Introduction: The Hidden Costs of Sweetness

The sweet foods we consume daily—baked goods, desserts, sugary beverages—represent one of the most significant health threats in modern nutrition. Yet the mechanisms linking sugar and refined carbohydrates to chronic disease, mental health disorders, and neurological decline remain invisible to most consumers. The baking industry’s reliance on controversial additives, dough conditioners, and preservatives adds another layer of hidden risk.

This hub provides evidence-based information about sugar, artificial sweeteners, baking ingredients, and practical guidance for making informed choices when purchasing or preparing sweets and baked goods.

Part 1: Sugar & Your Health—The Scientific Reality
The Scale of Sugar’s Impact
Sugar consumption has become epidemic. Excessive added sugar intake is directly linked to:

Obesity and weight gain

Type 2 diabetes and insulin resistance

Cardiovascular disease and stroke

Hypertension and gout

Liver disease

Mental health disorders: depression (21% increased risk), anxiety, ADHD, sleep disturbances

Neurological diseases: Alzheimer’s, Parkinson’s, multiple sclerosis

Tooth decay and gum disease

The mechanism linking sugar to these conditions is multifaceted and increasingly well-understood by researchers.

How Sugar Damages Your Body
Insulin Resistance & Metabolic Dysfunction:

When you consume refined sugar or refined carbohydrates, blood glucose spikes rapidly. Your pancreas responds by releasing insulin to lower blood glucose. With repeated high spikes throughout the day, your cells become increasingly resistant to insulin’s signal—they require more and more insulin to achieve the same effect. This state of insulin resistance is the foundation of metabolic disease.

Insulin resistance then triggers:

Accumulation of visceral (abdominal) fat

Elevated triglycerides in blood

Reduced HDL cholesterol

Increased inflammation throughout the body

Metabolic syndrome (pre-diabetes)

Advanced Glycation End Products (AGEs):

When glucose is chronically elevated in your blood, it binds to proteins in a process called glycation, creating Advanced Glycation End Products (AGEs). These sticky compounds:

Cross-link collagen and elastin, causing tissue damage

Drive cardiovascular complications

Trigger systemic inflammation

Accumulate in arteries, brain tissue, kidneys, and other organs

Cannot be reversed; damage is permanent

Gut Dysbiosis & Systemic Inflammation:

High-sugar diets fundamentally alter your gut microbiota:

Beneficial bacteria (like Bacteroidetes) are depleted

Harmful bacteria (Proteobacteria, Firmicutes) proliferate

Dysbiosis weakens the intestinal barrier

Pathogens and their metabolites translocate into the bloodstream

Systemic inflammation is triggered throughout the body

This inflammatory state then cascades into:

Increased cardiovascular disease risk

Impaired blood-brain barrier function

Neuroinflammation

Cognitive decline

Sugar & Neurological Disease: The Emerging Crisis
Research published in 2025 reveals that sugar’s impact on the central nervous system is more severe than previously understood.

Stroke Risk:

Consuming ≥2 servings of sugar-sweetened beverages daily increases ischemic stroke risk by approximately 10-12%. A meta-analysis of multiple cohort studies shows:

RR 1.12 (95% CI 1.03-1.23) for higher SSB consumption

People consuming ≥25% of daily calories from added sugars have nearly 3-fold increased risk of cardiovascular mortality including stroke compared to those consuming <10%

A public health model from South Africa estimated that a sugar-sweetened beverage tax could prevent:

550,000 stroke-related health-adjusted life years lost

~85,000 new stroke cases over 20 years

13,000 existing cases over 20 years

Alzheimer’s Disease & Dementia:

The connection between sugar intake and Alzheimer’s disease is now quantified:

For each 1g daily increase in sugar consumption, the hazard ratio (HR) for all-cause dementia increases by 1.003 (95% CI 1.002-1.004)

For Alzheimer’s specifically: HR increases by 1.002 (95% CI 1.001-1.004)

This relationship holds independent of body weight or other factors

The mechanism: High-sugar diets cause:

Gut dysbiosis → increased systemic inflammation

Blood-brain barrier dysfunction

Neuroinflammation

Cognitive deficits associated with Alzheimer’s pathology

Multiple Sclerosis & Autoimmune Neurological Disease:

For every 10g daily increase in sugar consumption, the odds of developing Neuromyelitis Optica Spectrum Disorder (NMOSD, an autoimmune demyelinating disease) increase by 72%.

