Europe Blood Glucose Monitoring Market Analysis by Mordor Intelligence
The Europe blood glucose monitoring market stands at USD 5.61 billion in 2025 and is forecast to reach USD 8.40 billion by 2030, advancing at an 8.38% CAGR. The region is shifting from episodic finger-stick testing toward integrated continuous glucose monitoring as statutory payers expand coverage and device accuracy improves. Convergence of sensors, cloud platforms and automated insulin delivery strengthens clinical outcomes while streamlining daily management for millions living with diabetes. Germany’s statutory health insurance contracts and the United Kingdom’s artificial-pancreas rollout validate scalable reimbursement blueprints, whereas Nordic programs showcase data-sharing frameworks that accelerate remote care. Intensifying competition, reinforced by a 10-year patent truce between Abbott and Dexcom, is spurring next-generation features such as predictive analytics, longer sensor life and non-invasive form factors. Supply-chain risk management, notably under new European Commission notice rules, now shapes procurement strategy as much as raw innovation.
Key Report Takeaways
- By device type, self-monitoring blood glucose held 60.52% of Europe blood glucose monitoring market share in 2024, while continuous glucose monitoring is projected to expand at a 15.25% CAGR through 2030.
- By end user, hospitals and clinics led with 45.82% revenue share in 2024, whereas home healthcare is poised to grow at a 13.26% CAGR to 2030.
- By geography, Germany commanded 38.82% of the Europe blood glucose monitoring market size in 2024 and remains the largest national market; the United Kingdom is expected to post the fastest 12.62% CAGR to 2030.
Europe Blood Glucose Monitoring Market Trends and Insights
Drivers Impact Analysis
| Driver | (~) % Impact on CAGR Forecast | Geographic Relevance | Impact Timeline |
|---|---|---|---|
| Ageing & Diabetes Prevalence Surge | 2.1% | Global, with Eastern & Southern Europe showing highest burden | Long term (≥ 4 years) |
| CGM–SMBG Technology Convergence & Accuracy Gains | 1.8% | Germany, France, UK leading adoption | Medium term (2-4 years) |
| Expanded Public Reimbursement For CGM Sensors | 1.5% | France, Germany, UK with NHS coverage expansion | Short term (≤ 2 years) |
| Digital-Health Platform Integration & Remote Monitoring | 1.2% | Nordic countries, Germany, Netherlands | Medium term (2-4 years) |
| Raising Need Of Hypoglycaemia Monitoring | 0.9% | APAC core, spill-over to Western Europe | Long term (≥ 4 years) |
| Source: Mordor Intelligence | |||
Ageing Population Drives Unprecedented Diabetes Burden Across European Demographics
An ageing population enlarges the addressable base of users for Europe blood glucose monitoring market devices. Scientific Reports confirms that 61 million Europeans aged 20-79 live with diabetes, with projections indicating 69 million by 2045. Eastern and Southern economies exhibit the steepest comorbidity indices, concentrating demand into health systems with limited fiscal capacity. NHS England data registers half a million newly identified people at high risk of type 2 diabetes in 1 year, underscoring preventive screening momentum. The demographic wave supports multisector collaboration on earlier detection, remote follow-up and coaching. Over the long term, risk-stratified programs are expected to anchor stable device utilisation and recurring sensor revenues across the continent.
Technology Convergence Eliminates Traditional CGM-SMBG Boundaries Through Accuracy Innovations
European clinicians now compare continuous and capillary monitoring on equal analytical footing as sensor MARD falls below 9%. Dexcom G7 records an 8.0% MARD with a 15.5-day wear period[1]European Commission, “Continuous glucose monitoring device (freestyle libre),” ec.europa.eu. Abbott FreeStyle Libre 3 streams glucose every minute over 14 days, while Medtronic’s MiniMed 780G auto-adjusts insulin every 5 minutes, eliminating routine finger-stick confirmation. Roche gained CE Mark for its Accu-Chek SmartGuide CGM with AI-driven hypoglycaemia prediction in July 2024. FDA iCGM rules now benchmark accuracy across populations, further harmonising evidence requirements. Together, these milestones dissolve historical silos between SMBG and CGM device classes and lift replacement cycles.
