Nicole Johnson ( born January 9 , 1974 ) is an American beauty queen , author , public health professional and activist . Crowned Miss America 1999 and Miss Virginia 1998 , she became the first Miss America with diabetes and the first contestant to publicize the use of an insulin pump . She now advocates for diabetes research , treatment , and education , having been diagnosed with type 1 diabetes in 1993
Miss America 1999
Miss America 1999
Nicole Johnson (Miss America)