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

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

While the band commemorates their 20th year as a band, 2025 also marks 20 years since their frontman's type 1 diabetes diagnosis.

“The alignment is remarkable,” the singer stated. “It's been an incredible ride in both… regarding the band, it’s been the ride 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 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 difficulties of managing his condition have been the lows, while raising awareness and engaging others as a spokesperson and through his foundation have brought him joy.

“Overall, I’m really grateful to have been able to be transparent 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 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 stepped onto the platform during a Jonas Brothers concert and surprised his audience by sharing an uplifting 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 most favorable it’s ever been, in fact, most recently,” said Jonas.

The show was attended by members of a global community — a network of over 30,000 people globally who discuss their experiences with diabetes to help spread a message of strength, 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 fitting to get introspective and to tap into sort of what life looks like for me as a now 33-year-old person living with this disease,” he said.

Jonas offered the song “A Little Bit Longer” — a tune he wrote early in 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 experiences 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 meaning 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 lifted me up in so many different moments. I think my perspective is possibly a lot more optimistic now. It is possible 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 Diabetes Management

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

“Insulin pumps superseded 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.

“Automated systems began adjusting insulin automatically, creating combined ‘artificial pancreas’ systems that lift 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 identified.

“The fact that I can receive real time readings of my glucose straight to 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 slowing or modifying the disease itself are being researched.

“The first immunotherapy capable of delaying type 1’s onset was authorized, and research into preserving or even substituting the body’s insulin-producing cells gained real traction. 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,” the doctor continued.

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

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

Nevertheless, while a family physician concurs that further advancements will continue to appear, he points out that managing type 1 diabetes remains an demanding task — physically, mentally, and emotionally.

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

The Singer Employs Self-Care to Control His Diabetes

In addition to medication and technology, Jonas discussed some approaches he relies 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 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.

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 better. I don’t know exactly why, but I just find that hydrating has a lot of health advantages,” said Jonas. “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 takes 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 indoors for hours at a concert hall or on a movie location or something,” he said.

He relies on his therapist frequently, too.

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

Most of all, he urges everyone managing type 1 diabetes to take part in the diabetes community.

“There will be positive days, there will be challenging days, but you can climb this mountain, and there’s some incredible people out there whose experiences will really motivate anybody that’s going through difficult times,” said Jonas.