High-sugar diets exacerbate neuroinflammation through:

NF-κB activation (pro-inflammatory pathway)

Increased pro-inflammatory cytokine production

Damage to astrocytes (brain support cells)

Worsening of demyelination in optic nerves and spinal cord

Parkinson’s Disease:

Emerging evidence links high-sugar diets to increased Parkinson’s disease risk through chronic neuroinflammation pathways.

Sugar & Mental Health in Children
Perhaps most alarming are findings about sugar’s impact on children’s developing brains.

A longitudinal study of 86 children showed that at 30 months, high free sugar consumption was cross-sectionally associated with:

Sleeping problems

ADHD symptoms

Anxiety symptoms

Emotional symptoms (anxiety and depression)

The study could not determine directionality (does depression lead to sugar consumption, or does sugar cause depression?), but the association is significant and concerning.

Meta-analysis of Sugar & Depression:

A comprehensive meta-analysis of 40 studies involving 1.21 million participants found:

Sugar intake increases depression risk by 21% (OR = 1.21, 95% CI 1.14-1.27)

The association with anxiety was not statistically significant but showed a trend (OR = 1.11)

This is particularly concerning given that children are consuming unprecedented amounts of free sugars, often without parental awareness of cumulative sugar intake across all food sources.

Refined Carbohydrates: Equally Problematic
Refined carbohydrates (white bread, white rice, pasta, pastries, breakfast cereals) are nearly as problematic as sugar because they’re rapidly digested, causing the same blood glucose spikes.

Key findings:

Magnesium-deficient diets (common with high refined carb intake) predict both inflammation and insulin resistance, independently of body weight

People consuming the most refined carbs (85%+ of carbohydrate calories) are 2-3 times more likely to develop heart disease compared to those consuming the least

Refined carbs increase blood triglycerides (CVD risk factor)

They create rapid hunger/cravings cycles, leading to overeating

They’re linked to increased belly fat accumulation over 5 years

Part 2: Artificial Sweeteners—The Dangerous Alternative
Many consumers turn to artificial sweeteners hoping to enjoy sweetness without sugar’s drawbacks. Recent research suggests this strategy is backfiring.

The Cardiovascular Risk: Major Prospective Study
A large prospective cohort study (NutriNet-Santé) followed 103,388 participants over 12 years and examined artificial sweetener consumption from all dietary sources—not just beverages, but also table-top sweeteners, dairy products, and packaged foods.

Key Findings:

Total artificial sweetener intake was associated with increased cardiovascular disease risk (hazard ratio 1.09, 95% CI 1.01-1.18)

Absolute risk: 346 cardiovascular events per 100,000 person-years in high consumers vs. 314 in non-consumers

Cerebrovascular disease risk was even higher (HR 1.18, 95% CI 1.06-1.31)—nearly 20% increased risk

By Specific Sweetener:

Sweetener Health Association Hazard Ratio
Aspartame Cerebrovascular events 1.17 (95% CI 1.03-1.33)
Acesulfame K Coronary heart disease 1.40 (95% CI 1.06-1.84)
Sucralose Coronary heart disease 1.31 (95% CI 1.00-1.71)
These three sweeteners account for 97% of artificial sweetener intake in the study population (aspartame 58%, acesulfame K 29%, sucralose 10%).

Implications:

The study authors concluded: “Artificial sweeteners are present in thousands of food and beverage brands worldwide, yet suggest a potential direct association between higher consumption and increased cardiovascular disease risk.”

The finding that artificial sweeteners show no benefit for cardiovascular health compared to added sugar challenges the assumption that sugar substitutes are a safe alternative.

Individual Sweetener Concerns
Aspartame:

Metabolic breakdown produces phenylalanine, aspartic acid, and methanol

May increase systemic inflammation linked to chronic illness (cancer, diabetes, heart disease)

Particularly concerning for individuals with phenylketonuria (PKU), a rare genetic condition affecting phenylalanine metabolism

Sucralose:

Previously thought to pass through the digestive tract unchanged

Recent research shows it metabolizes to sucralose-6-acetate, a chemical metabolite

Sucralose-6-acetate may:

Damage human DNA

Increase inflammation and cancer risk

Cause “leaky gut” (increased intestinal permeability)

Produce toxic compounds when heated (avoid using for baking/cooking)

Erythritol:

Sugar alcohol; causes less blood sugar spike than sugar

Recent cardiovascular concerns emerging from observational research

Generally well-tolerated in moderation

Stevia & Monk Fruit:

