How The Singer's Management of Diabetes Has Changed During 20 Years

This year, the number 20 carries particular meaning 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 discovery.

“It’s crazy how it lined up,” Jonas remarked. “It’s been a wild journey in both… regarding the band, it’s been the adventure 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.”

Parallel to the band’s experience over the last 20 years, he said he has had wonderful and challenging moments living with diabetes. The difficulties of managing his condition have been the lows, while raising awareness and engaging others through his role and through his non-profit have been a source of happiness.

“In summary, I’m really grateful to have been able to be open about [type 1] and to connect with all these amazing people from all regions of the world who are experiencing their own diabetes journey, and it’s a really big thing to feel like you’re a little less isolated in it,” he added.

Nick Jonas’ A1C Shoutout to His Audience

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 inspiring message of hope, accompanied by a mention to his A1C.

“My A1C, which is a average of numbers over a three-month period, was the most favorable it’s ever been, actually, most recently,” said Jonas.

The show was attended by members of a global community — a collective of more than 30,000 people globally who share their experiences with diabetes to help promote a message of strength, determination, and positivity.

“It was really special for me to get to use the Jonas Brothers’ stage as a place to speak about something that’s clearly very personal to me and on World Diabetes Day, I think it’s fitting to get introspective and to tap into kind 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 at the start of 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 impact 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 relevant.

“Now I [have] this vast, supportive community that I belong to that has supported me in so many various moments. I think my perspective is perhaps a lot more positive 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 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 constant cycle of needles, estimation, and care, according to a board certified endocrinologist.

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

“Automated systems began modifying insulin on their own, creating combined ‘automated delivery’ 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 instant data 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 amazing thing,” he said.

Alongside technology, new treatments aimed at controlling the condition and slowing or modifying the disease itself are being researched.

“The first immunotherapy capable of postponing type 1’s onset 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 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 engineered to activate only when blood sugar increase, offering a future where insulin works as naturally as the body once did.

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

However, while a family physician concurs that further advancements will continue to appear, he points out 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 talking about and helping with the burdens and the requirements of having and managing T1D. We need much more of that, too,” he told.

Jonas Turns to Personal Wellness to Manage His Diabetes

In addition to medication and technology, Jonas discussed some strategies he leans on to handle 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 take a deep breath, recalibrate, 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 practice this early during his diagnosis.

Lately, he has prioritized taking vitamins, caring for his skin, and staying hydrated.

“It’s a simple thing, but the more water I drink, my glucose levels are more stable. I don’t know exactly why, but I just find that drinking water has a lot of health benefits,” 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 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 movie location or something,” he said.

He leans on his therapist regularly, too.

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

Most of all, he urges everyone managing 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 incredible people out there whose stories will really inspire anybody that’s going through difficult times,” said Jonas.