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Teri Lawver
Executive Vice President & Chief Commercial Officer, DexCom

Inside Dexcom's Announcements from ADA with Chief Commercial Officer Teri Lawver

🎥 Jul 04, 2023 📺 DiabetesConnections ⏱ 34m
This week, G7 updates – direct to watch announcements – and a lot more about what Dexcom sees as the next frontier in CGM. A conversation – from ADA – with the company’s Chief Commercial Officer Teri Lawver. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Please visit our Sponsors & Partners - they help make the show possible! Take Control with Afrezza Omnipod - Simplify Life Learn about Dexcom Check out VIVI Cap to protect your insulin from extreme temperatures Learn more about A...
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About Teri Lawver

Teri Lawver, Executive Vice President and Chief Commercial Officer at Dexcom, discussed the company’s recent announcements and strategic direction in a July 2023 podcast recorded at the American Diabetes Association Scientific Sessions. Lawver, who joined Dexcom in January 2023 after 20 years at Johnson & Johnson, stated that Dexcom’s teams are working with "great urgency" to connect the G7 continuous glucose monitor (CGM) to its current pump partners. She also noted that Dexcom plans to launch direct-to-watch connectivity for the G7 by the end of 2023, though she declined to share technical details. Lawver described Dexcom’s efforts to expand CGM access to people with type 2 diabetes who are not on insulin, citing a real-world evidence study of more than 7,200 such users that showed "significant improvements in glycemic control." She said the company is developing a version of the G7 tailored to that population, with different software and user experience, while continuing to serve the type 1 diabetes community. Lawver emphasized that Dexcom aims to "meet the needs distinctly for each population" and that the company’s leadership in connectivity remains central to its strategy.

Source: AI-verified profile updated from Teri Lawver's recent appearances. Browse all interviews →

Transcript (34 segments)
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Stacy Sims0:12
Accurate CGM system.
This is Diabetes Connections with Stacy Sims. This week: G7 updates, direct-to-watch announcements, and a lot more about what Dexcom sees as the next frontier in CGM. A conversation from ADA with the company's Chief Commercial Officer, Terry Lawver. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider.
Welcome to another week of the show. I'm your host, Stacy Sims, and I'm always so glad to have you here. We aim to educate and inspire about diabetes with a focus on the ADA conference. And holy cow, it was huge. Everybody had told me, 'Be prepared for a ton of walking and a ton of people,' and that was very much the case. But it's also very much a professional-facing conference, doctor to doctor, industry to industry. I don't really think it's a conference for patients, certainly, or lay people. I learned a lot, I saw a lot of old friends, and the podcast even got mentioned in an official session. Dr. Bryce Nelson, who I talked about a couple of weeks ago, he included that interview in his remarks about Tezspire, so that was really cool to hear about. But by the time this episode airs, it will be almost two weeks since ADA. I will be processing what I heard for a long time, I am sure, in that weird time-shifting way of podcasting. While you're hearing this, I'm actually at Friends for Life in Orlando.
We are announcing speakers for our next two Diabetes Connections Presents Mom's Night Out events. These are going to be in Frisco, Texas, near Dallas, and in Providence, Rhode Island this fall. So excited to announce that Kerri Sparling will be speaking in Providence. Of course, Kerri wrote 'Six Until Me,' one of the longest-running diabetes vlogs. She is a published author as well. She lives with type 1, she's an amazing speaker, and I am thrilled that she will be talking to us in Providence. More speaker announcements to come. Please check diabetesconnections.com for all of the info, how to register, and how to get on our email list for future Mom's Night Out events. We are going to be in many more cities. This is just the beginning.
The bulk of the bigger announcements for Dexcom at ADA, I do think it's really important to include the full picture here. But Terry, of course, answers our questions about type 1 and insulin-using customers of Dexcom. This is also where I put in my disclaimer. Long-time listeners are very familiar with this. Dexcom is a sponsor of the show. You will hear an ad from them later on. We have that partnership because we love the product, but that doesn't mean that they get to dictate the content. In other words, they're not telling me what to ask Terry here, they're not dictating what I say to her, that sort of thing. Maybe obvious, maybe not, but to me it's always important to talk about it. I'll be right back with Terry in just a moment.
