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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Achieving personalized nutrition for patients

                                        with diabetic complications via 3D food printing



                                        Yuanyuan Chen , Siwei Bi , Jun Gu , Qianli Che , Ruiqi Liu , Wei Li , Tingting Dai ,
                                                              2
                                                     1
                                                                                               3
                                                                                         2
                                                                                4
                                                                     3
                                                                                                           5
                                        Dongan Wang , Xiaosheng Zhang *, and Yi Zhang *
                                                                     1
                                                                                   1
                                                    6
                                        1 School of Integrated Circuit Science and Engineering,  University of Electronic Science and
                                        Technology of China, Chengdu, Sichuan, China
                                        2 Department  of Plastic and  Burn Surgery, West China  Hospital,  Sichuan University, Chengdu,
                                        Sichuan, China
                                        3
                                        Department  of Cardiovascular  Surgery, West China  Hospital,  Sichuan University, Chengdu,
                                        Sichuan, China
                                        4 CSCEC SCIMEE Science & Technology Co. Ltd., Chengdu, Sichuan, China
                                        5 Department of Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan, China
                                        6 Department of Biomedical Engineering, City University of Hong Kong, Hong Kong SAR, China
                                        (This article belongs to the  Special Issue:  3D Food Inks: Physicochemical Properties, Product Development,
                                        Structure-Functionality and Safety)
                                        Abstract
                                        The global prevalence of diabetes mellitus is experiencing a notable increase. Diabetic
                                        patients need to consistently monitor their fluctuating glucose levels caused by the
                                        changing diet. Meanwhile, patients with diabetes face a higher risk of developing
                                        oral ulcer than healthy individuals. Fortunately, three-dimensional (3D)-printed food,
                                        which is design- and texture-customizable, presents a potential solution to alleviate
                                        the discomfort caused by ulcer while providing personalized nutrition for patients
            *Corresponding authors:     with unique dietary requirements. In this study, 3D-printable food inks were created
            Xiaosheng Zhang
            (zhangxs@uestc.edu.cn)      based on four food ingredients with low glycemic index, namely milk powder, wheat
            Yi Zhang                    bran powder, Russula alutacea Fr., (russula mushroom), and Agaricus bisporus (button
            (yi_zhang@uestc.edu.cn)     mushroom) content. Rheological testing and texture profile analysis were performed,
                                        affirming that the 3D-printed food possesses a soft texture, which minimizes oral
            Citation: Chen Y, Bi S, Gu J, et al.
            Achieving personalized nutrition for   mucosal irritation for patients with diabetic ulcers. The effectiveness of 3D-printed
            patients with diabetic complications   food in diabetes management was corroborated by monitoring the blood glucose
            via 3D food printing. Int J Bioprint.   levels of streptozotocin-induced diabetic rats via gavage. Food with personalized
            2024;10(2):1862.
            doi: 10.36922/ijb.1862      nutritional composition was custom-printed to cater for the protein requirements
                                        of patients with diabetic nephropathy. This innovative approach to personalizing
            Received: September 17, 2023
            Accepted: December 11, 2023  nutrition through 3D food printing has the potential to reshape the future of dietary
            Published Online: January 29, 2024  management, ultimately improving the overall health outcomes and quality of life
            Copyright: © 2024 Author(s).   for individuals with diabetes and its complications.
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: 3D food printing; Personalized nutrition; Diabetes; Ulcer;
            License, permitting distribution,   Daily protein intake
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   Diabetes encompasses a cluster of metabolic disorders characterized by hyperglycemia
                                                                                               1
            affiliations.               resulting from deficiencies in insulin secretion, insulin action, or both.  According to the
            Volume 10 Issue 2 (2024)                       296                                doi: 10.36922/ijb.1862
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