European Reimbursement Revolution Unlocks CGM Access for Type 2 Diabetes Populations
Policy momentum is pivotal to Europe blood glucose monitoring market expansion. France became the first nation to reimburse Dexcom ONE for 100,000 Type 2 users on non-intensive insulin therapy with HbA1c ≥ 8%. Germany’s statutory funds negotiate over 100 supplier contracts specifying CGM eligibility, normalising device uptake in outpatient care. The United Kingdom’s NICE now recommends real-time CGM for all adults with type 1 diabetes and certain high-risk type 2 cohorts. Belgium and Norway have broadened coverage, signalling continent-wide convergence. Short-term budget impact models in England indicate 20,000 fewer acute attendances after CGM adoption, building a fiscal case for rapid scaling.
Digital Health Platform Integration Transforms Diabetes Management Through Remote Monitoring Capabilities
Cloud portals now anchor closed-loop ecosystems across the Europe blood glucose monitoring market. The European Health Data Space Regulation grants clinicians permissioned access to therapy-relevant data, enabling platforms like Abbott LibreView to deliver GDPR-compliant dashboards for remote review. Germany’s Digital Health Acts establish a central repository to facilitate AI model training on device data. Medtronic’s CareLink streams live readings to care teams, while NHS analyses show real-world CGM coverage cuts severe hypoglycaemia episodes and diabetic ketoacidosis admissions. European clinicians surveyed at ATTD 2025 rated CGM access and education as more impactful than new pharmacotherapies for type 2 management.
Restraints Impact Analysis
| Restraint | (~) % Impact on CAGR Forecast | Geographic Relevance | Impact Timeline |
|---|---|---|---|
| High Cost Of CGM Devices & Consumables | -1.4% | Eastern Europe, Southern Europe cost-sensitive markets | Medium term (2-4 years) |
| Semiconductor MEMS Supply-Chain Constraints | -0.8% | Global, with EU dependency on Asian suppliers | Short term (≤ 2 years) |
| GDPR Data-Privacy Compliance Burden | -0.6% | EU-wide, with varying national implementation | Long term (≥ 4 years) |
| Source: Mordor Intelligence | |||
High CGM Device Costs Create Access Barriers Despite Proven Clinical Benefits
Unit economics remain a hurdle for budget-constrained systems in Eastern and Southern Europe. France’s 2025 Social Security Financing Law already projects a EUR 22 billion deficit even as health insurance outlays rise 3.4% to EUR 265.9 billion[2]Ministère de l’Économie, “Loi de financement de la sécurité sociale pour 2025,” budget.gouv.fr. A French cost-utility study finds CGM adds EUR 4.6 million in device costs yet lowers long-run admissions, yielding net savings over the forecast horizon. Still, Dexcom identifies limited funding and restrictive inclusion rules as top adoption barriers in its 2025 European clinician survey. German insurers require independent medical reviews to validate intensive insulin use before approving CGM, adding administrative friction. These cost concerns temper otherwise strong demand trajectories.
Semiconductor MEMS Supply Chain Constraints Threaten Medical Device Production Continuity
CGM sensors rely on micro-electro-mechanical systems fabricated predominantly in Asia. Malaysia’s tightened chip export regulations in April 2025 have sparked calls for a stronger EU Chips Act with adequate incentives for advanced process nodes. The European Commission will require six-month advance notices of impending device supply interruptions from January 2025, compelling manufacturers to formalise continuity plans. FDA analysis details how supply shocks disproportionately affect paediatric glucose monitor users, raising cross-Atlantic scrutiny over inventory buffers. Device makers are diversifying suppliers and adopting digital traceability to mitigate near-term risk.
