The Way The Singer's Management of Diabetes Has Changed During 20 Years

This year, the number 20 carries particular meaning for iconic singer Nick Jonas.

While the band commemorates their 20th year together, 2025 also marks 20 years since their lead singer's type 1 diabetes diagnosis.

“The alignment is remarkable,” the singer stated. “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.”

Parallel to the band’s experience over the last two decades, he said he has had wonderful and challenging moments managing diabetes. The difficulties of managing his condition have been the lows, while raising awareness and connecting with others as a spokesperson and through his foundation have been a source of happiness.

“In summary, I’m really thankful to have been able to be transparent about [type 1] and to interact with all these wonderful 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 show appreciation to supporters, 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 average of numbers over a three-month period, was the most favorable it’s ever been, actually, most recently,” he revealed.

The show was attended by members of a global community — a collective of more than 30,000 people globally who discuss their experiences with diabetes to help promote a message of resilience, determination, 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 important 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 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 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 lifted me up in so many different moments. I think my perspective is possibly a lot more positive now. It is feasible to live a big, busy life while living with this disease and outlook 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 meant more than five daily shots a day and glucose checks 10 or more times daily. This was a never-ending cycle of injections, estimation, and vigilance, according to a licensed endocrinologist.

“Delivery devices replaced multiple daily insulin injections. With time, insulin pumps became less bulky and more advanced, and eventually learned to ‘communicate’ with the sensors,” the doctor noted.

“Algorithms began adjusting insulin automatically, creating hybrid ‘artificial pancreas’ systems that lift some of the cognitive load people with type 1 bear 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 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 treatments aimed at controlling the condition and delaying or altering the disease itself are in development.

“The first immune-therapy capable of postponing type 1’s start was authorized, and research into protecting or even substituting 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 immune attack,” the doctor continued.

“Responsive insulin” is also being developed to become active only when blood sugar increase, offering a future where insulin works as intuitively as the body once did.

“More advancements will absolutely continue to emerge. We’re no longer just enhancing devices; we’re getting closer to changing the disease itself,” the physician stated.

However, while a family physician agrees that further advancements will continue to develop, he notes that managing type 1 diabetes remains an intensive undertaking — physically, cognitively, and emotionally.

“I truly hope that we’ll see more and more focus to talking about and addressing the burdens and the requirements of having 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 approaches he relies on to manage his diabetes.

First, 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 pause, recalibrate, and know that it’s going to be OK on the other side is really crucial,” he said.

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

Recently, he has prioritized 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 precisely why, but I just find that drinking water has a lot of health benefits,” he noted. “I didn’t put as much focus on it when I was younger 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 emotional 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 inside for hours at a venue or on a film set or something,” he said.

He relies on his therapist frequently, too.

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

Above all, he urges everyone managing type 1 diabetes to take part in the diabetes community.

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