Mean Absolute Relative Difference (MARD) is a standard metric used to evaluate the accuracy of continuous glucose monitoring systems, which gives the average amount a CGM sensor reading varies from the actual blood glucose. It is calculated by taking the average of the absolute relative differences between the glucose readings reported by the CGM system and corresponding reference measurements, typically obtained through laboratory analysis or blood glucose meters. A lower MARD value indicates greater accuracy, and it is commonly used in clinical research and regulatory evaluations to compare the performance of different CGM devices. It is also of note that MARD percentages can vary by person, even while using the same device.

MARD by device

DeviceMARDRelease yearNotes
Dexcom STS20.3%2006
Dexcom Seven17%2007
Dexcom Seven Plus16%2010
Dexcom G4 Platinum13.9%2012
Dexcom G5 Mobile9%2015
Dexcom G69%2018
Dexcom G78.2%2022
Dexcom G7 15-Day8%2024
FreeStyle Libre 113.7%2014
FreeStyle Libre 29.3%2020
FreeStyle Libre 37.8%2022