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Thank you so much for joining me, and thanks for coming on Diabetes Connections for the first time. I appreciate that.
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Teri Lawver5:20
Oh Stacy, it's a pleasure to be here.
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Stacy Sims5:22
So much to talk about, lots of announcements. And I don't think I need to welcome you to Dexcom, but you haven't been here very long. Can you talk about coming to the company?
T
Teri Lawver5:30
Sure. So I joined Dexcom in January of this year, so just under six months with Dexcom. How I got here is, I think, a fun story. I spent the prior 20 years of my career with Johnson & Johnson, leading a variety of business units there across pharmaceuticals, biotechnology, and medical devices. One of my roles there was as the General Manager of Animas Corporation, just after J&J had acquired it. We needed a way to differentiate our pumps, we needed a way to bring something different and better to those we serve. And this was very early days of CGM, and so we signed an agreement with Dexcom at the time to develop the first CGM-enabled insulin pump. And that is how I first met Kevin Sayer. So that was many years ago now. Fast forward through multiple additional career and job moves, and I was reaching out to Kevin just to do some networking last year, as he and I had stayed in touch over the years, and he talked about this opportunity, and it was just too tremendous to pass up.
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Stacy Sims6:50
Well, as a former Animas customer, I would love to circle around later and talk a little bit more about that. You have a lot of these AID systems. I guess just to kind of check some boxes, can you speak a little bit about interoperability with the G7 for the rest of the year? I know these are Tandem and Omnipod decisions and announcements, but is there anything you can tell us from Dexcom?
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Teri Lawver7:24
This is definitely one of the most common questions I'm getting, and I think all of my Dexcom colleagues, as well as our Tandem and Insulet colleagues, are getting at this meeting. I can say that our teams are working very, very closely with great urgency to bring the connection of G7 to both of our current pump partners as quickly as possible. The timeline announcements, I think, I would defer to the pump companies. Tandem, I believe, has announced that we will be in the market with them later this year, and Insulet's coming, you know, just a little bit after that. So we are working very closely with both Tandem and Insulet systems partnered with G7.
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Stacy Sims8:16
The G7 launch in general, how is it going? It seems, and I sit in a different place, all I really see is my own household and the community. I'm curious about the insurance. Has insurance gone well? Are the payers kind of cooperating? How's all that going?
T
Teri Lawver8:31
It's a great question, because if we put a product there and people can't get it, we're not living into our mission, right? So with the G7, when we launched the product, we launched it with a program that we call a denial conversion program. And this is a mechanism whereby there is a cash-pay option for people who don't yet have insurance coverage. So it's a way to ensure that people can get access to the product. The majority of people who have had coverage for G6 now also have coverage for G7, and that denial conversion program is still in place for those few plans or subparts of plans that are catching up.
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Stacy Sims9:23
I sat in on the Friday investor meeting, which I've never done before. It was really interesting, kind of a different perspective, because it was much broader than the things that I usually focus on. But really interesting to see the road map. It seemed to me that the big takeaway for my audience, and I'm laughing as I'm saying this, but when Kevin Sayer announced direct-to-watch by the end of the year, I know people were very excited about that. But I wanted to ask you about the CGM that's coming for people with type 2 who don't use insulin necessarily. Can you speak to that a little bit?
