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Global Spine Express

How The Singer's Diabetes Management Has Transformed During the Past 20 Years

Nick Jonas performing
The 20th anniversary of the Jonas Brothers coincides with 20 years of Nick Jonas living with a type 1 diabetes diagnosis.
  • Lead singer Nick Jonas has managed type 1 diabetes for two decades.
  • The band's “JONAS20: Greetings from Your Hometown Tour” celebrates its 20th anniversary alongside Nick Jonas’s 20-year journey with diabetes.
  • Nick Jonas discusses how these two anniversaries have impacted his life and how he uses his music to raise awareness for type 1 diabetes.

In 2025, the number 20 carries special significance for renowned artist Nick Jonas.

As the Jonas Brothers celebrate 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 a wild journey 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.”

Alongside the band’s experience over the last two decades, he said he has had wonderful and challenging moments living with diabetes. The difficulties of controlling his disease have been the low points, while raising awareness 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 open about [type 1] and to connect with all these wonderful people from all regions of the world who are navigating their own diabetes journey, and it’s a really big thing to feel like you’re a little less isolated in it,” said Jonas.

Nick Jonas’ A1C Shoutout to Fans

To thank his fans, on World Diabetes Day (November 14), he stepped onto the platform 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 average of numbers over a three-month period, was the most favorable 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 share their experiences with diabetes to help spread a message of resilience, perseverance, 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 clearly very important to me and on World Diabetes Day, I think it’s natural to get introspective and to tap into sort of what life looks like for me as a now 33-year-old person living with this condition,” he said.

Jonas dedicated 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 significant 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 effect 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 lifted me up in so many various moments. I think my outlook is possibly a lot more optimistic now. It is feasible to live a full, active life while managing this disease and mindset and perspective and all that is an essential piece to persevering.”

Progress in Type 1 Diabetes

In the past, life with type 1 diabetes involved more than five daily shots a day and finger sticks 10 or more times daily. This was a never-ending cycle of injections, guesswork, and vigilance, 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 ‘communicate’ with the sensors,” the doctor noted.
“Automated systems began modifying insulin on their own, creating hybrid ‘artificial pancreas’ systems that lift some of the mental burden people with type 1 bear every day.”

Jonas is amazed with how far technology has improved since he was first diagnosed.

“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 incredible thing,” he said.

In addition to technology, new treatments aimed at controlling the condition and slowing or altering the disease itself are being researched.

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

“Smart insulin” is also being engineered to become active only when blood sugar rises, offering a future where insulin works as naturally as the body once did.

“Further progress will definitely continue to emerge. We’re no longer just improving tools; we’re getting nearer to transforming the disease itself,” the expert concluded.

Nevertheless, while a family physician concurs that additional innovations will continue to appear, he notes that managing type 1 diabetes remains an demanding task — physically, mentally, and psychologically.

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

Jonas Turns to Personal Wellness to Control His Diabetes

In addition to medication and technology, Jonas discussed 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 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 practice this early during his diagnosis.

Recently, he has prioritized taking vitamins, caring for 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 focus on it when I was younger as I do now, and it’s been really beneficial.”

He also walks daily for 30 minutes or longer for his bodily, mental, 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 leans on his therapist regularly, too.

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

Most of all, he encourages everyone living with type 1 diabetes to take part in the diabetes community.

“There will be positive days, there will be tough days, but you can scale this challenge, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through tough moments,” he concluded.
Written by

Joseph Terrell

A board-certified orthopedic surgeon specializing in minimally invasive spine procedures and patient education.

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