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

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

While the band commemorates their 20th year together, 2025 simultaneously signifies 20 years since their frontman's type 1 diabetes diagnosis.

“It’s crazy how it lined up,” Jonas remarked. “It's been an incredible ride in both… in the Brothers sense, it’s been the adventure of a lifetime, and we’ve been so fortunate 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 great and tough moments living with diabetes. The difficulties of controlling his disease have been the low points, while advocating and connecting with others through his role and through his foundation have brought him joy.

“Overall, I’m really grateful to have been able to be open about [type 1] and to connect with all these wonderful people from all regions of the world who are navigating their own diabetes path, and it’s a really big thing to feel like you’re a little less isolated in it,” said Jonas.

The Singer's A1C Announcement to Fans

To show appreciation to supporters, on World Diabetes Day (November 14), he took to the stage 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 best it’s ever been, in fact, most recently,” he revealed.

The show was visited 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, perseverance, and positivity.

“It was really meaningful for me to get to use the Jonas Brothers’ platform 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 explore kind of what life looks like for me as a now thirty-three-year-old person living with this disease,” he said.

Jonas dedicated the song “A Little Bit Longer” — a melody he wrote early in his career and diabetes journey, to those living with 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 pertinent.

“Now I [have] this great, big community that I am part of that has lifted me up 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 living with this disease and outlook and viewpoint and all that is an important piece to powering through.”

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 needles, guesswork, and vigilance, according to a board certified endocrinologist.

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

“Algorithms began adjusting insulin automatically, creating combined ‘automated delivery’ systems that alleviate some of the cognitive load people with type 1 bear every day.”

Jonas is amazed with how far technology has improved 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 incredible thing,” he said.

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

“The first immunotherapy capable of delaying 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 stem-cell–derived pancreatic beta cells and testing ways to shield them from the body's defenses,” the doctor continued.

“Responsive insulin” is also being developed to become active only when glucose levels increase, promising 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 closer to changing the disease itself,” the expert concluded.

Nevertheless, while a family physician concurs that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an demanding task — in terms of health, cognitively, and emotionally.

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

Jonas Turns to Self-Care to Manage His Diabetes

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

First, 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 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, looking after his skin, and staying well-hydrated.

“It’s a basic 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 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 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 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 relies on his therapist regularly, too.

“I think it’s really important to do that personal development,” 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 tough moments,” he concluded.