How The Singer's Management of Diabetes Has Changed Over 20 Years

This year, the number 20 carries particular meaning 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 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 world’s greatest fans.”

Alongside the band’s experience over the last 20 years, he said he has had wonderful and challenging moments managing diabetes. The struggles of controlling his disease have been the lows, while advocating and engaging others through his role and through his foundation have been a source of happiness.

“In summary, 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 His Audience

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 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,” he revealed.

The show was visited by members of a worldwide group — a network of over 30,000 people globally who share their experiences with diabetes to help promote 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 clearly very personal to me and on World Diabetes Day, I think it’s fitting to get introspective and to tap into sort 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 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 experiences when I was 14 and to see the impact it still has to this day with the fan base,” 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 different moments. I think my outlook is perhaps a lot more optimistic now. It is possible to live a big, busy life while living with this disease and outlook and perspective and all that is an important piece to persevering.”

Advancements in Diabetes Management

Not long ago, life with type 1 diabetes meant more than five daily shots a day and finger sticks 10 or more times each day. This was a constant cycle of injections, estimation, and vigilance, as stated by a licensed endocrinologist.

“Insulin pumps superseded multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘talk’ with the glucose monitors,” the doctor noted.

“Automated systems began adjusting 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 impressed with how far technology has improved since he was first diagnosed.

“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 amazing thing,” he said.

In addition to technology, new therapies aimed at managing diabetes 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 gained real traction. In labs around the world, scientists are cultivating stem-cell–derived pancreatic beta cells and testing ways to protect them from immune attack,” said the specialist.

“Smart insulin” is also being developed to activate only when glucose levels rises, offering a future where insulin works as naturally as the body once did.

“Further progress will definitely continue to emerge. We’re no longer just improving tools; we’re getting closer 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 emotionally.

“I sincerely hope that we’ll see more and more focus to talking about and addressing the burdens and the demands of having and managing T1D. We need much more of that, too,” he commented.

The Singer Employs Self-Care to Control His Diabetes

Beyond medication and technology, Jonas shared some strategies he leans on to handle his diabetes.

First, 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 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 prioritized taking vitamins, looking after his skin, and staying hydrated.

“It’s a basic 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 advantages,” 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 takes walks daily for 30 minutes or longer for his bodily, 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 vital 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 tough days, but you can climb this challenge, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through difficult times,” he concluded.