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

This year, the number 20 holds particular meaning for iconic singer Nick Jonas.

While the band commemorates their 20th year together, 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… regarding the band, 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.”

Parallel to 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 lows, while raising awareness and engaging others as a spokesperson and through his foundation have brought him joy.

“Overall, I’m really grateful to have been able to be open about [type 1] and to connect with all these amazing people from all corners 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 isolated in it,” he added.

Nick Jonas’ A1C Shoutout to His Audience

To show appreciation to supporters, 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 collection of numbers over a 90-day period, was the most favorable it’s ever been, in fact, most recently,” he revealed.

The show was attended by members of a global community — a network of over 30,000 people globally who share their experiences with diabetes to help promote a message of resilience, determination, and positivity.

“It was really special 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 fitting to get introspective and to explore sort of what life looks like for me as a now thirty-three-year-old person managing this condition,” he said.

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

“It’s a really important 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 meaning for him as an adult, he said it is still relevant.

“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 possibly a lot more optimistic now. It is feasible to live a big, busy life while managing this disease and outlook and perspective and all that is an essential piece to powering through.”

Progress in Diabetes Management

In the past, life with type 1 diabetes meant more than five daily shots a day and finger sticks 10 or more times each day. This was a constant cycle of injections, estimation, and vigilance, as stated by a licensed endocrinologist.

“Delivery devices replaced multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘communicate’ with the glucose monitors,” the expert explained.

“Algorithms began adjusting insulin automatically, creating hybrid ‘automated delivery’ systems that lift some of the mental burden people with type 1 bear every day.”

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

“The fact that I can receive real time readings of my glucose straight to my phone or smart watch or it can be [shared with] my wife or other family members who I’m traveling away 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 in development.

“The first immune-therapy capable of delaying type 1’s onset was authorized, and research into protecting or even substituting the body’s insulin-producing cells acquired real traction. In labs around the world, scientists are growing lab-grown pancreatic beta cells and testing ways to shield them from the body's defenses,” the doctor continued.

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

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

Nevertheless, while another medical professional concurs that further advancements will continue to appear, he notes that managing type 1 diabetes remains an demanding task — physically, cognitively, and psychologically.

“I truly hope that we’ll see more and more attention to discussing and addressing the challenges and the demands of having and managing T1D. We need much more of that, too,” he commented.

Jonas Turns to Personal Wellness to Manage His Diabetes

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

First, he said he learned to take pressure off himself.

“You’re never going to have the ideal day living with this disease and even if you’re very diligent with your diabetes management, there are just things that are a little beyond your influence and being able to pause, recalibrate, and know that it’s going to be OK on the other side is really important,” he said.

While this is difficult to do at times, he said he learned to practice this early during his diagnosis.

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

“It’s a basic thing, but the more water I drink, my glucose levels are more stable. I don’t know precisely why, but I just find that hydrating has a lot of health advantages,” said Jonas. “I didn’t put as much focus 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, mental, and psychological health.

“It really grounds me and even when it’s cold out, getting out in the fresh air is really important when a lot of my day, too, is spent inside for hours at a venue or on a film set or something,” he said.

He leans on his therapist frequently, too.

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

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

“There will be good days, there will be tough days, but you can climb this challenge, and there’s some remarkable people out there whose stories will really motivate anybody that’s going through difficult times,” said Jonas.