| Document and Entity Information | Oct. 20, 2020 |
| Cover [Abstract] | |
| Entity Registrant Name | DEXCOM INC |
| Amendment Flag | false |
| Entity Central Index Key | 0001093557 |
| Document Type | 8-K |
| Document Period End Date | Oct. 20, 2020 |
| Entity Incorporation State Country Code | DE |
| Entity File Number | 000-51222 |
| Entity Tax Identification Number | 33-0857544 |
| Entity Address, Address Line One | 6340 Sequence Drive |
| Entity Address, City or Town | San Diego |
| Entity Address, State or Province | CA |
| Entity Address, Postal Zip Code | 92121 |
| City Area Code | (858) |
| Local Phone Number | 200-0200 |
| Written Communications | false |
| Soliciting Material | false |
| Pre Commencement Tender Offer | false |
| Pre Commencement Issuer Tender Offer | false |
| Security 12b Title | Common Stock, $0.001 Par Value Per Share |
| Trading Symbol | DXCM |
| Security Exchange Name | NASDAQ |
| Entity Emerging Growth Company | false |
