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

In 2025, the number 20 holds particular meaning for renowned artist Nick Jonas.

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

“The alignment is remarkable,” the singer stated. “It’s been a wild journey 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 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 difficulties of managing his condition have been the low points, while raising awareness and connecting with others as a spokesperson and through his non-profit have brought him joy.

“Overall, I’m really grateful to have been able to be transparent about [type 1] and to interact with all these wonderful people from all corners of the world who are experiencing 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 took to the stage during a Jonas Brothers concert and surprised his audience by sharing an uplifting message of hope, along with a mention to his A1C.

“My A1C, which is a collection of numbers over a three-month period, was the best it’s ever been, actually, most recently,” said Jonas.

The show was visited by members of a global community — a collective of more than 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’ platform 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 introspective and to tap into sort of what life looks like for me as a now 33-year-old person managing this disease,” he said.

Jonas offered the song “A Little Bit Longer” — a tune he wrote at the start of 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 effect it still has to this day with the audience,” he said.

While the song has taken on 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 possibly a lot more optimistic now. It is feasible to live a full, active life while managing this disease and outlook and perspective and all that is an important piece to powering through.”

Advancements in Diabetes Management

In the past, life with type 1 diabetes meant more than five daily shots a day and glucose checks 10 or more times daily. This was a never-ending cycle of needles, estimation, and vigilance, as stated by a board certified endocrinologist.

“Insulin pumps replaced multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘talk’ with the sensors,” the expert explained.

“Automated systems began modifying insulin automatically, creating hybrid ‘automated delivery’ systems that alleviate some of the mental burden people with type 1 carry every day.”

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

“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 when I am apart from is just an amazing thing,” he said.

Alongside technology, new therapies aimed at controlling the condition and slowing or modifying the disease itself are being researched.

“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 acquired real traction. In labs around the world, scientists are cultivating lab-grown 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 activate only when glucose levels rises, offering a future where insulin works as naturally as the body once did.

“More advancements will absolutely continue to develop. We’re no longer just improving tools; we’re getting nearer to changing the disease itself,” the physician stated.

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

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

Jonas Turns to Self-Care to Control His Diabetes

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

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

“You’re never going to have the ideal day while managing 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 important,” he said.

While this is difficult 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 basic thing, but the more water I drink, my glucose levels are better. I don’t know exactly why, but I just find that hydrating has a lot of health benefits,” he noted. “I didn’t put as much emphasis on it earlier in my life as I do now, and it’s been really beneficial.”

He also takes 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 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 important to do that self-work,” Jonas said.

Above all, he encourages everyone managing type 1 diabetes to engage with 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 stories will really motivate anybody that’s going through tough moments,” said Jonas.