How The Singer's Management of Diabetes Has Evolved Over Two Decades

This year, the number 20 carries special significance for iconic singer Nick Jonas.

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

“The alignment is remarkable,” the singer stated. “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 managing diabetes. The difficulties of managing his condition have been the lows, while advocating and engaging others through his role and through his non-profit have been a source of happiness.

“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 corners of the world who are experiencing their own diabetes journey, and it’s a really significant feeling to feel like you’re a little less isolated in it,” he added.

Nick Jonas’ A1C Shoutout to Fans

To show appreciation to supporters, 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 mention 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 visited by members of a worldwide group — a network of more than 30,000 people worldwide who share their experiences with diabetes to help spread a message of resilience, determination, and positivity.

“It was really meaningful 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 reflective 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 dedicated the song “A Little Bit Longer” — a melody he wrote at the start of 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 significance 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 positive now. It is feasible to live a full, active life while managing 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 meant more than five insulin injections a day and glucose checks 10 or more times each day. This was a never-ending cycle of injections, estimation, and care, according to a licensed endocrinologist.

“Delivery devices superseded multiple daily insulin injections. With time, insulin pumps became lighter and smarter, and eventually learned to ‘talk’ with the sensors,” the doctor noted.

“Algorithms began adjusting insulin automatically, 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 improved 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 when I am apart from is just an incredible thing,” he said.

Alongside technology, new treatments aimed at controlling the condition and delaying or modifying the disease itself are in development.

“The first immunotherapy capable of delaying type 1’s onset 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 stem-cell–derived pancreatic beta cells and experimenting with ways to shield them from immune attack,” the doctor continued.

“Responsive insulin” is also being developed to become active only when blood sugar increase, promising a future where insulin works as naturally 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 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 intensive task — physically, cognitively, and emotionally.

“I truly hope that we’ll see more and more focus to discussing and addressing 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 strategies he leans on to manage his diabetes.

To begin, he said he learned to take pressure off himself.

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

Recently, he has focused on 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 precisely why, but I just find that hydrating has a lot of health benefits,” he noted. “I didn’t put as much focus on it when I was younger as I do now, and it’s been really helpful.”

He also 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 fresh 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 important 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 good days, there will be tough days, but you can scale this mountain, and there’s some remarkable people out there whose stories will really motivate anybody that’s going through tough moments,” said Jonas.