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

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

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

“The alignment is remarkable,” Jonas remarked. “It’s been a wild journey in both… regarding the band, 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 world’s greatest fans.”

Alongside the band’s experience over the last two decades, he said he has had great and tough moments living with diabetes. The difficulties of managing his condition have been the lows, while advocating and engaging others as a spokesperson and through his non-profit have been a source of happiness.

“In summary, I’m really thankful to have been able to be open about [type 1] and to connect with all these wonderful 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 alone in it,” said Jonas.

Nick Jonas’ A1C Shoutout to Fans

To thank his fans, on World Diabetes Day (November 14), he took to the stage during a Jonas Brothers concert and delighted his audience by sharing an uplifting message of hope, accompanied by a mention 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 attended by members of a worldwide group — a network of more than 30,000 people globally who discuss their experiences with diabetes to help promote a message of resilience, determination, and optimism.

“It was really meaningful for me to get to use the Jonas Brothers’ platform as a place to speak about something that’s clearly very personal to me and on World Diabetes Day, I think it’s fitting to get reflective and to explore kind of what life looks like for me as a now thirty-three-year-old person managing this disease,” he said.

Jonas dedicated the song “A Little Bit Longer” — a tune 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 audience,” he said.

While the song has taken on a new meaning for him as an adult, he said it is still relevant.

“Now I [have] this great, big community that I belong to that has lifted me up in so many various moments. I think my perspective is perhaps a lot more optimistic now. It is possible to live a full, active life while living with this disease and mindset and viewpoint and all that is an essential piece to persevering.”

Progress in Type 1 Diabetes

Not long ago, life with type 1 diabetes meant more than five daily shots a day and glucose checks 10 or more times daily. This was a constant cycle of injections, estimation, and care, according to a licensed endocrinologist.

“Insulin pumps replaced multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘talk’ with the glucose monitors,” the expert explained.

“Automated systems 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 advanced 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 treatments aimed at managing diabetes and slowing or altering the disease itself are being researched.

“The first immunotherapy capable of delaying type 1’s onset was approved, and research into protecting 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 experimenting with ways to protect them from the body's defenses,” said the specialist.

“Responsive insulin” is also being developed to become active only when glucose levels rises, 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 enhancing devices; we’re getting closer to transforming the disease itself,” the expert concluded.

However, while another medical professional agrees that further advancements will continue to develop, he points out that managing type 1 diabetes remains an demanding task — in terms of health, cognitively, and emotionally.

“I truly hope that we’ll see more and more attention to discussing and addressing the burdens and the demands of living with and managing T1D. We need far more of that, too,” he commented.

Jonas Turns to Self-Care to Manage His Diabetes

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

First, he said he learned to take pressure off himself.

“You’re never going to have the ideal day living with this disease and even if you’re super on top of your diabetes management, there are just things that are a little out of your control and being able to pause, recalibrate, 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 practice this early during his diagnosis.

Recently, he has focused on 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 precisely why, but I just find that hydrating has a lot of health benefits,” he noted. “I didn’t put as much focus 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 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 concert hall or on a movie location or something,” he said.

He relies on his therapist regularly, too.

“I think it’s really important to do that self-work,” 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 scale this mountain, and there’s some remarkable people out there whose stories will really inspire anybody that’s going through difficult times,” he concluded.