How The Singer's Diabetes Management Has Transformed 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 diagnosis.

“The alignment is remarkable,” Jonas remarked. “It’s been a wild journey 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 two decades, he said he has had wonderful and challenging moments living with diabetes. The struggles of controlling his disease have been the low points, while advocating and engaging 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 wonderful people from all corners of the world who are experiencing their own diabetes path, and it’s a really big thing to feel like you’re a little less alone in it,” he added.

The Singer's A1C Announcement to His Audience

To thank his fans, on World Diabetes Day (November 14), he took to the stage during a Jonas Brothers concert and surprised his audience by sharing an inspiring message of hope, along with a shout-out to his A1C.

“My A1C, which is a average of numbers over a 90-day period, was the most favorable it’s ever been, actually, most recently,” said Jonas.

The show was visited by members of a global community — a network of over 30,000 people globally 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’ 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 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 tune he wrote at the start of his career and diabetes experience, to those affected by the disease.

“It’s a really important 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 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 great, big community that I am part of that has lifted me up in so many different moments. I think my perspective is possibly a lot more optimistic now. It is possible to live a full, active life while living with this disease and mindset and viewpoint and all that is an essential piece to powering through.”

Advancements in Diabetes Management

In the past, life with type 1 diabetes involved more than five daily shots a day and glucose checks 10 or more times each day. This was a never-ending cycle of injections, guesswork, and vigilance, as stated by a licensed endocrinologist.

“Delivery devices replaced multiple daily insulin injections. With time, insulin pumps became lighter and smarter, and eventually learned to ‘talk’ with the glucose monitors,” the expert explained.

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

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

“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 incredible thing,” he said.

In addition to technology, new therapies aimed at controlling the condition and delaying or modifying the disease itself are being researched.

“The first immunotherapy capable of delaying type 1’s start was authorized, and research into protecting or even substituting the body’s insulin-producing cells acquired real momentum. In labs around the world, scientists are growing lab-grown pancreatic beta cells and experimenting with ways to shield them from the body's defenses,” said the specialist.

“Smart insulin” is also being developed to activate only when blood sugar increase, promising 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 changing the disease itself,” the expert concluded.

However, while a family physician agrees that further advancements will continue to appear, he points out that managing type 1 diabetes remains an intensive undertaking — in terms of health, mentally, and psychologically.

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

The Singer Employs Personal Wellness to Manage His Diabetes

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

First, he said he learned to be less hard on himself.

“You’re never going to have the perfect 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 hard 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 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 hydrating has a lot of health advantages,” 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 walks daily for 30 minutes or longer for his physical, cognitive, 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 venue 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.

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 climb this mountain, and there’s some remarkable people out there whose experiences will really motivate anybody that’s going through difficult times,” he concluded.