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

In 2025, the number 20 carries special significance for renowned artist Nick Jonas.

While the band commemorates their 20th year as a band, 2025 also marks 20 years since their frontman'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 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 20 years, he said he has had great and tough moments living with diabetes. The struggles of managing his condition have been the lows, while advocating and connecting with others through his role and through his non-profit have brought him joy.

“Overall, I’m really thankful to have been able to be transparent about [type 1] and to interact with all these wonderful people from all regions of the world who are navigating their own diabetes journey, 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 show appreciation to supporters, 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 90-day period, was the best it’s ever been, in fact, most recently,” he revealed.

The show was visited by members of a global community — a collective 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 clearly very important to me and on World Diabetes Day, I think it’s natural to get reflective and to tap into sort of what life looks like for me as a now thirty-three-year-old person living with this condition,” he said.

Jonas offered the song “A Little Bit Longer” — a melody he wrote early in his career and diabetes experience, 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 challenges when I was 14 and to see the impact it still has to this day with the audience,” he said.

While the song has taken on a new meaning for him as an adult, he said it is still relevant.

“Now I [have] this great, big community that I am part of that has supported me in so many various moments. I think my perspective is perhaps a lot more positive now. It is feasible to live a big, busy life while managing this disease and mindset and perspective and all that is an essential piece to persevering.”

Progress in Diabetes Management

Not long ago, life with type 1 diabetes involved more than five insulin injections a day and finger sticks 10 or more times daily. This was a constant cycle of needles, guesswork, and care, according to a board certified endocrinologist.

“Delivery devices replaced 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 hybrid ‘automated delivery’ systems that alleviate 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 instant data 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.

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

“The first immunotherapy capable of postponing type 1’s onset was approved, and research into protecting or even substituting the body’s insulin-producing cells gained real momentum. In labs around the world, scientists are cultivating stem-cell–derived pancreatic beta cells and experimenting with ways to shield them from the body's defenses,” the doctor continued.

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

“More advancements will definitely continue to emerge. We’re no longer just improving tools; we’re getting nearer to changing the disease itself,” the expert concluded.

Nevertheless, while another medical professional concurs that additional innovations will continue to appear, he points out that managing type 1 diabetes remains an demanding task — in terms of health, cognitively, and emotionally.

“I sincerely hope that we’ll see more and more focus to discussing and helping with the challenges and the demands of having and managing T1D. We need far more of that, too,” he commented.

Jonas Turns to Self-Care 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 perfect day living with 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 pause, 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 early during his diagnosis.

Recently, he has prioritized taking vitamins, caring for his skin, and staying hydrated.

“It’s a simple thing, but the more water I drink, my glucose levels are more stable. I don’t know exactly why, but I just find that hydrating has a lot of health benefits,” said Jonas. “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 physical, cognitive, and psychological health.

“It really grounds 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 vital to do that self-work,” Jonas said.

Above all, he encourages everyone managing 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,” said Jonas.