Generally safer options with minimal documented adverse effects

Stevia: Zero calories, minimal blood sugar impact; some blood pressure benefits; centuries of traditional use

Monk fruit: Nearly calorie-free, no blood glucose/insulin impact, no aftertaste

Caution: Many stevia products are mixed with xylitol or erythritol—check ingredient lists for “pure stevia”

Both are concentrated plant extracts; use sparingly (amounts consumed today far exceed historical consumption)

Part 3: Baking Additives & Hidden Dangers
Commercial baked goods contain a cocktail of additives designed to extend shelf-life, improve texture, and maximize consumer appeal. Most are legal, yet controversial.

Dough Conditioners: The Most Controversial
Potassium Bromate (Bromide):

Potassium bromate is used to make dough more elastic and manageable for industrial baking. It’s one of the most controversial baking additives.

Status: Banned in Europe, Canada, Brazil, and China

US Status: Legally permitted; California classifies it as a carcinogen requiring warning labels (Proposition 65)

Theory: Bromate converts to bromine during baking and theoretically disappears

Reality: If bread is undercooked or too much bromide is added, substantial quantities remain in the finished product

Health concern: Cumulative consumption of bromate may cause thyroid hormone imbalance

The fact that it’s been rejected by major developed countries suggests significant health concerns that warrant avoidance.

Azodicarbonamide (ADA):

Azodicarbonamide is used to improve dough elasticity and bleach flour for a whiter appearance.

FDA Status: Approved

International Status: Banned in Australia and many European countries

Health Concerns:

Increases risk of asthma and allergies

Heightens allergic reactions to other ingredients

Converts to semicarbazide (SEM) during baking

Semicarbazide is mutagenic and carcinogenic—particularly concentrated in bread crusts

Industry Use: Found in over 130 commercial brands, including those labeled “natural” and “whole grain”

Risk Assessment: Difficult to assess cumulative effects when consumed across multiple products daily

DATEM (Diacetyl Tartaric Acid Esters of Monoglycerides):

DATEM is a synthetic emulsifier used to improve bread volume, uniformity, and shelf-life.

Composition: Typically derived from soy, palm, or canola oil (or sometimes animal fats)

Function: Strengthens dough, improves texture, can partially replace gluten or lecithin

Health Concerns:

2002 rat study showed DATEM caused heart muscle fibrosis and adrenal overgrowth

Additional rat studies found soft stools, especially in males (10% DATEM in diet)

Significantly decreases beneficial gut bacteria (Faecalibacterium, which has anti-inflammatory properties)

Linked to increased gut inflammation, food allergies, and certain cancer risks

Industry Status: FDA considers it safe

Whole Foods Assessment: Considers DATEM an “unacceptable ingredient”; doesn’t meet their Food Ingredient Quality Standards

Recommendation: If purchasing commercial bread, avoid products listing DATEM

Preservatives in Bread & Baked Goods
Calcium Propionate (E282):

Prevents mold and yeast growth

Generally considered safe but linked to migraines in sensitive individuals

May negatively impact gut microbiome

Commonly found in shelf-stable bread that lasts weeks without molding

Potassium Sorbate (E202):

Inhibits mold and yeast growth

May cause skin, eye, and respiratory irritation in sensitive individuals

Generally considered safe by regulatory authorities

Sulphur Dioxide & Sulphite Compounds (E220, E221, E223, E224, E225):

Used as preservatives and antioxidants

Can cause serious respiratory problems and allergic reactions, especially in asthmatics

May trigger anaphylactic reactions in highly sensitive individuals

Found in fruit breads and dried fruits

Particularly concerning for people with asthma or sulfite sensitivity

Emulsifiers in Bread
Mono- and Diglycerides (E471):

Derived from plant oils or animal fats

Associated with increased heart disease and weight gain risk

Derived from plants (soy, palm) with environmental concerns (deforestation)

Polysorbate 80 (E433):

Synthetic emulsifier

Linked to inflammation in multiple studies

Compromises gut barrier function

Alters gut microbiota

Increases obesity and metabolic disorder risk

Increasingly recognized as problematic

Part 4: Baking Fats—Butter vs. Vegetable Oil
The choice of fat in baked goods significantly impacts nutritional value and health outcomes.