Segment Analysis
By Device Type: CGM Innovation Accelerates Despite SMBG Market Dominance
Self-monitoring blood glucose preserved 60.52% Europe blood glucose monitoring market share in 2024 due to low upfront cost and entrenched clinical routines. Single-use test strips remain the highest-volume consumable, especially across primary care for type 2 patients managing weight and oral medication. Nonetheless, the continuous glucose monitoring segment increases at a 15.25% CAGR to 2030 and now anchors most strategic investment. Europe blood glucose monitoring market size for CGM sensors alone is projected to add USD 1.4 billion between 2025 and 2030, reflecting transitions from early adopters to mainstream prescriptions. Breakthrough accuracy gains – Dexcom G7’s 8.0% MARD and Abbott Libre 3’s one-minute transmission – elevate clinical confidence and simplify reimbursement dossiers. Integration with insulin pumps, as in Omnipod 5’s linkage to Libre 2 Plus, further blurs hardware boundaries.
Durable components such as transmitters and receivers underpin recurring sensor revenue, while algorithm licences emerge as a nascent value pool. Non-invasive optics, led by DiaMonTech and EU-funded Talisman prototypes, promise step-change convenience if precision thresholds are met. FDA iCGM regulation now harmonises performance trials, encouraging SMBG incumbents like Roche to re-enter with AI-enabled platforms. Collectively, these shifts redirect R&D budgets from strip chemistry to sensor firmware, real-time analytics and cloud connectivity, reshaping supply chains and distributor training curricula.
Note: Segment shares of all individual segments available upon report purchase
By End User: Home Healthcare Transformation Driven by Remote Monitoring Capabilities
Hospitals and clinics captured 45.82% of the Europe blood glucose monitoring market size in 2024 by serving complex cases, perioperative inpatients and structured education programs. Centralised teams deploy CGM starter packs, interpret glycaemic patterns and adjust therapy for patients with impaired hypoglycaemia awareness. Hybrid closed-loop eligibility determinations in the United Kingdom and Germany often occur in tertiary centres, anchoring institutional demand. Yet, payer cost-containment and COVID-era telehealth normalisation have redirected new prescriptions out of hospitals.
Home healthcare now exhibits a 13.26% CAGR, the fastest among end users. Europe blood glucose monitoring market share for home settings is expected to surpass 35% by 2030 as remote-monitoring portals enable virtual titration visits and asynchronous coaching. NHS England modelling shows CGM-enabled home programs avert 20,000 acute attendances each year, yielding tangible budget relief. Germany will auto-enrol insured citizens into electronic patient records in 2025, granting users and providers reliable data interchange for do-it-yourself loop communities. Pharmacies reinforce adherence by stocking over-the-counter variants such as Abbott Lingo and Libre Rio, appealing to wellness-oriented consumers seeking painless trend monitoring. This distributed model demands robust cybersecurity and clear protocols for clinician escalation.
Geography Analysis
Germany anchors the Europe blood glucose monitoring market with 38.82% share in 2024 due to early CGM reimbursement, mature diabetes centres and payer-vendor contract depth. Statutory insurers cover sensors for intensive insulin users and have implemented over 100 negotiated agreements that stabilise unit prices. The 2025 electronic patient record rollout will auto-populate device data into nationwide portals unless patients opt out, smoothing endocrine consult workflows. German research institutes also trial CGM in paediatric cohorts, broadening long-tail demand.
The United Kingdom is set to log a 12.62% CAGR, making it the fastest growing sub-region. NHS England has begun a world-first rollout of hybrid closed-loop systems under a GBP 2.5 million starter fund, with coverage for children, pregnant women and adults above HbA1c 58 mmol/mol. NICE now mandates real-time CGM for all type 1 adults, amplifying device penetration beyond specialist centres. Robust clinical audit infrastructure aids outcome measurement, convincing Treasury officials of long-run savings through fewer severe events.
