The Way The Singer's Diabetes Management Has Changed Over the Past 20 Years

This year, the number 20 carries special significance for iconic singer Nick Jonas.

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

“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 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 living with diabetes. The difficulties of managing his condition have been the lows, while raising awareness and engaging others as a spokesperson and through his non-profit have brought him joy.

“In summary, I’m really grateful to have been able to be transparent about [type 1] and to interact with all these wonderful people from all corners 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 isolated in it,” said Jonas.

The Singer's A1C Announcement to Fans

To thank his fans, 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, along with a mention to his A1C.

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

The show was attended by members of a worldwide group — a collective of more than 30,000 people worldwide who discuss 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’ platform 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 disease,” he said.

Jonas dedicated the song “A Little Bit Longer” — a tune he wrote early in his career and diabetes journey, 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 assumed a new meaning for him as an adult, he said it is still relevant.

“Now I [have] this vast, supportive community that I belong to that has supported me in so many various moments. I think my outlook is possibly a lot more positive now. It is feasible to live a full, active life while living with this disease and outlook and viewpoint and all that is an essential piece to powering through.”

Progress in Diabetes Management

In the past, life with type 1 diabetes involved more than five daily shots a day and finger sticks 10 or more times each day. This was a constant cycle of injections, estimation, and care, according to a board certified endocrinologist.

“Delivery devices superseded multiple daily insulin injections.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

“Algorithms began modifying insulin on their own, 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 identified.

“The fact that I can receive real time readings of my glucose straight to my phone or smart watch or it can be [shared with] my wife or other family members when I am apart from is just an amazing thing,” he said.

In addition to technology, new therapies aimed at controlling the condition and slowing or altering the disease itself are in development.

“The first immunotherapy capable of delaying type 1’s onset was authorized, and research into preserving or even replacing the body’s insulin-producing cells gained real traction. In labs around the world, scientists are cultivating lab-grown pancreatic beta cells and testing ways to shield them from the body's defenses,” said the specialist.

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

“Further progress will definitely continue to emerge. We’re no longer just enhancing devices; we’re getting closer to transforming the disease itself,” the physician stated.

However, while a family physician concurs that additional innovations will continue to develop, he points out that managing type 1 diabetes remains an intensive task — in terms of health, cognitively, and psychologically.

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

The Singer Employs Self-Care to Manage His Diabetes

In addition to medication and technology, Jonas shared some strategies he leans on to handle his diabetes.

To begin, 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 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 hard to do at times, he said he learned to apply this early during his diagnosis.

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

“It’s a basic thing, but the more water I drink, my glucose levels are more stable. I don’t know exactly why, but I just find that hydrating has a lot of health benefits,” said Jonas. “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, cognitive, and psychological health.

“It really grounds 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 concert hall or on a movie location or something,” he said.

He relies on his therapist frequently, too.

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

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

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