The Way Nick Jonas' Diabetes Management Has Changed During the Past 20 Years

This year, the number 20 carries special significance 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 diagnosis.

“The alignment is remarkable,” the singer stated. “It’s been a wild journey in both… in the Brothers sense, it’s been the ride 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 great and tough moments managing diabetes. The difficulties of controlling his disease have been the lows, while raising awareness and engaging others through his role and through his non-profit 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 regions of the world who are experiencing 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 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 most favorable it’s ever been, in fact, most recently,” said Jonas.

The show was visited by members of a worldwide group — a network of more than 30,000 people worldwide who share their experiences with diabetes to help spread 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 personal to me and on World Diabetes Day, I think it’s fitting to get reflective and to explore sort 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 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 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 pertinent.

“Now I [have] this vast, supportive community that I am part of that has lifted me up in so many different moments. I think my outlook is perhaps a lot more positive now. It is possible to live a big, busy life while living with this disease and outlook and viewpoint and all that is an essential piece to powering through.”

Progress in Type 1 Diabetes

In the past, life with type 1 diabetes meant more than five daily shots a day and finger sticks 10 or more times daily. This was a constant cycle of needles, estimation, and vigilance, according to a licensed endocrinologist.

“Delivery devices replaced multiple daily insulin injections. With time, insulin pumps became lighter and smarter, and eventually learned to ‘talk’ with the sensors,” the doctor noted.

“Automated systems began adjusting insulin automatically, creating combined ‘artificial pancreas’ systems that lift some of the mental burden people with type 1 carry every day.”

Jonas is amazed 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 controlling the condition and delaying or modifying the disease itself are in development.

“The first immune-therapy capable of postponing type 1’s onset was authorized, and research into preserving or even replacing the body’s insulin-producing cells acquired real traction. In labs around the world, scientists are cultivating lab-grown pancreatic beta cells and testing ways to protect them from immune attack,” the doctor continued.

“Smart insulin” is also being engineered to activate only when blood sugar rises, offering a future where insulin works as naturally as the body once did.

“More advancements will definitely continue to develop. We’re no longer just enhancing devices; we’re getting nearer to transforming the disease itself,” the expert concluded.

However, while a family physician concurs that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an intensive undertaking — physically, mentally, and emotionally.

“I sincerely hope that we’ll see more and more attention to talking about and helping with the challenges and the demands of having and managing T1D. We need far more of that, too,” he told.

Jonas Turns to Self-Care to Control His Diabetes

In addition to 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 living with 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, recalibrate, 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 practice this early during his diagnosis.

Recently, he has focused on 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 drinking water has a lot of health advantages,” he noted. “I didn’t put as much emphasis on it earlier in my life as I do now, and it’s been really beneficial.”

He also takes walks daily for 30 minutes or longer for his physical, mental, 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 indoors for hours at a concert hall or on a film set or something,” he said.

He relies on his therapist frequently, too.

“I think it’s really vital to do that self-work,” 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 challenging days, but you can scale this mountain, and there’s some incredible people out there whose stories will really inspire anybody that’s going through difficult times,” said Jonas.