France accelerates through policy inflection, having granted Dexcom ONE reimbursement to 100,000 people on non-intensive insulin therapy. The 2025 Social Security Law raises health spending yet flags a sizeable deficit, keeping pressure on cost-effectiveness ratios. Belgium’s indication expansion, Norway’s flash monitoring coverage and Spain’s health technology assessments introduce patchwork growth across Southern and Nordic clusters.
Competitive Landscape
The Europe blood glucose monitoring market exhibits moderate concentration as incumbents fortify their product suites while new entrants ride regulatory tailwinds. Abbott posted 18.3% growth in CGM revenue, reaching USD 1.7 billion in Q1 2025, buoyed by FreeStyle Libre’s continued share gains among type 2 cohorts. Dexcom reported USD 1.036 billion Q1 2025 sales, up 17%, with France reimbursement contributing outsized growth. The firms’ January 2025 settlement ends patent litigation for 10 years, providing mutual royalty-free licences and stabilising R&D planning.
Strategic alliances now define differentiation. Insulet integrated Abbott’s Libre 2 Plus into Omnipod 5, offering interoperable algorithmic dosing. Medtronic’s Simplera Sync sensor, approved in January 2024, positions the MiniMed 780G as a turnkey closed-loop, eliminating calibration burdens[3]Medtronic plc, “Medtronic Diabetes Announces World’s First Approval for MiniMed 780G System with Simplera Sync Sensor,” news.medtronic.com. Roche re-entered with Accu-Chek SmartGuide, embedding cloud AI for predictive alerts. Beyond incumbents, DiaMonTech’s CE-certified infrared device and the EU PREVENTDIABETES consortium’s magnetohydrodynamic prototype underscore future competition from non-invasive form factors.
Supply resilience is a rising differentiator. European firms are dual-sourcing MEMS components and investing in regional wafer capacity to comply with the six-month interruption notice rules effective January 2025. Companies deploy digital control towers to track lead-times and dynamically reallocate inventory, echoing best practice highlighted by Medtronic’s logistics overhaul. As algorithmic features converge, brand equity and uninterrupted fulfilment may define share gains through the forecast horizon.
Europe Blood Glucose Monitoring Industry Leaders
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F. Hoffmann-La Roche AG
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Abbott Laboratories
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Dexcom Inc.
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Medtronic plc
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Ascensia Diabetes Care
- *Disclaimer: Major Players sorted in no particular order
Recent Industry Developments
- January 2025: Abbott and Dexcom finalise a 10-year patent settlement agreement prohibiting further litigation on diabetes sensor patents, including royalty-free cross-licensing.
- July 2024: Roche receives CE Mark for Accu-Chek SmartGuide CGM with AI-driven glucose prediction.
- June 2024: French government approves reimbursement for Dexcom ONE sensors covering 100,000 Type 2 diabetes patients on non-intensive insulin therapy with HbA1c ≥ 8%.
- March 2024: i-SENS gains CE MDR approval for CareSens Air CGM, the first locally developed non-invasive system transmitting data every five minutes.
Research Methodology Framework and Report Scope
Market Definitions and Key Coverage
Our study defines the European blood glucose monitoring market as every CE-marked, patient-operated device that reads capillary or interstitial glucose, namely glucometers, single-use test strips, lancets, and continuous glucose monitoring (CGM) systems whose sensors transmit to reusable handheld or wearable readers. We keep country coverage broad, spanning all 27 EU states plus the U.K., Switzerland, and Norway.
Scope exclusion: Central laboratory chemistry analyzers and still-experimental non-invasive wearables are left outside the frame, so our figures stay anchored to commercially proven, patient-centric hardware.
