Are Alternative Sweeteners Actually Better for Your Skin?
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Time to read 7 min

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Time to read 7 min
Sugar doesn't just affect your waistline, it can quietly stiffen the collagen and elastin that keep skin firm and even. But reaching for an "alternative sugar" isn't automatically a win for skin either. Here's a clear-eyed look at what the science actually says about sugar, sweeteners, and the skin you're trying to support from within.
We've talked before about how sugar can age skin. It's one of those pieces of advice that gets repeated so often it starts to sound like a scare tactic rather than a fact worth understanding. So we wanted to revisit it properly, and take it a step further: if sugar is the problem, are the alternatives actually the answer?
The process behind sugar's effect on skin is called glycation. In simple terms, glycation happens when circulating sugar molecules attach themselves to proteins in the body, including the collagen and elastin fibers that give skin its structure and firmness. Over time, this creates compounds called advanced glycation end products, or AGEs, which cross-link and stiffen those fibers (Chen et al., 2022).
Collagen has a naturally long lifespan in the body, which is usually a good thing, but it also means it has more time to accumulate this kind of damage (Choi et al., 2025). The result is skin that feels less resilient, with dull tone and uneven texture, alongside the fine lines that come with any kind of aging.
This isn't about one dessert or one high-sugar week. It's a slow, cumulative process, which is exactly why it responds better to everyday good habits than to any single fix.
This is where things get more nuanced. Not all sugar substitutes behave the same way in the body, and "alternative" doesn't automatically mean "better for skin." Some genuinely reduce the glycation-driving sugar load. Others introduce different considerations worth knowing about, particularly because skin health is closely tied to what's happening elsewhere in the body, including digestion and inflammation. What supports the body tends to support skin, and what stresses the body tends to show up there too.
Here's a look at some of the most common alternatives.
Stevia and monk fruit are plant-derived, carry no meaningful glycemic load, and current research hasn't linked them to the kind of AGE formation associated with sugar. Of the non-sugar sweeteners studied for their effect on gut bacteria, stevia has also shown to be the gentlest (Suez et al., 2022). For anyone looking to genuinely reduce glycation exposure, these are reasonable options.
Allulose is a newer entry that behaves differently from most sweeteners. In a meta-analysis of human trials, 5g and 10g doses measurably blunted the post-meal blood sugar rise compared to control meals (Tani et al., 2023). Separately, mouse studies suggest this may work through GLP-1, a hormone involved in satiety and blood sugar regulation, released via a gut-to-brain nerve pathway (Iwasaki et al., 2018), though that mechanism hasn't yet been confirmed in humans. Together, this makes allulose a promising, lower-glycemic-impact option, even though no study has yet linked it directly to skin outcomes.
Erythritol is where the picture gets more complicated. It has long been considered a "safe" sugar alcohol because the body doesn't metabolize it for energy; it passes through largely unabsorbed. But a 2023 study in Nature Medicine found that people with higher circulating erythritol levels had a higher three-year risk of major cardiovascular events, including heart attack, stroke, and death (Witkowski et al., 2023). To understand why, the researchers added erythritol directly to blood samples and gave it to animals, and found it made platelets, the blood cells responsible for clotting, more prone to clump together and form clots. Since clots that block blood flow to the heart or brain are what actually cause heart attacks and strokes, this gives a plausible biological mechanism behind the numbers, not just a correlation. It's also worth knowing that a single erythritol-sweetened drink can raise blood erythritol levels far above what the body produces on its own, and those elevated levels can persist for days. None of this means an occasional erythritol-sweetened treat is dangerous: the study looked at people with consistently elevated levels over time, not occasional exposure. But it does mean erythritol shouldn't be assumed to be the automatically "safer" swap, especially with frequent, high-dose use.
Other non-nutritive sweeteners, including saccharin and sucralose, were shown in a 2022 Cell study to measurably alter the gut microbiome and, in some individuals, impair the body's usual blood sugar response (Suez et al., 2022). Since gut balance is closely linked to inflammation, and inflammation shows up on skin as redness, breakouts, or a compromised barrier, this is worth knowing even though it isn't a direct skin study.
None of this is a case for guilt or for treating sugar as an enemy to be feared. It's simply useful information for making steadier choices. If you're looking to genuinely ease glycation load, plant-based options like stevia and monk fruit have the most consistent evidence behind them, and allulose is worth watching.
If a sweetener is doing double duty as your "healthier" option, it's worth checking in on how your gut and energy respond to it, not just whether it's calorie-free.
