The Way The Singer's Management of Diabetes Has Changed During the Past 20 Years

In 2025, the number 20 holds special significance for iconic singer Nick Jonas.

While the band commemorates their 20th year as a band, 2025 also marks 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… in the Brothers sense, 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.”

Parallel to the band’s experience over the last two decades, he said he has had great and tough moments living with diabetes. The difficulties of controlling his disease have been the low points, while advocating and engaging others through his role and through his foundation have brought him joy.

“In summary, I’m really thankful to have been able to be transparent about [type 1] and to interact with all these wonderful 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 alone 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 three-month period, was the most favorable it’s ever been, actually, most recently,” said Jonas.

The show was attended by members of a worldwide group — a collective of more than 30,000 people globally who discuss their experiences with diabetes to help promote 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 fitting to get reflective and to tap into sort of what life looks like for me as a now thirty-three-year-old person managing this disease,” he said.

Jonas offered the song “A Little Bit Longer” — a melody he wrote at the start of his career and diabetes journey, 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 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 taken on a new meaning for him as an adult, he said it is still pertinent.

“Now I [have] this great, big community that I belong to that has supported me in so many various moments. I think my perspective is perhaps a lot more optimistic now. It is possible to live a full, active life while managing this disease and outlook and viewpoint and all that is an important piece to persevering.”

Advancements in Type 1 Diabetes

Not long ago, life with type 1 diabetes meant more than five insulin injections a day and finger sticks 10 or more times daily. This was a never-ending cycle of needles, guesswork, and vigilance, as stated by a licensed endocrinologist.

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

“Algorithms began adjusting insulin automatically, creating combined ‘artificial pancreas’ systems that lift some of the mental burden people with type 1 carry every day.”

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

“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 therapies aimed at managing diabetes and delaying or modifying the disease itself are being researched.

“The first immunotherapy capable of delaying 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 testing ways to protect them from the body's defenses,” said the specialist.

“Smart insulin” is also being developed to become active only when glucose levels rises, offering 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 transforming the disease itself,” the expert concluded.

However, while a family physician concurs that further advancements will continue to appear, he notes that managing type 1 diabetes remains an demanding task — physically, mentally, and psychologically.

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

The Singer Employs Self-Care to Manage His Diabetes

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

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

“You’re never going to have the perfect day living with 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 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 hard to do at times, he said he learned to apply this soon after his diagnosis.

Recently, he has focused on taking vitamins, caring for his skin, and staying well-hydrated.

“It’s a simple 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 benefits,” he noted. “I didn’t put as much emphasis 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 physical, mental, and emotional 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 venue or on a film set or something,” he said.

He relies on his therapist regularly, too.

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

Above all, he encourages everyone managing type 1 diabetes to take part in the diabetes community.

“There will be good days, there will be challenging 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 difficult times,” he concluded.