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

This year, the number 20 holds special significance for renowned artist Nick Jonas.

While the band commemorates their 20th year together, 2025 also marks 20 years since their frontman'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.”

Parallel to the band’s experience over the last two decades, he said he has had great and tough moments living with diabetes. The difficulties of managing his condition have been the low points, while advocating and connecting with 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 significant feeling to feel like you’re a little less isolated in it,” said Jonas.

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 surprised his audience by sharing an inspiring message of hope, along with a shout-out 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,” he revealed.

The show was attended by members of a worldwide group — a network of over 30,000 people worldwide who share their experiences with diabetes to help promote a message of resilience, perseverance, and optimism.

“It was really meaningful for me to get to use the Jonas Brothers’ stage as a place to speak about something that’s obviously very personal to me and on World Diabetes Day, I think it’s fitting 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 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 challenges when I was 14 and to see the effect 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 pertinent.

“Now I [have] this great, big community that I am part of that has lifted me up in so many various 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 mindset and viewpoint and all that is an important piece to powering through.”

Progress in Type 1 Diabetes

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

“Insulin pumps replaced multiple daily insulin injections. With time, insulin pumps became lighter and more advanced, and eventually learned to ‘communicate’ with the glucose monitors,” the doctor noted.

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

Jonas is amazed with how far technology has advanced 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 when I am apart from is just an incredible thing,” he said.

Alongside technology, new treatments aimed at managing diabetes and slowing or modifying the disease itself are in development.

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

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

Nevertheless, while another medical professional concurs that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an demanding undertaking — physically, cognitively, and emotionally.

“I sincerely hope that we’ll see more and more focus to talking about and addressing the burdens and the requirements of living with and controlling T1D. We need far more of that, too,” he told.

Jonas Turns to Self-Care to Manage His Diabetes

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

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

“You’re never going to have the perfect 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 pause, reset, and know that it’s going to be OK on the other side is really crucial,” he said.

While this is hard to do at times, he said he learned to practice this early during 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 more stable. I don’t know exactly why, but I just find that hydrating has a lot of health benefits,” he noted. “I didn’t put as much focus on it when I was younger as I do now, and it’s been really beneficial.”

He also walks daily for 30 minutes or longer for his bodily, 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 concert hall 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 self-work,” Jonas said.

Most of all, he urges everyone managing type 1 diabetes to engage with the diabetes community.

“There will be good days, there will be challenging days, but you can climb this challenge, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through tough moments,” he concluded.