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International Journal of Bioprinting                                             3D-printed diabetic diet




            spurred by the high prevalence of oral ulcers, to the best of   and a deeper understanding of nutritional science, this
            our knowledge, no 3D-printed functional food has been   innovative approach has the potential to reshape the
            developed prior to this study for patients suffering from   future of dietary management, ultimately improving the
            this condition.                                    overall health outcomes and quality of life for individuals
                                                               with diabetes and other chronic conditions.
            4. Conclusion
            In conclusion, this study presents a novel approach to   Acknowledgments
            developing personalized foods for diabetic patients by   None.
            utilizing  3D  printing  technology,  specifically  targeting
            individuals with complications such as CKD and oral   Funding
            ulcers. By formulating 3D-printable food inks using   This work was supported by the National Natural Science
            natural  ingredients  known  for  their  oral  health  and   Foundation of China (No. 62271107 and 62074029), the
            diabetes management benefits, customized diets can be   National Key Research and Development Program of
            created to meet the specific nutritional requirements of   China (No. 2022YFB3206100), and Key R&D Program of
            these patients.
                                                               Sichuan Province (No. 2022JDTD0020).
               The rheological properties, textures, microstructures,
            and composition of the food inks are comprehensively   Conflict of interest
            characterized for assessing their suitability for 3D food   The authors declare no conflicts of interest.
            printing applications. The utilization of dual-nozzle
            collaborative 3D printing technology allows for precise   Author contributions
            regulation of  the nutritional  composition, which  helps
            control  protein  intake  by  patients  with  CKD.  Findings   Conceptualization:  Yi Zhang, Yuanyuan Chen, Jun Gu,
            from animal experiments confirm the effectiveness of   Tingting Dai
            the  3D-printed  diet  in  glycemic  control,  showcasing  the   Data curation: Yuanyuan Chen, Siwei Bi, Ruiqi Liu
            potential of this approach in managing blood glucose levels.  Funding acquisition: Xiaosheng Zhang, Yi Zhang
                                                               Investigation: Yuanyuan Chen, Siwei Bi,
               This research highlights the transformative potential of
            3D food printing technology in the field of personalized   Methodology: Yuanyuan Chen, Siwei Bi, Jun, Gu, Dongan
                                                                  Wang, Yi Zhang
            nutrition, offering tailored food options that enhance   Project administration: Qianli Che, Wei Li
            the quality of life and health outcomes of patients with   Writing – original draft: Yuanyuan Chen
            diabetes and its complications. By combining the benefits   Writing – review & editing:  Yi Zhang, Siwei Bi, Jun Gu,
            of personalized nutrition, improved texture, and targeted   Dongan Wang, Tingting Dai
            functional ingredients, 3D-printed foods have the
            potential to revolutionize dietary management strategies   Ethics approval and consent to participate
            for individuals with specific dietary requirements.
                                                               All animal experiments in this study were approved by the
               One major limitation of this study is that we were
            unable to take into account the pain threshold pressure   Institutional Animal Care and Use Committee of China
                                                               West Hospital, Sichuan University (No. 20221201007).
            caused by oral ulcer in designing the food ink due to
            the lack of relevant literature. Therefore, we can only   Consent for publication
            rely on the pain threshold pressure of diseases of similar
            nature described in existing literature as a reference.   Not applicable.
            Future studies  should  be designed to  evaluate  the pain
            threshold by  means of  animal experiments.  However,   Availability of data
            this presents several challenges, such as how to assess   The data that support the findings of this study are available
            pain in the animal model and the potential disparity of   from the corresponding author upon reasonable request.
            pain thresholds between humans and the animal models.
            Future studies should also explore the optimization of   Reference
            3D printing parameters, investigate additional functional
            ingredients, and evaluate the long-term effects of   1.  American  Diabetes  Association.  Diagnosis  and
            personalized 3D-printed diets on the health and well-  classification of diabetes mellitus.  Diabetes  Care.
            being  of  diabetic  patients  through  clinical  trials.  With   2014;37(Supplement_1):S81-S90.
            continued advancements in 3D printing technology      doi: 10.2337/dc14-S081


            Volume 10 Issue 2 (2024)                       308                                doi: 10.36922/ijb.1862
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