Breaking (and Fixing) a Widely Used Continuous Glucose Monitoring System


Luca Reverberi and David Oswald, School of Computer Science, University of Birmingham, UK


A Continuous Glucose Monitoring System is a medical device that continuously monitors a patient’s blood glucose concentration, which is essential in the treatment of diabetes. Although such devices are increasingly used, their security has not been thoroughly studied. In this paper, we analyze a widely used wireless blood glucose monitor, the Dexcom G4. We practically demonstrate a series of security issues in this device that enable, amongst others, the tracking of a user and the forging of incorrect sensor readings. The attacks can be carried out at minimal cost using software-defined radio and low-cost RF chipsets. Finally, we devise and practically implement an efficient protocol based on best practices and well-known crypto algorithms to mitigate the weaknesses we discovered.

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@inproceedings {206152,
author = {Luca Reverberi and David Oswald},
title = {Breaking (and Fixing) a Widely Used Continuous Glucose Monitoring System},
booktitle = {11th {USENIX} Workshop on Offensive Technologies ({WOOT} 17)},
year = {2017},
address = {Vancouver, BC},
url = {},
publisher = {{USENIX} Association},