This year, the number 20 carries particular meaning for renowned artist Nick Jonas.
As the Jonas Brothers celebrate their 20th year together, 2025 also marks 20 years since their frontman's type 1 diabetes discovery.
“The alignment is remarkable,” Jonas remarked. “It’s been a wild journey in both… regarding the band, it’s been the adventure 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 struggles 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 amazing people from all regions of the world who are navigating their own diabetes journey, and it’s a really significant feeling to feel like you’re a little less isolated in it,” said Jonas.
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 uplifting message of hope, accompanied by 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, actually, most recently,” said Jonas.
The show was visited by members of a worldwide group — a network of more than 30,000 people globally who share their experiences with diabetes to help promote 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 clearly very personal to me and on World Diabetes Day, I think it’s fitting to get reflective and to explore kind 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 tune he wrote at the start of his career and diabetes journey, 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 experiences 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 relevant.
“Now I [have] this great, big community that I belong to that has lifted me up in so many various moments. I think my perspective is possibly a lot more positive now. It is possible to live a big, busy life while living with this disease and mindset and viewpoint and all that is an important piece to powering through.”
Not long ago, life with type 1 diabetes meant more than five insulin injections a day and glucose checks 10 or more times daily. This was a constant cycle of injections, guesswork, and care, as stated by a licensed endocrinologist.
“Insulin pumps replaced multiple daily insulin injections. With time, insulin pumps became lighter and more advanced, and eventually learned to ‘talk’ with the sensors,” the doctor noted.
“Automated systems began adjusting insulin on their own, creating combined ‘automated delivery’ systems that lift some of the cognitive load people with type 1 bear every day.”
Jonas is impressed with how far technology has advanced since he was first diagnosed.
“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 who I’m traveling away from is just an amazing thing,” he said.
Alongside technology, new therapies aimed at controlling the condition and slowing or modifying the disease itself are in development.
“The first immune-therapy capable of delaying type 1’s onset was authorized, 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,” said the specialist.
“Smart insulin” is also being developed to activate only when blood sugar rises, promising 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 transforming the disease itself,” the expert concluded.
Nevertheless, while a family physician agrees that further advancements will continue to develop, he notes that managing type 1 diabetes remains an demanding undertaking — in terms of health, cognitively, and emotionally.
“I sincerely hope that we’ll see more and more attention to talking about and addressing the challenges and the demands of having and controlling T1D. We need far more of that, too,” he commented.
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 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, 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 apply this soon after his diagnosis.
Recently, he has focused on taking vitamins, looking after his skin, and staying well-hydrated.
“It’s a basic 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 advantages,” he noted. “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 bodily, mental, and emotional 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 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 important to do that self-work,” Jonas said.
Above all, he encourages everyone living with 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 remarkable people out there whose stories will really motivate anybody that’s going through tough moments,” said Jonas.
Lena Voss is a writer and storyteller who explores the intersections of luck, fate, and human experience through engaging narratives.