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

This year, the number 20 holds 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.

“The alignment is remarkable,” Jonas remarked. “It's been an incredible ride in both… in the Brothers sense, it’s been the adventure of a lifetime, and we’ve been so fortunate to be able to do this for 20 years now and to have the support of the world’s greatest fans.”

Alongside the band’s experience over the last two decades, he said he has had wonderful and challenging moments managing diabetes. The difficulties of managing his condition have been the low points, while advocating and connecting with others through his role and through his non-profit have been a source of happiness.

“In summary, I’m really thankful to have been able to be transparent about [type 1] and to interact with all these amazing people from all regions of the world who are navigating their own diabetes journey, and it’s a really significant feeling to feel like you’re a little less isolated in it,” said Jonas.

Nick Jonas’ A1C Shoutout to His Audience

To thank his fans, on World Diabetes Day (November 14), he took to the stage during a Jonas Brothers concert and delighted his audience by sharing an uplifting message of hope, along with a shout-out to his A1C.

“My A1C, which is a average of numbers over a 90-day period, was the most favorable it’s ever been, actually, most recently,” said Jonas.

The show was attended by members of a worldwide group — a network of over 30,000 people globally who discuss their experiences with diabetes to help promote a message of strength, perseverance, 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 important to me and on World Diabetes Day, I think it’s natural to get reflective and to explore sort of what life looks like for me as a now 33-year-old person living with this disease,” he said.

Jonas offered the song “A Little Bit Longer” — a tune he wrote at the start of his career and diabetes journey, to those living with 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 impact it still has to this day with the audience,” he said.

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

“Now I [have] this great, big community that I belong to that has lifted me up in so many various moments. I think my perspective is possibly a lot more positive now. It is feasible to live a full, active life while managing this disease and outlook and viewpoint and all that is an essential piece to persevering.”

Progress in Type 1 Diabetes

In the past, life with type 1 diabetes meant more than five daily shots a day and glucose checks 10 or more times each day. This was a never-ending cycle of needles, guesswork, and care, according to a board certified endocrinologist.

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

“Algorithms began adjusting insulin on their own, creating combined ‘artificial pancreas’ systems that alleviate some of the mental burden people with type 1 carry every day.”

Jonas is impressed with how far technology has advanced since he was first identified.

“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 incredible thing,” he said.

In addition to technology, new therapies aimed at controlling the condition and slowing or altering the disease itself are being researched.

“The first immunotherapy capable of delaying type 1’s start was authorized, and research into preserving or even substituting the body’s insulin-producing cells gained real traction. In labs around the world, scientists are growing lab-grown pancreatic beta cells and testing ways to protect them from immune attack,” the doctor continued.

“Smart insulin” is also being engineered to become active only when glucose levels increase, promising a future where insulin works as naturally as the body once did.

“More advancements will absolutely continue to emerge. We’re no longer just enhancing devices; we’re getting nearer to transforming the disease itself,” the expert concluded.

However, while a family physician concurs that additional innovations will continue to appear, he points out that managing type 1 diabetes remains an demanding undertaking — in terms of health, mentally, and psychologically.

“I sincerely hope that we’ll see more and more focus to talking about and helping with the challenges and the requirements of having and controlling T1D. We need much more of that, too,” he commented.

The Singer Employs Personal Wellness to Manage His Diabetes

In addition to medication and technology, Jonas shared some strategies he relies on to handle his diabetes.

To begin, he said he learned to be less hard on himself.

“You’re never going to have the ideal day while managing this disease and even if you’re super on top of your diabetes management, there are just things that are a little out of your control and being able to pause, reset, 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 practice this soon after his diagnosis.

Recently, he has focused on taking vitamins, caring for his skin, and staying well-hydrated.

“It’s a basic 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 helpful.”

He also walks daily for 30 minutes or longer for his physical, cognitive, 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 film set or something,” he said.

He leans on his therapist regularly, too.

“I think it’s really vital to do that personal development,” Jonas said.

Above all, he encourages everyone living with type 1 diabetes to take part in the diabetes community.

“There will be positive days, there will be challenging days, but you can scale this challenge, and there’s some remarkable people out there whose experiences will really inspire anybody that’s going through difficult times,” said Jonas.