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The detection of acetone in human exhaled breath is crucial for the noninvasive diagnosis of diabetes. However, the direct and reliable detection of acetone in exhaled breath with high humidity at the parts per billion level remains a great challenge. Here, an ultrasensitive acetone gas sensor based on a K/Sn-Co 3 O 4 porous microsphere was reported. The sensor demonstrates a detection limit of up to 100 ppb, along with excellent repeatability and selectivity. Remarkably, without the removal of water vapor from exhaled breath, the sensor can accurately distinguish diabetic patients and healthy individuals according to the difference in acetone concentrations, demonstrating its great potential for diabetes diagnosis. The enhanced sensitivity of the sensor is attributed to the increased oxygen adsorption on the material surface due to K/Sn codoping and the stronger coadsorption of Sn-K atoms to acetone molecules. These findings shed light on the mechanisms underlying the sensor's improved performance.