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

This year, the number 20 carries particular meaning for iconic singer Nick Jonas.

While the band commemorates their 20th year as a band, 2025 simultaneously signifies 20 years since their lead singer's type 1 diabetes discovery.

“It’s crazy how it lined up,” the singer stated. “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 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 two decades, he said he has had great and tough moments managing diabetes. The difficulties of managing his condition have been the lows, while advocating and engaging others as a spokesperson and through his non-profit have been a source of happiness.

“In summary, I’m really grateful to have been able to be open about [type 1] and to interact with all these amazing people from all corners 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 isolated 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 surprised his audience by sharing an inspiring message of hope, along with a mention to his A1C.

“My A1C, which is a average of numbers over a 90-day 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 network of more than 30,000 people globally who share their experiences with diabetes to help spread a message of resilience, determination, and positivity.

“It was really special 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 sort of what life looks like for me as a now 33-year-old person living with this condition,” he said.

Jonas offered the song “A Little Bit Longer” — a tune he wrote early in his career and diabetes experience, 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 challenges when I was 14 and to see the impact 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 pertinent.

“Now I [have] this vast, supportive community that I am part of that has supported me in so many different moments. I think my outlook is perhaps a lot more optimistic 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

Not long ago, life with type 1 diabetes involved more than five insulin injections a day and glucose checks 10 or more times each day. 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 more advanced, and eventually learned to ‘communicate’ with the sensors,” the expert explained.

“Algorithms began modifying insulin automatically, creating combined ‘automated delivery’ 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 diagnosed.

“The fact that I can receive real time readings 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.

In addition to technology, new treatments aimed at controlling the condition and slowing or altering the disease itself are being researched.

“The first immune-therapy capable of delaying type 1’s onset was approved, and research into preserving 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 shield them from the body's defenses,” said the specialist.

“Responsive insulin” is also being engineered to become active only when glucose levels increase, offering a future where insulin works as intuitively as the body once did.

“Further progress will definitely continue to emerge. We’re no longer just enhancing devices; we’re getting closer to changing the disease itself,” the expert concluded.

However, while another medical professional concurs that additional innovations will continue to appear, he points out that managing type 1 diabetes remains an demanding task — physically, mentally, and psychologically.

“I truly hope that we’ll see more and more focus to talking about and helping with the burdens and the requirements of having and controlling T1D. We need far more of that, too,” he commented.

Jonas Turns to Self-Care to Manage His Diabetes

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

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

“You’re never going to have the ideal 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 pause, reset, 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 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 more stable. I don’t know exactly why, but I just find that drinking water has a lot of health advantages,” said Jonas. “I didn’t put as much focus on it when I was younger 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 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 film set or something,” he said.

He relies on his therapist frequently, too.

“I think it’s really important 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 challenging days, but you can scale this challenge, and there’s some remarkable people out there whose experiences will really motivate anybody that’s going through tough moments,” he concluded.