The Way The Singer's Diabetes Management Has Evolved During Two Decades

This year, the number 20 carries special significance for renowned artist 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,” 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 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 two decades, he said he has had wonderful and challenging moments living with diabetes. The difficulties of managing his condition have been the low points, while advocating and connecting with others as a spokesperson 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 connect with all these wonderful people from all regions of the world who are navigating their own diabetes journey, and it’s a really big thing to feel like you’re a little less alone in it,” said Jonas.

The Singer's A1C Announcement to His Audience

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 uplifting message of hope, accompanied by a shout-out to his A1C.

“My A1C, which is a collection 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 more than 30,000 people globally who share their experiences with diabetes to help promote a message of resilience, perseverance, and optimism.

“It was really special 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 natural to get reflective and to explore sort of what life looks like for me as a now thirty-three-year-old person living with this condition,” he said.

Jonas dedicated the song “A Little Bit Longer” — a melody he wrote early in 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 challenges 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 significance for him as an adult, he said it is still relevant.

“Now I [have] this vast, supportive community that I belong to that has supported me in so many various moments. I think my perspective is possibly a lot more optimistic now. It is feasible to live a full, active life while living with this disease and outlook and perspective and all that is an important piece to powering through.”

Progress in Type 1 Diabetes

In the past, life with type 1 diabetes meant more than five daily shots a day and glucose checks 10 or more times each day. This was a constant cycle of needles, estimation, and vigilance, according to a licensed endocrinologist.

“Insulin pumps superseded multiple daily insulin injections.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

“Automated systems began adjusting insulin on their own, creating hybrid ‘automated delivery’ systems that lift some of the mental burden people with type 1 carry 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 modifying the disease itself are being researched.

“The first immunotherapy capable of postponing type 1’s onset was approved, and research into protecting or even substituting the body’s insulin-producing cells gained real traction. In labs around the world, scientists are cultivating stem-cell–derived pancreatic beta cells and experimenting with ways to protect them from the body's defenses,” said the specialist.

“Responsive insulin” is also being engineered to activate only when blood sugar increase, promising a future where insulin works as intuitively as the body once did.

“More advancements 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 agrees that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an intensive task — in terms of health, cognitively, and emotionally.

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

The Singer Employs Self-Care to Manage His Diabetes

In addition to medication and technology, Jonas discussed 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 beyond your influence and being able to pause, 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 prioritized taking vitamins, caring for 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 precisely why, but I just find that drinking water has a lot of health benefits,” said Jonas. “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, cognitive, and psychological 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 leans on his therapist regularly, too.

“I think it’s really vital to do that self-work,” Jonas said.

Most of all, he encourages everyone managing type 1 diabetes to engage with the diabetes community.

“There will be good days, there will be challenging days, but you can climb this mountain, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through tough moments,” he concluded.