T
Teri Lawver9:54
Sure, Stacy. And maybe I'll start with some context. There are about 25 million people in the US alone who have diabetes who are not on insulin and who are not at risk for severe hypoglycemia. So if we look at the most recent CMS coverage expansion, this is a population that's not part of that coverage expansion. And we know from hearing from those people themselves, as well as their clinicians, as well as what the data tells us, including some data here at ADA, that's a population that can really benefit from a CGM or a continuous glucose sensing product. Now, we also know that their needs are really different from the population who is using insulin. So for this population, those not on insulin and not at risk for severe hypoglycemia, they want insights about their glucose levels, but they don't want to be interrupted throughout the day by a set of alarms that for them they feel are unnecessary. So, for example, they might want more of a longer-term evaluation about their nutrition and exercise plan. This is a really highly motivated group of people. They have a deep fear of progressing to injectable therapies and insulin. They are more likely to be making their own decisions about continuous glucose monitoring without advice from a physician, and they really want to feel empowered to take control of their health. So this product will be on the same G7 hardware platform, but the software and user experience will be tailored to their needs. We haven't committed to timelines on this, but we do see over time different versions and iterations of this product to fully meet the needs of even the different subpopulations within the big non-insulin population. 25 million people is a lot, and we know that within that there are going to be segments and groups of people who have distinct needs, and over time we'll work to continue tailoring this so that everyone who can benefit from CGM gets the full and maximum benefit for their needs and where they are in their health journey.
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Stacy Sims14:40
Now you asked about specific features. For confidentiality reasons, at this point we're not sharing detailed features of the product. I totally respect that. We're interested, and hopefully you'll share that soon. But I think I'm also curious about how you get that population to be engaged with the CGM.
T
Teri Lawver15:20
You know that I'm a big fan of choice when it comes to diabetes technology, and I get so excited when there's something new, because if you live with diabetes, you deserve to find the best fit for you. That's just one reason I'm working with Omnipod to help spread the word about what makes it so easy to test their system out. If you want to try an insulin pump or see what life without tubes is all about, you can try Omnipod 5 with no commitment or obligation. And you can try Omnipod even if your current tubed pump is in warranty. No, really, you heard that right. And if it's not right for you, no problem.
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Stacy Sims16:13
Now back to Terry, and she's answering my question about people with type 2 and CGM.
T
Teri Lawver16:21
You asked about outcomes specifically with this product. So we haven't done clinical trials with this particular product yet, so I don't have that data to share with you. But what we do know, when we saw even an abstract here at ADA, there's a real-world evidence study of more than 7,200 people who are not on insulin who use Dexcom CGM. And in that study, we saw significant improvements in glycemic control, and that was in a fairly short time duration, even just over a few months. And so, you know, I think about my own mother, who has type 2 diabetes, and she was managing with a finger stick, which now we know how much that would have done, and to dose insulin for her. So I know how difficult that journey can be. It's really difficult when the only feedback you have is going to your physician every however many weeks and getting an A1c number that really doesn't tell you what or how your behaviors are translating into outcomes. Even people with type 1 diabetes know you can do the same thing one day and the next day and have different outcomes, right? So that insight into how different actions, foods, behaviors, situations, sleep, not sleep, caffeine, stress, the insights into how all of those things affect your glucose levels is really powerful. And what we've learned from working with this type 2 customer group is they are highly motivated to do the right thing. They feel like often they're walking in a dark room without a flashlight, because they don't always know what that right thing is. And even if they make a food choice that they know might not be optimal, they don't know how to make the trade-offs between when and how much of certain foods they can eat and stay in range. So there is a different level of insight for this population that they haven't really had before, and CGM is the only thing that can provide that right now.
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Stacy Sims18:43
And as you're answering it, it seems like I asked kind of an unfair question, because I remember when my son got a CGM, we were in diabetes for seven years and we didn't know what we didn't know. So that analogy of the flashlight, right? We got this tool and it just opened up our world. So I think that's a really good point. A question I get a lot from my listenership is people with type 1 rely so much on CGM, they are nervous when you see the big market and frankly the big money of type 2 that innovation and the service to type 1 may stall. Can you talk a little bit, I know future plans you may not be able to talk about, but just a commitment to the type 1 community?
T
Teri Lawver19:35
Stacy, I'm so glad you asked that. And I can understand how people in the type 1 community might see that when they hear us at Investor Day talking about a big announcement for people who are not on insulin. You know, we say at Dexcom, for example, AID is in our DNA. We are absolutely committed to the type 1 community and to the intensive insulin-using population. And you also heard Kevin on the stage talk about our portfolio for next-generation G-series products as well. We're doing both of those waves and lines of research. It's really one of the things we're excited about, having the size and scale that we now have at Dexcom to be able to support research and development for both of those populations simultaneously. And the truth is, we learn between them. We learn an insight for type 2 that can help us with type 1 or the intensive insulin population, and vice versa. So we think it's a great strength, and we think doing both of those things simultaneously is actually going to help us serve all of those populations even better over time.
