How The Singer's Management of Diabetes Has Evolved During the Past 20 Years

In 2025, the number 20 holds particular meaning for iconic singer Nick Jonas.

While the band commemorates their 20th year together, 2025 also marks 20 years since their lead singer's type 1 diabetes discovery.

“The alignment is remarkable,” Jonas remarked. “It's been an incredible ride 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 world’s greatest fans.”

Parallel to the band’s experience over the last 20 years, he said he has had great and tough moments living with diabetes. The struggles of managing his condition have been the lows, while raising awareness and connecting with others as a spokesperson and through his foundation have been a source of happiness.

“Overall, I’m really thankful to have been able to be open about [type 1] and to interact with all these wonderful 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, along with a shout-out to his A1C.

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

The show was visited by members of a worldwide group — a collective of over 30,000 people globally who share their experiences with diabetes to help spread a message of strength, perseverance, 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 important to me and on World Diabetes Day, I think it’s natural 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 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 big, busy life while managing this disease and outlook and viewpoint and all that is an essential piece to powering through.”

Advancements in Diabetes Management

In the past, 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 injections, 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 ‘talk’ with the sensors,” the expert explained.

“Automated systems began adjusting insulin on their own, creating combined ‘artificial pancreas’ systems that alleviate some of the cognitive load people with type 1 bear every day.”

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

“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.

Alongside technology, new therapies aimed at controlling the condition and delaying or altering the disease itself are being researched.

“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 gained real momentum. In labs around the world, scientists are cultivating stem-cell–derived pancreatic beta cells and experimenting with ways to protect them from the body's defenses,” said the specialist.

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

“More advancements will absolutely continue to emerge. We’re no longer just improving tools; we’re getting nearer to changing the disease itself,” the expert concluded.

However, while another medical professional concurs that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an intensive undertaking — in terms of health, cognitively, and emotionally.

“I sincerely hope that we’ll see more and more focus to discussing and addressing the challenges and the demands of having and controlling T1D. We need far more of that, too,” he commented.

The Singer Employs Personal Wellness to Manage His Diabetes

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

First, 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 super on top of 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 crucial,” 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, looking after 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 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 beneficial.”

He also walks daily for 30 minutes or longer for his physical, cognitive, 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 self-work,” Jonas said.

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

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