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

This year, the number 20 carries particular meaning for renowned artist Nick Jonas.

While the band commemorates their 20th year together, 2025 simultaneously signifies 20 years since their lead singer's type 1 diabetes diagnosis.

“It’s crazy how it lined up,” Jonas remarked. “It’s been a wild journey in both… regarding the band, it’s been the adventure 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 world’s greatest fans.”

Parallel to the band’s experience over the last two decades, he said he has had great and tough moments living with diabetes. The struggles of managing his condition have been the low points, while raising awareness and connecting with others through his role 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 connect with all these wonderful people from all corners of the world who are navigating their own diabetes path, and it’s a really significant feeling to feel like you’re a little less alone in it,” said Jonas.

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 delighted his audience by sharing an inspiring message of hope, accompanied by a shout-out to his A1C.

“My A1C, which is a collection of numbers over a 90-day period, was the best it’s ever been, actually, most recently,” he revealed.

The show was attended by members of a worldwide group — a collective of more than 30,000 people globally who discuss their experiences with diabetes to help promote a message of resilience, perseverance, and positivity.

“It was really special for me to get to use the Jonas Brothers’ stage 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 introspective and to explore kind of what life looks like for me as a now thirty-three-year-old person managing this condition,” he said.

Jonas dedicated the song “A Little Bit Longer” — a melody he wrote at the start of his career and diabetes experience, 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 challenges when I was 14 and to see the impact it still has to this day with the fan base,” 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 different moments. I think my perspective is possibly a lot more positive now. It is possible to live a full, active life while managing this disease and mindset and perspective and all that is an essential piece to powering through.”

Progress in Type 1 Diabetes

In the past, life with type 1 diabetes involved more than five daily shots a day and glucose checks 10 or more times each day. This was a constant cycle of injections, guesswork, and vigilance, as stated by a board certified endocrinologist.

“Insulin pumps replaced multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘talk’ with the glucose monitors,” the doctor noted.

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

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

“The fact that I can receive real time readings of my glucose directly on 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 treatments aimed at controlling the condition and delaying or altering the disease itself are being researched.

“The first immune-therapy capable of postponing type 1’s onset was approved, and research into preserving or even substituting the body’s insulin-producing cells gained real traction. 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 engineered to become active only when glucose levels increase, promising a future where insulin works as intuitively as the body once did.

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

Nevertheless, while another medical professional agrees that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an intensive task — physically, cognitively, and psychologically.

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

The Singer Employs Self-Care to Control His Diabetes

In addition to medication and technology, Jonas discussed some strategies he leans 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 living with this disease and even if you’re super on top of your diabetes management, there are just things that are a little beyond your influence and being able to take a deep breath, 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 prioritized taking vitamins, caring for his skin, and staying well-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 earlier in my life as I do now, and it’s been really helpful.”

He also takes walks daily for 30 minutes or longer for his bodily, cognitive, and emotional 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 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 important to do that personal development,” Jonas said.

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

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