The Way Nick Jonas' Diabetes Management Has Changed During 20 Years

The singer on stage
As the Jonas Brothers mark their 20th year as a band, it also represents two decades since Nick Jonas was diagnosed with type 1 diabetes.
  • Frontman Nick Jonas has managed type 1 diabetes for 20 years.
  • The group's “JONAS20: Greetings from Your Hometown Tour” celebrates its 20th anniversary alongside Nick Jonas’s two-decade experience with diabetes.
  • Nick Jonas discusses how these two anniversaries have influenced his life and how he uses his music to raise awareness for type 1 diabetes.

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

While the band commemorates their 20th year together, 2025 also marks 20 years since their lead singer's type 1 diabetes discovery.

“The alignment is remarkable,” the singer stated. “It's been an incredible ride in both… regarding the band, 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.”

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 engaging others through his role and through his non-profit have brought him joy.

“In summary, I’m really thankful to have been able to be transparent about [type 1] and to connect with all these wonderful people from all regions of the world who are experiencing their own diabetes journey, 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 His Audience

To show appreciation to supporters, 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 mention 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,” said Jonas.

The show was visited by members of a global community — a collective of more than 30,000 people globally 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 personal to me and on World Diabetes Day, I think it’s natural to get reflective and to explore sort of what life looks like for me as a now thirty-three-year-old person managing this condition,” he said.

Jonas dedicated 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 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 taken on a new significance for him as an adult, he said it is still pertinent.

“Now I [have] this great, big community that I am part of that has supported me in so many various moments. I think my outlook is possibly a lot more optimistic now. It is possible to live a full, active life while managing this disease and outlook and viewpoint 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 daily shots a day and glucose checks 10 or more times daily. This was a constant cycle of injections, guesswork, and care, as stated by a board certified endocrinologist.

“Delivery devices replaced multiple daily insulin injections. With time, insulin pumps became less bulky and smarter, and eventually learned to ‘communicate’ with the sensors,” the doctor noted.
“Algorithms began adjusting insulin automatically, creating combined ‘automated delivery’ systems that lift some of the cognitive load people with type 1 carry every day.”

Jonas is impressed 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 when I am apart from is just an incredible thing,” he said.

In addition to technology, new treatments aimed at managing diabetes and delaying or modifying the disease itself are in development.

“The first immunotherapy capable of delaying type 1’s start was approved, and research into preserving or even substituting 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,” the doctor continued.

“Smart insulin” is also being engineered to activate only when glucose levels rises, offering a future where insulin works as intuitively as the body once did.

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

However, while another medical professional agrees that additional innovations will continue to appear, he points out that managing type 1 diabetes remains an intensive task — physically, cognitively, and psychologically.

“I sincerely hope that we’ll see more and more attention to talking about and helping with the challenges and the demands of having and managing T1D. We need much 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 leans on to handle 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 very diligent with your diabetes management, there are just things that are a little out of your control and being able to take a deep breath, 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 apply this soon after his diagnosis.

Recently, he has focused on taking vitamins, looking after his skin, and staying 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 hydrating has a lot of health advantages,” said Jonas. “I didn’t put as much emphasis 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, cognitive, and emotional 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 inside for hours at a concert hall or on a film set or something,” he said.

He relies on his therapist frequently, too.

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

Above all, he urges 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 stories will really motivate anybody that’s going through difficult times,” he concluded.
Bryan Gardner
Bryan Gardner

A cardiologist with over 15 years of experience, specializing in preventive heart care and innovative treatment methods.