Do I need an iPhone to pair directly with my Apple Watch?

To set up Dexcom G7 Direct to Watch, you must have an iPhone* that is running iOS 17 or later and an Apple Watch Series 6 or later running watchOS10.
The watch app copies settings from your phone app. Whenever you change your CGM settings on your phone app, open and display the app on your smartwatch while your phone is nearby to ensure settings are copied to the smartwatch. 
To view a list of compatible Apple Watches, visit this FAQ: HERE 
* Smart device sold separately. To view a list of compatible devices, visit dexcom.com/compatibility

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