexcom, Inc.2025—
+1K260062MODI SystemDreaMed Diabetes, Ltd.2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K252818, 2018–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in QRX? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QRX device

  1. #1 K260062 MODI Systemscore 13.5 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K222888BlueStar CGM insulin dose calculator
Summary page 5
…stment Device Regulation Number 21 CFR 862.1358 Product Code QRX Legally Marketed Predicate Device: Predicate # K222888 Predicate Trade Name BlueStar CGM insulin dose calculator Product Code QRX Confiden…
Welldoc, Inc.2023—

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K260062MODI SystemDreaMed Diabetes, Ltd.20260

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 7 years and passes through 4 companies; a new generation was cleared every 1.4 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K260062 (DreaMed Diabetes, Ltd., 2026) has gone furthest, with 0 descendants of its own.

How does its category compare?

All QRX devices

QRX Continuous Glucose Monitor Informed Insulin Dose Calculator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · QRX

1in 2025

2022: 22023: 22025: 12026 (partial year): 1
2007high 2 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QRX

Too few QRX 510(k)s in any year since 2007 to give a median.

Recalls per year · QRX

1in 2025

2025: 1
2007high 1 (2025) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · QRX

1in 2022

2022: 1
2007high 1 (2022) · low 0 (2007)2025

MAUDE reports naming product code QRX, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20222—01
20232—00
20240—00
20251—10
20261—0—

What is it indicated for?

The Dexcom Smart Basal insulin dose calculator is software intended for the management of type 2 diabetes in persons aged 18 years and older requiring long-acting insulin. This is not for use for patients on fast-acting insulin. The Dexcom Smart Basal insulin dose calculator calculates a dose of basal (long-acting) insulin using logged doses and glucose measurements from an integrated continuous glucose monitor (iCGM). The Dexcom Smart Basal insulin dose calculator requires a prescription and initial configuration by a healthcare provider.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252818: Dexcom Smart Basal.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K252818

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026