And because glycation is a slow, cumulative process, no single ingredient, inside or outside the body, reverses it overnight. This is where skin's own resilience matters, and where supporting it topically alongside steadier daily habits makes the most sense. Our All-in-One Essence was formulated with that kind of everyday support in mind: Emblica Vitamin C and mushroom extracts to help skin manage everyday oxidative stress, alongside high-concentration panthenol and glycerin to support the skin barrier that glycation and inflammation can both weaken over time.
It won't undo what sugar does at a cellular level, but it's an intentional, minimal-ingredient way to back up the habits you're already building.
Yes, though slowly. Sugar molecules bond with collagen and elastin through a process called glycation, which stiffens these fibers over years and is linked to visible signs of skin aging (Choi et al., 2025).
Glycation is a chemical reaction where sugar attaches to proteins in the body, including skin's structural proteins, forming compounds called AGEs that cross-link and reduce those proteins' flexibility.
Current evidence suggests they carry little to no glycemic load and haven't been linked to the same AGE formation as sugar, making them reasonable choices for reducing overall glycation exposure.
There's no direct study linking erythritol to skin aging, but a 2023 Nature Medicine study associated higher circulating erythritol with increased cardiovascular event risk, which is worth factoring into how often you reach for it.
There's no direct skin study yet, but allulose's ability to support stable blood sugar and healthy satiety hormone release is an encouraging early signal, since stable blood sugar is generally favorable for reducing glycation load.
Possibly. Some non-nutritive sweeteners have been shown to alter gut bacteria and blood sugar response in certain people, and gut imbalance is often connected to inflammation, which can show up as skin sensitivity or breakouts.
There's no single universal number. What the research supports is that consistent, moderate intake over time matters more than any one indulgence, and that steady habits outperform occasional restriction.
Not entirely. Topical products can support skin's barrier and help it manage everyday oxidative stress, but glycation happens at a structural level that skincare alone can't undo. Diet and skincare work best as partners, not substitutes for each other.
Chen, C., Zhang, J., Li, L., Guo, M., He, Y., Dong, Y., Meng, H., & Yi, F. (2022). Advanced glycation end products in the skin: Molecular mechanisms, methods of measurement, and inhibitory pathways. Frontiers in Medicine, 9, 837222. https://doi.org/10.3389/fmed.2022.837222
Choi, J. Y., Ha, N. G., Lee, W. J., & Boo, Y. C. (2025). Synthetic and natural agents targeting advanced glycation end-products for skin anti-aging: A comprehensive review of experimental and clinical studies. Antioxidants, 14(4), 498. https://doi.org/10.3390/antiox14040498
Iwasaki, Y., Sendo, M., Dezaki, K., Hira, T., Sato, T., Nakata, M., Goswami, C., Nakata, R., Yoshida, M., Tomomi, W., Torii, S., Kishimoto, K., Kanoshima, S., Kondo, K., Hara, H., & Yada, T. (2018). GLP-1 release and vagal afferent activation mediate the beneficial metabolic and chronotherapeutic effects of D-allulose. Nature Communications, 9, 113. https://doi.org/10.1038/s41467-017-02488-y
Suez, J., Cohen, Y., Valdés-Mas, R., Mor, U., Dori-Bachash, M., Federici, S., Zmora, N., Leshem, A., Heinemann, M., Linevsky, R., Zur, M., Ben-Zeev Brik, R., Bukimer, A., Eliyahu-Miller, S., Metz, A., Fischbein, R., Sharov, O., Malitsky, S., Itkin, M., Stettner, N., Harmelin, A., Shapiro, H., Segal, E., & Elinav, E. (2022). Personalized microbiome-driven effects of non-nutritive sweeteners on human glucose tolerance. Cell, 185(18), 3307–3328. https://doi.org/10.1016/j.cell.2022.07.016
Tani, Y., Sasaki, Y., Kimura, M., Iida, K., & Murakami, Y. (2023). Allulose for the attenuation of postprandial blood glucose levels in healthy humans: A systematic review and meta-analysis. PLOS ONE. https://doi.org/10.1371/journal.pone.0281150
Witkowski, M., Nemet, I., Alamri, H., Wilcox, J., Gupta, N., Nimer, N., Haghikia, A., Li, X. S., Wu, Y., Saha, P. P., Demuth, I., König, M., Steinhagen-Thiessen, E., Cajka, T., Fiehn, O., Landmesser, U., Tang, W. H. W., & Hazen, S. L. (2023). The artificial sweetener erythritol and cardiovascular event risk. Nature Medicine, 29, 710–718. https://doi.org/10.1038/s41591-023-02223-9