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

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

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

“It’s crazy how it lined up,” Jonas remarked. “It’s been a wild journey 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 most amazing fans.”

Parallel to the band’s experience over the last two decades, he said he has had wonderful and challenging moments living with diabetes. The struggles of controlling his disease have been the low points, while advocating and engaging others as a spokesperson and through his foundation have been a source of happiness.

“In summary, I’m really thankful to have been able to be open 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 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 took to the stage during a Jonas Brothers concert and surprised his audience by sharing an uplifting message of hope, along with a mention to his A1C.

“My A1C, which is a collection 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 network of more than 30,000 people globally who discuss their experiences with diabetes to help spread a message of strength, perseverance, and positivity.

“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 personal to me and on World Diabetes Day, I think it’s fitting to get reflective and to explore kind of what life looks like for me as a now 33-year-old person managing this condition,” he said.

Jonas offered the song “A Little Bit Longer” — a melody he wrote early in 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 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 pertinent.

“Now I [have] this vast, supportive community that I belong to that has lifted me up in so many various moments. I think my outlook is possibly a lot more optimistic now. It is possible to live a full, active life while living with this disease and outlook and perspective and all that is an important piece to persevering.”

Advancements in Diabetes Management

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

“Insulin pumps 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.

“Automated systems began adjusting insulin on their own, creating hybrid ‘automated delivery’ systems that lift some of the mental burden people with type 1 carry every day.”

Jonas is amazed with how far technology has advanced since he was first diagnosed.

“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 amazing thing,” he said.

Alongside technology, new treatments aimed at managing diabetes and delaying or altering the disease itself are being researched.

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

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

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

Nevertheless, while a family physician agrees that further advancements will continue to develop, he notes that managing type 1 diabetes remains an demanding undertaking — physically, cognitively, and psychologically.

“I truly 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 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 approaches he leans on to manage his diabetes.

First, 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 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 difficult to do at times, he said he learned to apply this soon after his diagnosis.

Recently, he has focused on taking vitamins, looking after his skin, and staying 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 earlier in my life as I do now, and it’s been really beneficial.”

He also walks daily for 30 minutes or longer for his bodily, cognitive, and psychological health.

“It really centers 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 concert hall or on a movie location or something,” he said.

He relies on his therapist regularly, too.

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

Above all, he encourages everyone living with type 1 diabetes to engage with 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 stories will really motivate anybody that’s going through difficult times,” said Jonas.