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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 frontman's type 1 diabetes diagnosis.

“It’s crazy how it lined up,” 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 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 struggles of controlling his disease have been the lows, while advocating and connecting with others through his role and through his foundation have been a source of happiness.

“Overall, I’m really thankful to have been able to be transparent about [type 1] and to connect with all these wonderful people from all corners 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 isolated 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, along with a shout-out to his A1C.

“My A1C, which is a collection of numbers over a three-month period, was the most favorable it’s ever been, in fact, most recently,” he revealed.

The show was attended by members of a worldwide group — a collective of over 30,000 people worldwide who share their experiences with diabetes to help promote a message of strength, 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 fitting to get reflective and to explore sort 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 melody he wrote at the start of his career and diabetes experience, 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 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 taken on a new significance for him as an adult, he said it is still pertinent.

“Now I [have] this vast, supportive community that I belong to that has lifted me up in so many different moments. I think my perspective is possibly a lot more positive now. It is feasible to live a big, busy life while living with this disease and mindset and viewpoint and all that is an essential piece to persevering.”

Advancements 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 each day. This was a constant cycle of injections, guesswork, and vigilance, according to a board certified endocrinologist.

“Insulin pumps superseded multiple daily insulin injections.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

“Algorithms began modifying insulin on their own, creating hybrid ‘artificial pancreas’ systems that alleviate some of the mental burden people with type 1 bear every day.”

Jonas is impressed with how far technology has improved 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.

Alongside technology, new therapies aimed at controlling the condition and delaying or altering the disease itself are in development.

“The first immune-therapy capable of postponing type 1’s onset was authorized, and research into protecting or even substituting the body’s insulin-producing cells acquired real traction. In labs around the world, scientists are growing stem-cell–derived pancreatic beta cells and experimenting with ways to shield them from the body's defenses,” the doctor continued.

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

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

However, while a family physician concurs that additional innovations will continue to develop, he notes that managing type 1 diabetes remains an demanding task — in terms of health, mentally, and emotionally.

“I truly hope that we’ll see more and more attention to discussing and helping with the burdens and the requirements of having and managing T1D. We need much more of that, too,” he told.

Jonas Turns to Self-Care to Control His Diabetes

Beyond medication and technology, Jonas shared some approaches he leans on to manage his diabetes.

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

“You’re never going to have the perfect day while managing this disease and even if you’re super on top of 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 important,” he said.

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

Recently, he has prioritized 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 exactly 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 when I was younger as I do now, and it’s been really beneficial.”

He also takes 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 fresh 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 personal development,” 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 scale this mountain, and there’s some incredible people out there whose experiences will really inspire anybody that’s going through tough moments,” he concluded.