How The Singer's Management of Diabetes Has Evolved Over Two Decades

This year, the number 20 holds 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.

“The alignment is remarkable,” the singer stated. “It’s been a wild journey 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.”

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 low points, while advocating and engaging others through his role and through his non-profit have brought him joy.

“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 experiencing their own diabetes journey, 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 Fans

To thank his fans, 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 90-day period, was the most favorable it’s ever been, actually, most recently,” he revealed.

The show was visited by members of a worldwide group — a collective of more than 30,000 people worldwide who discuss their experiences with diabetes to help spread a message of resilience, determination, 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 natural to get reflective and to explore sort of what life looks like for me as a now 33-year-old person managing this condition,” he said.

Jonas dedicated the song “A Little Bit Longer” — a tune he wrote early in his career and diabetes journey, to those affected by 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 effect 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 belong to that has supported me in so many various moments. I think my outlook is perhaps a lot more optimistic now. It is feasible to live a full, active life while managing this disease and mindset and viewpoint 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 insulin injections a day and glucose checks 10 or more times daily. This was a constant cycle of needles, guesswork, and care, according to a board certified endocrinologist.

“Delivery devices superseded multiple daily insulin injections. With time, insulin pumps became lighter and more advanced, and eventually learned to ‘communicate’ with the sensors,” the expert explained.

“Automated systems began adjusting insulin automatically, creating hybrid ‘artificial pancreas’ systems that alleviate some of the cognitive load people with type 1 carry every day.”

Jonas is amazed with how far technology has improved 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.

In addition to technology, new treatments aimed at controlling the condition and delaying or altering the disease itself are in development.

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

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

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

Nevertheless, while another medical professional concurs that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an demanding undertaking — in terms of health, cognitively, and psychologically.

“I truly hope that we’ll see more and more attention to discussing and helping with the challenges and the requirements of living with and managing T1D. We need much more of that, too,” he told.

Jonas Turns to Self-Care to Control His Diabetes

Beyond medication and technology, Jonas discussed some approaches he relies on to handle his diabetes.

To begin, he said he learned to be less hard on himself.

“You’re never going to have the perfect day while managing this disease and even if you’re super on top of 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 important,” he said.

While this is hard to do at times, he said he learned to practice this soon after his diagnosis.

Lately, he has prioritized 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 better. I don’t know exactly why, but I just find that drinking water has a lot of health advantages,” 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 physical, mental, and psychological health.

“It really centers 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 film set or something,” he said.

He relies on his therapist frequently, too.

“I think it’s really vital to do that personal development,” Jonas said.

Above all, he urges 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 scale this challenge, and there’s some incredible people out there whose stories will really motivate anybody that’s going through tough moments,” he concluded.