How The Singer's Management of Diabetes Has Evolved During the Past 20 Years

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

As the Jonas Brothers celebrate their 20th year as a band, 2025 also marks 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 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 great and tough moments living with diabetes. The struggles of controlling his disease have been the low points, while raising awareness and engaging others as a spokesperson and through his foundation 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 amazing people from all regions of the world who are experiencing their own diabetes path, and it’s a really significant feeling to feel like you’re a little less isolated in it,” he added.

The Singer's A1C Announcement to Fans

To thank his fans, on World Diabetes Day (November 14), he stepped onto the platform during a Jonas Brothers concert and delighted his audience by sharing an uplifting message of hope, along with a mention to his A1C.

“My A1C, which is a average of numbers over a 90-day period, was the most favorable it’s ever been, actually, most recently,” said Jonas.

The show was attended by members of a global community — a network of more than 30,000 people worldwide who share their experiences with diabetes to help promote a message of resilience, determination, 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 obviously very important to me and on World Diabetes Day, I think it’s fitting to get introspective and to tap into kind of what life looks like for me as a now 33-year-old person managing this condition,” he said.

Jonas dedicated the song “A Little Bit Longer” — a melody he wrote early in his career and diabetes journey, to those affected by 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 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 relevant.

“Now I [have] this vast, supportive community that I belong to that has supported me in so many different moments. I think my perspective is perhaps a lot more positive 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 persevering.”

Progress in Diabetes Management

In the past, life with type 1 diabetes involved more than five insulin injections a day and finger sticks 10 or more times daily. This was a constant cycle of injections, guesswork, and care, as stated by a licensed endocrinologist.

“Insulin pumps superseded multiple daily insulin injections. With time, insulin pumps became lighter and more advanced, and eventually learned to ‘communicate’ with the sensors,” the doctor noted.

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

Jonas is impressed with how far technology has improved 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 when I am apart from is just an incredible thing,” he said.

In addition to technology, new therapies aimed at managing diabetes and delaying or altering the disease itself are in development.

“The first immunotherapy capable of delaying type 1’s start was authorized, and research into preserving or even replacing the body’s insulin-producing cells gained real momentum. 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 developed to become active only when glucose levels increase, promising a future where insulin works as intuitively as the body once did.

“Further progress will definitely continue to emerge. We’re no longer just improving tools; we’re getting closer to changing the disease itself,” the physician stated.

Nevertheless, while a family physician agrees that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an demanding undertaking — physically, cognitively, and psychologically.

“I sincerely hope that we’ll see more and more attention to talking about and helping with the burdens and the requirements of having and controlling T1D. We need much more of that, too,” he commented.

The Singer Employs Personal Wellness to Manage His Diabetes

Beyond medication and technology, Jonas shared 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 living with this disease and even if you’re very diligent with your diabetes management, there are just things that are a little beyond your influence and being able to take a deep breath, reset, and know that it’s going to be OK on the other side is really important,” 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, looking after his skin, and staying hydrated.

“It’s a basic thing, but the more water I drink, my glucose levels are more stable. I don’t know exactly why, but I just find that hydrating has a lot of health advantages,” said Jonas. “I didn’t put as much emphasis on it when I was younger as I do now, and it’s been really helpful.”

He also walks daily for 30 minutes or longer for his physical, cognitive, and emotional 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 inside for hours at a venue or on a movie location or something,” he said.

He relies on his therapist regularly, too.

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

Most of all, he urges everyone living with type 1 diabetes to take part in the diabetes community.

“There will be good days, there will be challenging days, but you can climb this mountain, and there’s some remarkable people out there whose stories will really inspire anybody that’s going through difficult times,” said Jonas.