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Commitments Commitments - Purchase Commitments (Details) $ in Millions	12 Months Ended
	Dec. 31, 2018 USD ($)
Commitments and Contingencies Disclosure [Abstract]
Purchase obligations	$ 204.0
Term of purchase obligations	1 year

X

- Definition

Recorded Unconditional Purchase Obligation Due Within One Year, Maximum Term

+ References

No definition available.

+ Details

Name:	dxcm_RecordedUnconditionalPurchaseObligationDueWithinOneYearMaximumTerm
Namespace Prefix:	dxcm_
Data Type:	xbrli:durationItemType
Balance Type:	na
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_CommitmentsAndContingenciesDisclosureAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Amount of the recorded unconditional purchase obligation maturing in the next fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 440
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=77896938&loc=d3e25383-109308

+ Details

Name:	us-gaap_RecordedUnconditionalPurchaseObligationDueWithinOneYear
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant