How The Singer's Management of Diabetes Has Evolved 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 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 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 most amazing fans.”

Alongside the band’s experience over the last two decades, he said he has had great and tough moments managing diabetes. The struggles of managing his condition have been the low points, while raising awareness and engaging others through his role and through his non-profit have been a source of happiness.

“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 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 isolated in it,” said Jonas.

The Singer's A1C Announcement 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, accompanied by 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, actually, 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 promote a message of strength, determination, 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 introspective and to explore 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 melody he wrote early in his career and diabetes experience, 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 audience,” he said.

While the song has assumed a new significance for him as an adult, he said it is still relevant.

“Now I [have] this vast, supportive community that I am part of that has supported me in so many different moments. I think my perspective is possibly a lot more optimistic now. It is feasible to live a big, busy life while living with this disease and mindset and viewpoint and all that is an important piece to persevering.”

Advancements 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 never-ending cycle of injections, guesswork, and care, as stated by a board certified endocrinologist.

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

“Automated systems began modifying insulin automatically, creating combined ‘automated delivery’ systems that alleviate some of the cognitive load 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.

In addition to technology, new therapies aimed at managing diabetes and delaying or altering the disease itself are in development.

“The first immune-therapy capable of postponing type 1’s start was approved, and research into protecting or even replacing the body’s insulin-producing cells acquired real momentum. In labs around the world, scientists are growing stem-cell–derived pancreatic beta cells and experimenting with ways to shield them from the body's defenses,” said the specialist.

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

“Further progress will absolutely continue to emerge. We’re no longer just enhancing devices; we’re getting nearer to changing the disease itself,” the physician stated.

However, while another medical professional agrees that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an demanding undertaking — physically, mentally, and psychologically.

“I truly hope that we’ll see more and more attention to talking about and addressing the challenges and the requirements of living with and controlling T1D. We need far more of that, too,” he commented.

The Singer Employs Self-Care to Control His Diabetes

In addition to medication and technology, Jonas shared some approaches he relies on to manage his diabetes.

To begin, 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 apply this soon after his diagnosis.

Lately, 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 better. I don’t know precisely why, but I just find that hydrating has a lot of health advantages,” he noted. “I didn’t put as much emphasis on it when I was younger 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 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 inside 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 vital to do that self-work,” Jonas said.

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

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