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

This year, the number 20 carries particular meaning for renowned artist 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 diagnosis.

“It’s crazy how it lined up,” 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 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 managing diabetes. The difficulties of controlling his disease have been the lows, while raising awareness and connecting with others as a spokesperson and through his non-profit have been a source of happiness.

“Overall, I’m really thankful to have been able to be open about [type 1] and to interact with all these amazing people from all corners of the world who are experiencing their own diabetes path, and it’s a really big thing to feel like you’re a little less alone in it,” he added.

Nick Jonas’ A1C Shoutout to His Audience

To thank his fans, 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, accompanied by 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,” he revealed.

The show was visited by members of a worldwide group — a collective of more than 30,000 people worldwide who discuss their experiences with diabetes to help spread a message of resilience, perseverance, 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 obviously very personal to me and on World Diabetes Day, I think it’s fitting to get reflective and to tap into kind 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 melody 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 relevant.

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

Progress in Diabetes Management

Not long ago, life with type 1 diabetes involved 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, 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 expert explained.

“Automated systems began adjusting insulin automatically, creating hybrid ‘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 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 controlling the condition and delaying or altering the disease itself are in development.

“The first immunotherapy capable of postponing type 1’s start was approved, and research into preserving or even replacing the body’s insulin-producing cells gained real momentum. In labs around the world, scientists are cultivating stem-cell–derived pancreatic beta cells and testing ways to shield them from the body's defenses,” the doctor continued.

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

“More advancements will definitely continue to develop. We’re no longer just enhancing devices; we’re getting nearer to changing the disease itself,” the expert concluded.

However, while another medical professional concurs that further advancements will continue to develop, he notes that managing type 1 diabetes remains an intensive task — physically, mentally, and psychologically.

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

Jonas Turns to Personal Wellness to Manage His Diabetes

Beyond medication and technology, Jonas discussed some approaches 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 ideal day living with 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, recalibrate, and know that it’s going to be OK on the other side is really crucial,” he said.

While this is difficult to do at times, he said he learned to practice this soon after his diagnosis.

Lately, he has prioritized taking vitamins, looking after 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 benefits,” he noted. “I didn’t put as much emphasis 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, 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 inside 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 vital to do that self-work,” Jonas said.

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

“There will be good 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 tough moments,” he concluded.