Segmentation Overview
- By Device Type
- Self-Monitoring Blood Glucose Devices
- Glucometer Devices
- Test Strips
- Lancets
- Continuous Glucose Monitoring Devices
- Sensors
- Durables
- Self-Monitoring Blood Glucose Devices
- By End User
- Home Healthcare
- Hospitals & Clinics
- Pharmacies & Others
- Geography
- Germany
- France
- United Kingdom
- Italy
- Spain
- Rest of Europe
Detailed Research Methodology and Data Validation
Primary Research
Mordor analysts interviewed endocrinologists, diabetes nurse educators, hospital buyers, home-care pharmacists, and regional distributors in Germany, France, Italy, Spain, and the United Kingdom, which let us refine testing-frequency assumptions, sensor replacement cycles, and imminent payer policy changes. These conversations also validated early model outputs before sign-off.
Desk Research
We started by mapping diabetes prevalence, reimbursement ceilings, and import flows using open sources such as the International Diabetes Federation Atlas, Eurostat customs data, OECD Health Statistics, and national HTA portals like NICE and IQWiG. Regulatory listings in the European Database on Medical Devices helped the team align active product codes with customs HS lines across 30 markets. Company 10-Ks, investor decks, public tenders, and curated news from D&B Hoovers and Dow Jones Factiva guided blended selling-price and installed-base assumptions. This list is illustrative; many additional public records were reviewed to cross-check and clarify data points.
Market-Sizing & Forecasting
Our top-down model starts with diagnosed plus estimated undiagnosed diabetes pools, applies SMBG and CGM penetration ratios, and multiplies by testing frequency or sensor turnover to obtain unit volumes, which we then value with blended average selling prices. Select bottom-up cross-checks from distributor interviews and shipment snapshots stress-test totals. Key variables inside the multivariate regression forecast include population aging, obesity prevalence, reimbursement expansion timelines, CGM price erosion, and sensor replacement-cycle length. Scenario analysis brackets upside from factory-calibrated sensors and downside from emerging non-invasive devices.
Data Validation & Update Cycle
Before release, a second analyst compares outputs with historic trade data and independent diabetes-expenditure series. Models refresh each year, with interim updates triggered by material events such as reimbursement shifts or major product recalls, ensuring clients always receive our latest view.
Why Mordor's Europe Blood Glucose Monitoring Baseline Commands Reliability
Published estimates often differ because device baskets, price anchors, and refresh rhythms rarely align.
Gaps widen when consumables are omitted, list rather than transaction prices are used, or mid-cycle payer changes pass unnoticed.
Benchmark comparison
| Market Size | Anonymized source | Primary gap driver |
|---|---|---|
| USD 5.61 B (2025) | Mordor Intelligence | - |
| USD 8.23 B (2024) | Regional Consultancy A | Includes insulin delivery disposables; relies on list prices |
| USD 4.13 B (2023) | Global Consultancy B | Excludes CGM durables; updates biennially |
Together, the comparison shows that Mordor's disciplined scope definition, current prevalence baseline, and yearly refresh cadence give decision-makers a balanced, transparent figure they can trust for planning.
Key Questions Answered in the Report
What is the current size of the Europe blood glucose monitoring market?
The market is valued at USD 5.61 billion in 2025 and is projected to reach USD 8.40 billion by 2030.
Which device type is growing fastest in Europe?
Continuous glucose monitoring devices are expanding at a 15.25% CAGR, outpacing self-monitoring products.
Why is the United Kingdom the fastest-growing geography?
NHS England’s artificial-pancreas initiative and NICE guidelines that grant CGM access to all adults with Type 1 diabetes drive a 12.62% CAGR.
How do reimbursement policies influence market adoption?
Expanded coverage, such as France’s decision to fund Dexcom ONE for 100,000 Type 2 users, removes cost barriers and accelerates uptake across health systems.
What supply-chain risks affect glucose monitoring devices?
Dependence on Asian semiconductor fabrication and new EU rules requiring six-month shortage notices compel manufacturers to diversify sources and hold strategic inventory.
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