#12: Miss Idaho, 2015 — Sierra Sandison
Idaho has never had a Miss America winner, but Sierra Sandison made headlines when she competed in 2015 and earned a Top 16 placement. Raised in Twin Falls, she stood out for proudly wearing her insulin pump on stage, bringing national attention to Type 1 diabetes awareness.

Her boldness inspired thousands, with the “Show Me Your Pump” campaign trending nationwide as others shared photos of themselves with medical devices. Though she did not win the crown, Sandison turned her platform into a movement, making her one of Idaho’s most influential representatives at Miss America.
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