The Way The Singer's Management of Diabetes Has Transformed During the Past 20 Years

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

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

“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 most amazing fans.”

Alongside the band’s experience over the last 20 years, he said he has had wonderful and challenging moments managing diabetes. The struggles of managing his condition have been the low points, while advocating and connecting with 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 connect with all these amazing people from all corners 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 alone in it,” he added.

Nick Jonas’ A1C Shoutout to His Audience

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 uplifting message of hope, along with a shout-out 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 worldwide group — a network of over 30,000 people globally who share their experiences with diabetes to help spread a message of resilience, 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 fitting to get introspective and to tap into sort 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 tune 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 experiences 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 perspective is perhaps a lot more positive now. It is possible to live a full, active life while living with this disease and mindset and perspective and all that is an essential piece to persevering.”

Advancements in Diabetes Management

Not long ago, 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, estimation, and care, according to a board certified endocrinologist.

“Delivery devices replaced multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘talk’ with the glucose monitors,” the expert explained.

“Algorithms began adjusting insulin on their own, 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 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 amazing thing,” he said.

Alongside technology, new treatments aimed at controlling the condition and delaying or modifying the disease itself are in development.

“The first immunotherapy capable of delaying type 1’s onset was approved, and research into protecting 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 testing ways to protect them from immune attack,” said the specialist.

“Smart insulin” is also being engineered to become active only when blood sugar rises, offering 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 closer to transforming the disease itself,” the physician stated.

Nevertheless, while a family physician concurs that additional innovations will continue to appear, he notes that managing type 1 diabetes remains an demanding task — physically, mentally, and emotionally.

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

Jonas Turns to Personal Wellness to Control His Diabetes

Beyond medication and technology, Jonas shared some approaches he leans on to manage his diabetes.

To begin, he said he learned to be less hard on himself.

“You’re never going to have the perfect 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, reset, 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 early during his diagnosis.

Lately, he has focused on taking vitamins, looking after his skin, and staying hydrated.

“It’s a simple thing, but the more water I drink, my glucose levels are better. I don’t know exactly why, but I just find that drinking water has a lot of health advantages,” 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 walks daily for 30 minutes or longer for his physical, mental, 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 movie location or something,” he said.

He relies on his therapist regularly, too.

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

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

“There will be positive days, there will be challenging days, but you can climb this mountain, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through difficult times,” he concluded.