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

This year, the number 20 holds special significance for renowned artist Nick Jonas.

As the Jonas Brothers celebrate their 20th year together, 2025 also marks 20 years since their frontman's type 1 diabetes diagnosis.

“The alignment is remarkable,” Jonas remarked. “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 blessed 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 20 years, he said he has had wonderful and challenging moments living with diabetes. The struggles of managing his condition have been the lows, while advocating and connecting with others through his role and through his non-profit have brought him joy.

“Overall, I’m really grateful to have been able to be open 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 big thing to feel like you’re a little less isolated in it,” said Jonas.

Nick Jonas’ A1C Shoutout to Fans

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

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

The show was visited by members of a global community — a collective of over 30,000 people worldwide who discuss their experiences with diabetes to help promote a message of strength, perseverance, and positivity.

“It was really meaningful 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 natural to get reflective 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 offered the song “A Little Bit Longer” — a melody 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 assumed a new significance for him as an adult, he said it is still relevant.

“Now I [have] this vast, supportive community that I am part of that has supported me 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 managing this disease and outlook and perspective and all that is an important piece to persevering.”

Advancements in Diabetes Management

In the past, life with type 1 diabetes involved more than five daily shots a day and glucose checks 10 or more times each day. This was a constant cycle of injections, estimation, 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 expert explained.

“Algorithms began modifying insulin automatically, creating combined ‘automated delivery’ systems that alleviate some of the cognitive load people with type 1 carry every day.”

Jonas is amazed with how far technology has improved since he was first diagnosed.

“The fact that I can receive instant data 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 therapies aimed at controlling the condition and delaying or altering the disease itself are in development.

“The first immunotherapy capable of postponing type 1’s onset was authorized, and research into preserving or even substituting the body’s insulin-producing cells gained real momentum. In labs around the world, scientists are growing stem-cell–derived 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, promising a future where insulin works as intuitively as the body once did.

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

Nevertheless, while another medical professional concurs that additional innovations will continue to appear, he points out that managing type 1 diabetes remains an intensive task — physically, cognitively, and emotionally.

“I sincerely hope that we’ll see more and more attention to talking about and addressing the burdens and the demands of living with and controlling T1D. We need far more of that, too,” he commented.

Jonas Turns to Personal Wellness to Control His Diabetes

Beyond medication and technology, Jonas discussed some approaches he leans 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 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 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 basic 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 advantages,” said Jonas. “I didn’t put as much focus on it earlier in my life as I do now, and it’s been really beneficial.”

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

He leans on his therapist regularly, too.

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

Most of all, he encourages 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 incredible people out there whose experiences will really inspire anybody that’s going through tough moments,” he concluded.