How The Singer's Diabetes Management Has Changed Over Two Decades

In 2025, the number 20 holds special significance 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 an incredible ride in both… regarding the band, it’s been the adventure of a lifetime, and we’ve been so blessed to be able to do this for 20 years now and to have the support of the most amazing fans.”

Alongside the band’s experience over the last 20 years, he said he has had wonderful and challenging moments managing diabetes. The difficulties of controlling his disease have been the lows, while raising awareness and connecting with others as a spokesperson 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 interact with all these amazing people from all regions 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 alone in it,” said Jonas.

Nick Jonas’ A1C Shoutout 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 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 best it’s ever been, in fact, most recently,” said Jonas.

The show was attended by members of a worldwide group — a collective of more than 30,000 people worldwide who discuss their experiences with diabetes to help spread 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 obviously very important to me and on World Diabetes Day, I think it’s natural to get reflective and to tap into sort of what life looks like for me as a now 33-year-old person living with this disease,” he said.

Jonas offered the song “A Little Bit Longer” — a melody he wrote at the start of his career and diabetes experience, to those living with 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 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 taken on a new meaning for him as an adult, he said it is still relevant.

“Now I [have] this great, big 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 big, busy life while living with this disease and mindset and viewpoint and all that is an important piece to powering through.”

Advancements in Type 1 Diabetes

In the past, life with type 1 diabetes involved more than five daily shots a day and finger sticks 10 or more times daily. This was a constant cycle of needles, guesswork, and vigilance, according to a licensed endocrinologist.

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

“Algorithms began adjusting insulin on their own, creating combined ‘artificial pancreas’ systems that lift some of the cognitive load people with type 1 bear every day.”

Jonas is impressed with how far technology has advanced since he was first diagnosed.

“The fact that I can receive real time readings of my glucose straight to my phone or smart watch or it can be [shared with] my wife or other family members who I’m traveling away from is just an incredible thing,” he said.

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

“The first immune-therapy capable of delaying type 1’s start was authorized, and research into preserving or even substituting the body’s insulin-producing cells gained real momentum. In labs around the world, scientists are growing stem-cell–derived pancreatic beta cells and experimenting with ways to protect them from immune attack,” said the specialist.

“Smart insulin” is also being developed to become active only when blood sugar rises, promising a future where insulin works as naturally as the body once did.

“Further progress will definitely continue to develop. We’re no longer just enhancing devices; we’re getting nearer to changing the disease itself,” the physician stated.

However, while another medical professional agrees that further advancements will continue to develop, he points out that managing type 1 diabetes remains an demanding task — physically, cognitively, and emotionally.

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

Jonas Turns to Personal Wellness to Control His Diabetes

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

To begin, he said he learned to take pressure off himself.

“You’re never going to have the perfect day while managing 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 take a deep breath, recalibrate, and know that it’s going to be OK on the other side is really important,” he said.

While this is difficult to do at times, he said he learned to apply this soon after his diagnosis.

Recently, he has focused on taking vitamins, caring for 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 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 walks daily for 30 minutes or longer for his physical, cognitive, and psychological health.

“It really centers me and even when it’s cold out, getting out in the open 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 frequently, too.

“I think it’s really vital to do that personal development,” Jonas said.

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

“There will be good days, there will be tough days, but you can scale this challenge, and there’s some remarkable people out there whose stories will really motivate anybody that’s going through tough moments,” he concluded.