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

In 2025, the number 20 carries special significance for iconic singer Nick Jonas.

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

“The alignment is remarkable,” the singer stated. “It's been an incredible ride in both… in the Brothers sense, 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 most amazing fans.”

Alongside 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 lows, while raising awareness and engaging others through his role and through his foundation have been a source of happiness.

“In summary, I’m really grateful to have been able to be open about [type 1] and to connect with all these amazing people from all corners of the world who are navigating their own diabetes journey, and it’s a really big thing to feel like you’re a little less alone in it,” he added.

The Singer's A1C Announcement 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 mention to his A1C.

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

The show was visited by members of a worldwide group — a network of over 30,000 people worldwide who share their experiences with diabetes to help spread a message of resilience, perseverance, 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 obviously very personal to me and on World Diabetes Day, I think it’s fitting to get reflective and to tap into kind of what life looks like for me as a now thirty-three-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 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 impact it still has to this day with the audience,” he said.

While the song has taken on a new significance for him as an adult, he said it is still relevant.

“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 perspective is possibly a lot more positive now. It is possible to live a full, active life while managing this disease and mindset and perspective and all that is an essential piece to persevering.”

Progress 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 constant cycle of needles, guesswork, and vigilance, as stated by a board certified endocrinologist.

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

“Algorithms began modifying insulin on their own, creating combined ‘artificial pancreas’ systems that lift 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 diagnosed.

“The fact that I can receive real time readings of my glucose directly on 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 modifying the disease itself are in development.

“The first immune-therapy capable of postponing type 1’s start was approved, and research into preserving or even substituting the body’s insulin-producing cells gained real traction. In labs around the world, scientists are growing lab-grown pancreatic beta cells and testing ways to shield them from the body's defenses,” the doctor continued.

“Smart insulin” is also being engineered to become active only when glucose levels increase, promising a future where insulin works as intuitively as the body once did.

“Further progress 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 concurs that further advancements will continue to appear, he notes that managing type 1 diabetes remains an intensive task — physically, cognitively, and psychologically.

“I sincerely hope that we’ll see more and more focus to talking about and helping with the burdens and the demands of having and controlling 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 handle 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 beyond your influence 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 hard to do at times, he said he learned to apply this soon after his diagnosis.

Lately, 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 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 helpful.”

He also takes walks daily for 30 minutes or longer for his bodily, 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 concert hall or on a film set or something,” he said.

He leans on his therapist frequently, too.

“I think it’s really important to do that self-work,” Jonas said.

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

“There will be good days, there will be challenging 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 difficult times,” said Jonas.