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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.

“The alignment is remarkable,” the singer stated. “It's been an incredible ride in both… regarding the band, it’s been the adventure of a lifetime, and we’ve been so blessed 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 two decades, he said he has had wonderful and challenging moments managing diabetes. The struggles of controlling his disease have been the low points, 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 transparent 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 isolated in it,” he added.

Nick Jonas’ A1C Shoutout to His Audience

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 shout-out to his A1C.

“My A1C, which is a average of numbers over a three-month period, was the best it’s ever been, actually, most recently,” said Jonas.

The show was visited by members of a worldwide group — a network of more than 30,000 people worldwide who discuss their experiences with diabetes to help spread a message of resilience, perseverance, 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 important to me and on World Diabetes Day, I think it’s fitting to get introspective and to tap into sort of what life looks like for me as a now thirty-three-year-old person living with this condition,” he said.

Jonas offered the song “A Little Bit Longer” — a tune he wrote early in his career and diabetes experience, 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 challenges when I was 14 and to see the impact it still has to this day with the fan base,” he said.

While the song has assumed a new significance for him as an adult, he said it is still relevant.

“Now I [have] this vast, supportive community that I am part of that has supported me in so many various moments. I think my outlook 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 powering through.”

Advancements in Diabetes Management

Not long ago, life with type 1 diabetes meant more than five daily shots a day and glucose checks 10 or more times each day. This was a never-ending cycle of needles, estimation, and care, according to a board certified endocrinologist.

“Insulin pumps superseded multiple daily insulin injections.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

“Algorithms began adjusting insulin on their own, creating hybrid ‘artificial pancreas’ systems that alleviate 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 diagnosed.

“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 incredible thing,” he said.

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

“The first immunotherapy capable of postponing type 1’s onset 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 stem-cell–derived pancreatic beta cells and testing ways to protect them from the body's defenses,” the doctor continued.

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

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

Nevertheless, while another medical professional concurs that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an intensive undertaking — physically, mentally, and emotionally.

“I truly hope that we’ll see more and more focus to discussing and helping with the challenges and the requirements of having and managing T1D. We need far more of that, too,” he commented.

Jonas Turns to Personal Wellness to Control His Diabetes

In addition to medication and technology, Jonas discussed some strategies he relies on to manage 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 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 hard to do at times, he said he learned to apply this soon after his diagnosis.

Lately, he has focused on 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 precisely 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 physical, 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 venue 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 personal development,” Jonas said.

Most of 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 mountain, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through tough moments,” said Jonas.