Miss Idaho sported an insulin pump along with her sash during a swimsuit competition. NPR reports that the move has made Sierra Sandison a type 1 diabetes hero and that users have given the Facebook photo over 4,000 “likes” and spurred a Twitter following with the hashtag #showmeyourpump.

NPR notes that 1999’s Miss America Nicole Johnson wore a pump, but hid it. Johnson tells NPR that visible diabetes tech has become more accepted. Idaho’s Sandison says she used to be shy about her gear but “now I wear it proudly. It’s really fun for me to randomly run into another ‘pumper’ on the street and strike up a conversation as if we were old friends.”