The Way Nick Jonas' Diabetes Management Has Evolved Over Two Decades

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

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

“It’s crazy how it lined up,” the singer stated. “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 fortunate to be able to do this for 20 years now and to have the support of the most amazing fans.”

Parallel to the band’s experience over the last 20 years, he said he has had great and tough moments managing diabetes. The difficulties 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.

“In summary, I’m really grateful to have been able to be open about [type 1] and to interact with all these wonderful 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.

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 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,” said Jonas.

The show was visited by members of a worldwide group — a collective of more than 30,000 people globally who share their experiences with diabetes to help promote a message of resilience, determination, and optimism.

“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 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 thirty-three-year-old person living with this disease,” he said.

Jonas offered the song “A Little Bit Longer” — a tune he wrote at the start of his career and diabetes journey, to those living with 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 challenges 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 meaning for him as an adult, he said it is still pertinent.

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

Advancements in Type 1 Diabetes

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

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

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

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

“The fact that I can receive instant data 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 managing diabetes and slowing or altering the disease itself are in development.

“The first immune-therapy capable of delaying type 1’s start was authorized, and research into preserving or even substituting the body’s insulin-producing cells acquired real traction. In labs around the world, scientists are growing 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 naturally as the body once did.

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

However, while another medical professional agrees that additional innovations will continue to develop, he notes 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 addressing the burdens and the requirements of having and controlling T1D. We need much more of that, too,” he told.

The Singer Employs Self-Care to Manage His Diabetes

Beyond medication and technology, Jonas discussed some approaches he relies 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 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 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 better. I don’t know exactly why, but I just find that hydrating 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 open 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 leans on his therapist regularly, too.

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

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

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