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

This year, the number 20 holds 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.

“It’s crazy how it lined up,” Jonas remarked. “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 world’s greatest fans.”

Parallel to the band’s experience over the last two decades, he said he has had wonderful and challenging moments living with diabetes. The difficulties of controlling his disease have been the lows, while advocating and engaging others through his role and through his foundation have been a source of happiness.

“Overall, I’m really thankful to have been able to be open about [type 1] and to connect 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,” said Jonas.

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, along with a shout-out to his A1C.

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

The show was attended by members of a global community — a collective of over 30,000 people globally who share their experiences with diabetes to help promote a message of strength, 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 clearly very important to me and on World Diabetes Day, I think it’s natural to get introspective and to explore kind of what life looks like for me as a now 33-year-old person managing this disease,” he said.

Jonas dedicated the song “A Little Bit Longer” — a tune he wrote early in 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 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 pertinent.

“Now I [have] this great, big community that I belong to that has supported me 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 powering through.”

Progress in Diabetes Management

In the past, life with type 1 diabetes meant more than five insulin injections a day and finger sticks 10 or more times daily. This was a never-ending cycle of injections, estimation, and vigilance, as stated by a board certified endocrinologist.

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

“Algorithms began adjusting insulin automatically, creating hybrid ‘artificial pancreas’ systems that alleviate some of the mental burden people with type 1 bear every day.”

Jonas is impressed with how far technology has advanced 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 amazing thing,” he said.

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

“The first immune-therapy capable of postponing type 1’s onset was approved, and research into preserving or even substituting the body’s insulin-producing cells acquired real momentum. In labs around the world, scientists are cultivating stem-cell–derived pancreatic beta cells and experimenting with 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.

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

Nevertheless, while a family physician agrees that additional innovations will continue to appear, he notes that managing type 1 diabetes remains an demanding undertaking — in terms of health, cognitively, and emotionally.

“I sincerely hope that we’ll see more and more focus to discussing and helping with the burdens and the requirements of living with and managing T1D. We need much more of that, too,” he commented.

Jonas Turns to Self-Care to Manage His Diabetes

In addition to medication and technology, Jonas discussed some strategies 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 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 out of your control 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 hard to do at times, he said he learned to apply this early during his diagnosis.

Recently, he has focused on taking vitamins, looking after his skin, and staying well-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 hydrating has a lot of health advantages,” he noted. “I didn’t put as much focus on it earlier in my life 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 indoors for hours at a venue or on a movie location or something,” he said.

He relies on his therapist frequently, too.

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

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

“There will be positive days, there will be tough days, but you can climb this challenge, and there’s some remarkable people out there whose experiences will really motivate anybody that’s going through tough moments,” he concluded.