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Stacy Sims21:10
Kevin mentioned things like lower MARD, smaller hardware, to be continued. I'll have to repeat what Kevin said, and that is we're not going to provide specific timelines for those features at this point. But yes, those are when we talk about continued research, lower MARD, better accuracy, better software, smaller footprint, all of those things that Kevin mentioned are absolutely part of our research and development program. And we all repeat what Kevin said: we're not going to provide timelines at this point, but we are working on all of those things. He did say though that direct-to-watch is coming by the end of the year, and that was very quick. He just kind of put it in there, and I know my antenna went straight up because this is such a feature that, as you know, people have been asking for.
T
Teri Lawver22:11
So then maybe there are a couple of things that I can share. First, Dexcom has always been the leader in connectivity, and we will continue to be. Not just connectivity to AID systems, as you know, but also to phone, watch, receiver. Dexcom right now is the only system that can connect to multiple receivers and tools at the same time. And so our leadership in connectivity is something we're really dedicated to. We know in today's world of technology that is central. I cannot share details of the technical details of what that direct-to-watch would look like, but what I would say is that people will get their G7 when it's announced. We can say that, but I can't share the details at that point.
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Stacy Sims23:18
Yeah, that's fair. Sorry. That's okay. Everyone's asking, I know. It's a hot topic.
T
Teri Lawver23:22
I know. You know, I know you've had Jake on the podcast talking about this. The connectivity that I think we take for granted now with Dexcom because we've been doing it for so long, this is not easy. What our technical team does around the connectivity, the reliability of this connectivity to multiple devices at the same time and share and follow, these are really significant research and development and technology efforts. And so I give credit to Jake and our technical team every day. I'm incredibly grateful and impressed for the work they do. They make it look easy. None of it is easy.
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Stacy Sims24:11
I remember sitting in the hall outside his bedroom because I don't like devices in his room, so I would try to, with the RF signal which was the original, right? And you could get it through closed doors sometimes. So to see where we are, it's really interesting. But before I let you go, I want to circle back to Animas, if you don't mind, which is near and dear to our hearts. It was my son's first insulin pump. He had the Animas 2020, and then we switched to the Ping, and then we wound up when Animas was no more, we stopped using it. Although I know people who just recently stopped using Animas insulin pump, so I don't know how they were getting supplies, but this community is quite creative. But I'm curious, what was it like for you all there during that time? It must have been really difficult.
T
Teri Lawver24:56
It was such a... what I took away from Animas, beyond an incredible learning about the diabetes community, is the importance of really understanding your customer needs firsthand, and understanding those needs better than anyone else, and sometimes understanding those needs even before the customer can articulate the needs themselves. So maybe one story I can share: at Animas, there was another really big insulin pump company who really led the entire market, and Animas was a small, scrappy startup trying to find our way. And the technology is really challenging, right? For these products, you know, if you think about it, I have a teenage son, and the pump has to work every single time, no matter what happens to it. That's a pretty high bar. It's a difficult space for any technology and company. And we looked really hard to say, what could we do that would be different that mattered most to the customers, to those we were serving? And we identified three things. First and foremost was leading in CGM integration, and that was the connectivity with Dexcom that I mentioned earlier. But second and third were, when we sat down with people using the pumps, and in particular the pediatric population, they wanted colors and they wanted it to be waterproof. They wanted to be able to enjoy their lives. And so one of the things that we almost laugh about now, but we're also really proud of, is we had these fish tanks with brightly colored fish against the different colored fish to get across the point that we offered waterproof and color. And of course, being close to Dexcom as well at the time. So we learned a lot. It was a very difficult decision, I know for those involved, to have to wind that company down. But as we know, most of those customers were handed over to Tandem, and we know that they take great care to provide those customers what they need.
