* With rapid growth, the alignment of departments between locales hasn't been what it needs to be.
* Efforts are compartmentalized (ibid.).
* 100% of effort is applied to 80% of goals.
* A rush-to-market causes employees to have to "drink from a firehose" in their endeavors.
* From the Management Dilemma of "Good, Fast, or Cheap–select two," Dexcom frequently selects Fast and Cheap.