The Way Nick Jonas' Diabetes Management Has Evolved Over the Past 20 Years

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

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

“The alignment is remarkable,” Jonas remarked. “It's been an incredible ride 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 20 years, he said he has had great and tough moments living with diabetes. The difficulties of controlling his disease have been the low points, while raising awareness 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 wonderful people from all regions 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 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 took to the stage during a Jonas Brothers concert and surprised his audience by sharing an inspiring message of hope, accompanied by a shout-out to his A1C.

“My A1C, which is a collection of numbers over a three-month period, was the best it’s ever been, in fact, most recently,” said Jonas.

The show was visited by members of a global community — a network of more than 30,000 people globally who discuss their experiences with diabetes to help promote 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 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 living with this condition,” he said.

Jonas offered the song “A Little Bit Longer” — a melody he wrote early in his career and diabetes experience, 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 audience,” he said.

While the song has assumed a new meaning 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 various moments. I think my perspective is perhaps a lot more positive now. It is possible to live a big, busy life while managing this disease and outlook and perspective 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 glucose checks 10 or more times each day. This was a never-ending cycle of needles, estimation, and care, according to a board certified endocrinologist.

“Delivery devices superseded multiple daily insulin injections.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

“Algorithms began modifying insulin on their own, creating hybrid ‘automated delivery’ systems that lift some of the cognitive load people with type 1 carry every day.”

Jonas is amazed with how far technology has advanced since he was first identified.

“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 amazing thing,” he said.

Alongside technology, new therapies aimed at managing diabetes and delaying or altering 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 acquired real momentum. In labs around the world, scientists are cultivating lab-grown pancreatic beta cells and experimenting with ways to shield them from the body's defenses,” the doctor continued.

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

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

However, while another medical professional concurs that further advancements will continue to appear, he points out that managing type 1 diabetes remains an intensive undertaking — physically, cognitively, and emotionally.

“I truly hope that we’ll see more and more focus to discussing and helping with the burdens and the demands of having and controlling T1D. We need much more of that, too,” he told.

Jonas Turns to Personal Wellness to Manage His Diabetes

In addition to medication and technology, Jonas discussed some strategies 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 super on top of 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 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 simple 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 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 physical, cognitive, and psychological health.

“It really centers me and even when it’s cold out, getting out in the open air is really important when a lot of my day, too, is spent indoors for hours at a venue or on a film set or something,” he said.

He leans on his therapist regularly, too.

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

Above all, he encourages everyone managing type 1 diabetes to engage with the diabetes community.

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