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Stacy Sims27:38
I loved those fish tanks. I remember that. We went to many Animas events with the fish tanks. And I actually have an episode about how to choose an insulin pump, not a brand, but how to ask questions to yourself and your provider. And the title of that episode is 'Can I Just Get the Pink One?' because people care about that. So I have a Dexcom suggestion for you. Animas had a feature where you could customize the sounds. We'd call it open source now. They put it online and you could change the music. It was very tinny, right? It wasn't real music. Maybe the Dexcom alerts and alarms, you could play, you know, my one of my relatives, I can't say who, has the Darth Vader Imperial March as a theme when someone calls them. Like maybe you could put that in when your son is high or something. You could get as fun as you wanted or as silly as you wanted. So that's another thing we loved about Animas. I'll take that. Okay, Terry, thank you so much for joining me. It's great to start getting to know you. I appreciate you coming on and sharing the information, and I hope we talk again soon.
T
Teri Lawver28:47
Oh Stacy, it was absolutely my pleasure. Thank you.
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Stacy Sims29:10
I'll be talking to them much more in the weeks and months ahead as they move forward to integration with Omnipod and Tandem and more advances with the G7. You know, just a really quick inside baseball aside here: it's always funny for me to do in-person interviews. Most of my interviews, as you can imagine, I do in my home studio and they're remote. We use Zoom or Zencastr or another way to connect online. But when I go to these conferences and I do these interviews in person, I think the dynamic is a little different. I wonder if you can hear that as you listen. I know the sound can be a little bit different, but love to get your feedback on that. Up next, a little update on Benny, his adventures at camp. You know, with that kid, it is always an adventure. And a little personal news of what we've been up to.
I'm so excited that Dexcom G7 is here. Go to the Dexcom Savings Center for a free benefits check to see what coverage options are available to you. Powerful and simple, Dexcom G7 is proven to lower A1C and help you spend more time in range. Learn more, go to diabetesconnections.com and click on the Dexcom logo.
I gotta tell you, it was really fun at ADA. People asking me about how my kids are doing. I met a lot of people who have really followed Benny and me, I guess since I started blogging, as I mentioned, since 2007. So you guys have known him, some of you, since he was two years old. Well, he's 18, and he just finished his first month at camp as a lifeguard. He's having a great time. No rescues needed. But he did have a pump failure, which is why we can never be out of warranty. But he finally put the Type 1 Tactical case on the new pump. I've been nagging him to do that forever. He has always been the kind of kid that he had a SpiBelt or it wasn't that brand when he was little, but he had like a little waist pack from ages 2 to, let's say, 12. And then he just shoved the pump in his pocket. But that doesn't work well in this kind of environment. So big thanks to Type 1 Tactical for sending that amazing holster last year. Well, I hope to see them at Friends for Life and I can thank them in person. But Benny's really doing well. I don't hear much from him, which I think no news is good news. He sends me funny pictures, which is the best. I do not have any news on my daughter, but she's living in the state of North Carolina and she's living at the beach for at least the next year. So insert cliche here: time marches on, time flies, I don't know. But I'm really proud of both kids and it's fun to watch them do their thing. All right, please follow me on social media. We have lots to come from Friends for Life this week. I'm hoping to have a lot of fun posts. And again, Mom's Night Out registration is open for our next three cities: Frisco, Texas; Providence, Rhode Island; and Charlotte, North Carolina in February. And please watch for more speaker announcements for each city. We have so much good stuff to come. Thank you as always to my editor, John Buchananas from Audio Editing Solutions. Thank you so much for listening. I'm Stacy Sims. I'll see you back here soon. Until then, be well.
So much going on this time of year: camp and travel. And it's really important to keep your insulin at the right temperature, even in the extreme heat or cold. We love ViviCap, the thermal insulin pen carrying case. It works with any insulin pen, it is interchangeable between pens, it's so easy to use, and it really works. Benny keeps one of these in his bag for his backup insulin pen. He likes it because it's small and lightweight. He doesn't even do anything to it. It lasts for years without any kind of maintenance. I like it because it protects against heat and cold. It's TSA approved and it's FSA and HSA eligible. If you've never seen this, it really is just a cap. You take off the regular cap or the lid of the pen, whatever you want to call it, and you put on the ViviCap.