The Way The Singer's Diabetes Management Has Transformed Over the Past 20 Years

This year, the number 20 carries special significance for iconic singer Nick Jonas.

While the band commemorates their 20th year as a band, 2025 also marks 20 years since their lead singer's type 1 diabetes diagnosis.

“It’s crazy how it lined up,” Jonas remarked. “It's been an incredible ride in both… in the Brothers sense, it’s been the ride of a lifetime, and we’ve been so blessed to be able to do this for 20 years now and to have the support of the most amazing fans.”

Alongside the band’s experience over the last 20 years, he said he has had wonderful and challenging moments managing diabetes. The struggles of managing his condition have been the lows, while raising awareness and connecting with others as a spokesperson and through his foundation have been a source of happiness.

“Overall, I’m really thankful to have been able to be open about [type 1] and to interact with all these amazing people from all regions of the world who are experiencing their own diabetes path, and it’s a really big thing to feel like you’re a little less alone in it,” he added.

Nick Jonas’ A1C Shoutout to Fans

To thank his fans, on World Diabetes Day (November 14), he stepped onto the platform during a Jonas Brothers concert and surprised his audience by sharing an uplifting message of hope, accompanied by a mention to his A1C.

“My A1C, which is a average of numbers over a three-month period, was the best it’s ever been, in fact, most recently,” said Jonas.

The show was visited by members of a global community — a network of over 30,000 people globally who share their experiences with diabetes to help spread a message of strength, determination, and optimism.

“It was really meaningful for me to get to use the Jonas Brothers’ platform as a place to speak about something that’s obviously very personal to me and on World Diabetes Day, I think it’s natural to get introspective and to explore sort of what life looks like for me as a now thirty-three-year-old person living with this condition,” he said.

Jonas dedicated the song “A Little Bit Longer” — a melody he wrote at the start of his career and diabetes journey, to those affected by the disease.

“It’s a really significant time for me to get to speak on stage like that and play a song that I wrote about these experiences when I was 14 and to see the effect it still has to this day with the fan base,” he said.

While the song has assumed a new significance for him as an adult, he said it is still pertinent.

“Now I [have] this vast, supportive community that I belong to that has lifted me up in so many different moments. I think my perspective is perhaps a lot more optimistic now. It is feasible to live a full, active life while living with this disease and outlook and perspective and all that is an essential piece to powering through.”

Progress in Type 1 Diabetes

Not long ago, life with type 1 diabetes involved more than five insulin injections a day and glucose checks 10 or more times daily. This was a constant cycle of injections, estimation, and vigilance, as stated by a licensed endocrinologist.

“Delivery devices superseded multiple daily insulin injections. With time, insulin pumps became lighter and smarter, and eventually learned to ‘talk’ with the sensors,” the doctor noted.

“Algorithms began adjusting insulin automatically, creating combined ‘artificial pancreas’ systems that lift some of the cognitive load people with type 1 bear every day.”

Jonas is amazed with how far technology has improved since he was first diagnosed.

“The fact that I can receive instant data of my glucose directly on my phone or smart watch or it can be [shared with] my wife or other family members when I am apart from is just an amazing thing,” he said.

Alongside technology, new treatments aimed at controlling the condition and slowing or altering the disease itself are in development.

“The first immune-therapy capable of delaying type 1’s start was approved, and research into preserving or even replacing the body’s insulin-producing cells gained real traction. In labs around the world, scientists are growing stem-cell–derived pancreatic beta cells and experimenting with ways to protect them from immune attack,” the doctor continued.

“Smart insulin” is also being developed to activate only when blood sugar rises, offering a future where insulin works as naturally as the body once did.

“Further progress will absolutely continue to emerge. We’re no longer just improving tools; we’re getting nearer to transforming the disease itself,” the physician stated.

However, while a family physician concurs that further advancements will continue to appear, he points out that managing type 1 diabetes remains an intensive task — in terms of health, cognitively, and psychologically.

“I truly hope that we’ll see more and more focus to talking about and helping with the burdens and the demands of having and controlling T1D. We need far more of that, too,” he told.

The Singer Employs Self-Care to Manage His Diabetes

Beyond medication and technology, Jonas discussed some approaches he leans on to handle his diabetes.

To begin, he said he learned to take pressure off himself.

“You’re never going to have the ideal day while managing this disease and even if you’re very diligent with your diabetes management, there are just things that are a little out of your control and being able to take a deep breath, recalibrate, and know that it’s going to be OK on the other side is really crucial,” he said.

While this is difficult to do at times, he said he learned to apply this soon after his diagnosis.

Lately, he has focused on taking vitamins, looking after his skin, and staying well-hydrated.

“It’s a simple thing, but the more water I drink, my glucose levels are better. I don’t know precisely why, but I just find that hydrating has a lot of health advantages,” he noted. “I didn’t put as much emphasis on it when I was younger as I do now, and it’s been really beneficial.”

He also takes walks daily for 30 minutes or longer for his bodily, mental, and emotional health.

“It really centers me and even when it’s cold out, getting out in the open air is really important when a lot of my day, too, is spent indoors for hours at a venue or on a movie location or something,” he said.

He relies on his therapist regularly, too.

“I think it’s really important to do that self-work,” Jonas said.

Most of all, he encourages everyone living with type 1 diabetes to engage with the diabetes community.

“There will be positive days, there will be tough days, but you can scale this mountain, and there’s some remarkable people out there whose stories will really motivate anybody that’s going through difficult times,” he concluded.