How The Singer's Diabetes Management Has Changed Over Two Decades

In 2025, the number 20 holds special significance 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.

“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.”

Alongside the band’s experience over the last 20 years, he said he has had wonderful and challenging moments living with diabetes. The difficulties of controlling his disease have been the low points, while advocating and connecting with others as a spokesperson and through his foundation have been a source of happiness.

“Overall, I’m really grateful to have been able to be transparent about [type 1] and to connect with all these amazing people from all corners 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 alone in it,” he added.

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 delighted 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 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 collective of more than 30,000 people globally who share 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 important to me and on World Diabetes Day, I think it’s natural to get reflective and to explore kind of what life looks like for me as a now thirty-three-year-old person managing this condition,” 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 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 fan base,” 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 belong to that has lifted me up in so many various moments. I think my outlook is perhaps a lot more optimistic now. It is possible to live a big, busy life while managing this disease and outlook and perspective and all that is an essential piece to persevering.”

Advancements in Diabetes Management

In the past, life with type 1 diabetes meant more than five daily shots a day and glucose checks 10 or more times daily. This was a never-ending cycle of injections, guesswork, 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 glucose monitors,” the doctor noted.

“Algorithms began modifying insulin on their own, creating combined ‘artificial pancreas’ systems that alleviate some of the mental burden people with type 1 carry every day.”

Jonas is amazed with how far technology has improved since he was first diagnosed.

“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 when I am apart from is just an incredible thing,” he said.

In addition to technology, new therapies aimed at controlling the condition and slowing or altering the disease itself are in development.

“The first immune-therapy capable of postponing type 1’s start was approved, and research into preserving or even replacing the body’s insulin-producing cells acquired real traction. In labs around the world, scientists are growing lab-grown pancreatic beta cells and experimenting with ways to protect them from immune attack,” the doctor continued.

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

“More advancements will definitely continue to emerge. We’re no longer just enhancing devices; we’re getting nearer to transforming the disease itself,” the physician stated.

Nevertheless, while a family physician concurs that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an intensive task — physically, mentally, and psychologically.

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

Jonas Turns to 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 take pressure off 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 apply this soon after his diagnosis.

Recently, he has focused on taking vitamins, looking after his skin, and staying 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 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 physical, mental, and emotional 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 concert hall or on a film set or something,” he said.

He leans on his therapist frequently, too.

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

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

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