The Way The Singer's Diabetes Management Has Evolved Over 20 Years

This year, the number 20 holds particular meaning 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.

“It’s crazy how it lined up,” 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 blessed 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 great and tough moments managing diabetes. The struggles of controlling his disease 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.

“Overall, I’m really thankful to have been able to be open about [type 1] and to connect with all these amazing people from all regions of the world who are navigating their own diabetes path, and it’s a really big thing to feel like you’re a little less isolated 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 delighted his audience by sharing an inspiring 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 most favorable it’s ever been, in fact, most recently,” said Jonas.

The show was attended by members of a global community — a collective of more than 30,000 people worldwide who share their experiences with diabetes to help spread a message of resilience, perseverance, and positivity.

“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 introspective and to tap into kind of what life looks like for me as a now thirty-three-year-old person managing this condition,” 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 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 challenges 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 pertinent.

“Now I [have] this great, big community that I am part of that has lifted me up in so many various moments. I think my outlook is perhaps a lot more optimistic now. It is possible to live a full, active life while living with this disease and outlook and viewpoint and all that is an essential piece to persevering.”

Progress in Diabetes Management

Not long ago, life with type 1 diabetes involved more than five daily shots a day and glucose checks 10 or more times daily. This was a never-ending cycle of injections, guesswork, and vigilance, according to a board certified endocrinologist.

“Insulin pumps superseded multiple daily insulin injections.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

“Algorithms began adjusting insulin automatically, creating combined ‘artificial pancreas’ systems that lift some of the mental burden people with type 1 carry 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 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 incredible thing,” he said.

Alongside technology, new therapies aimed at managing diabetes and delaying or modifying the disease itself are in development.

“The first immunotherapy capable of postponing type 1’s onset was authorized, and research into preserving or even replacing the body’s insulin-producing cells acquired real traction. In labs around the world, scientists are growing lab-grown pancreatic beta cells and testing ways to protect them from immune attack,” the doctor continued.

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

“Further progress will absolutely continue to develop. We’re no longer just improving tools; we’re getting closer to transforming the disease itself,” the expert concluded.

However, while another medical professional agrees that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an demanding undertaking — in terms of health, mentally, and emotionally.

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

Jonas Turns to Self-Care to Manage His Diabetes

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

To begin, he said he learned to take pressure off 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 pause, 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 early during 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 better. I don’t know precisely 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 bodily, 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 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 urges everyone living with 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 remarkable people out there whose stories will really motivate anybody that’s going through tough moments,” he concluded.