Butter: Traditional but High in Saturated Fat
Positive Attributes:

Contains conjugated linoleic acid (CLA): Decreases body weight and reduces pro-inflammatory cytokines

Contains butyrate: Beneficial for digestive health; reduces IBS and Crohn’s symptoms; lowers blood glucose and improves insulin tolerance

Low to moderate consumption: Lowers risk of obesity, cardiovascular disease, and stroke

Less processed than vegetable oil; theoretically makeable at home

Stable at high baking temperatures

Negative Attributes:

71.5% higher saturated fat than vegetable oil

6x less vitamin E than vegetable oil

Shorter shelf life

High consumption: Reverses benefits

Highest butter consumers 15% more likely to die prematurely (cardiovascular disease and cancer)

Vegetable Oil: Better Cardiovascular Profile but Processing Concerns
Positive Attributes:

High in polyunsaturated fats (997% more than butter)

High in monounsaturated fats (105% more)

6x more vitamin E than butter

16% reduction in all-cause mortality risk with highest consumption

Lowers LDL cholesterol ~10% compared to butter

Long shelf-life

Most oils: cheap, versatile

Negative Attributes:

Seed oils increase LDL cholesterol levels, increasing atherosclerosis risk

Heating and frying cause fat oxidation; oxidized fats have adverse metabolic effects

Some oils (corn, soybean) linked to increased cancer risk

More processed than butter

Extracting oils often uses hexane solvents

Olive Oil: Best Health Profile
Monounsaturated fats support heart health

Rich in antioxidants

10% reduction in all-cause mortality risk

Problem for baking: Low smoke point; breaks down at high temperatures; better for lower-temperature applications

Practical Recommendation for Baking
For most baking applications:

Best option: High-quality butter in modest amounts (its stability at high heat outweighs saturated fat concerns for baked goods)

Good option: Canola or soybean oil for lower-temperature baking (muffins, brownies)

Avoid: Shortening (trans fats or hydrogenated oils)

For healthier recipes: Blend butter with olive oil for lower-temperature applications

Part 5: Flour Types & Their Nutritional Differences
The type of flour used in baked goods dramatically affects nutritional value and blood sugar impact.

White/All-Purpose Flour: Refined & Nutrient-Depleted
Processing:

Bran and germ removed during industrial milling

Often bleached to increase whiteness

Nutrients destroyed; synthetic vitamins added back (enrichment)

Nutritional Profile:

Fiber content: Only 3g per 100g (vs. 10.7g whole wheat)

Example: ½ cup white flour = 1.3g fiber; ½ cup whole wheat = 6.4g fiber

Glycemic Index: 85 (white wheat bread) — causes rapid blood sugar spikes

Vitamin content: 0.8mg niacin (vs. 3mg whole wheat); low in B vitamins, folate

Health Impact:

Rapid blood glucose and insulin spikes

Doesn’t promote satiety; leads to overeating

Associated with increased visceral fat accumulation

Linked to insulin resistance and type 2 diabetes

Baking Advantage:

Produces light, fluffy texture; ideal for delicate pastries, cakes, and tender baked goods

Whole Grain Flour: Nutrient-Dense but Heavier
Composition:

Entire grain: bran, germ, and endosperm

All naturally occurring vitamins, minerals, fiber intact

Nutritional Profile:

Fiber content: 10.7g per 100g (3.6x more than white flour)

Glycemic Index: 69 whole wheat flour; 51 for 100% whole wheat bread (vs. 71 white bread)

Vitamins: Rich in B1, B3, B5, riboflavin, folate

Minerals: 2-3x higher in iron, magnesium, zinc, phosphorus, calcium

Protein content: Higher than white flour

Health Impact:

Better blood sugar regulation after meals

Promotes satiety; supports weight management

Feeds beneficial gut bacteria (fiber); supports healthy microbiome

Linked to lower cardiovascular disease and diabetes risk

Baking Challenge:

Heavier texture; less suitable for delicate pastries

Requires adjusting recipes (may need more liquid)

Dense texture may not appeal to those accustomed to white bread

Fermentation Benefit:

Traditional sourdough fermentation reduces phytic acid (anti-nutrient)

Makes minerals more bioavailable

Improves digestibility

Practical Recommendation
Best strategy: Blend whole wheat flour with white flour (e.g., 25-50% whole wheat) to achieve:

Improved nutritional value

Better blood sugar response

Acceptable texture for most applications

100% whole wheat for heartier breads (sourdough, sandwich loaves)

Part 6: Natural vs. Artificial Sweeteners—A Nuanced Comparison
Not all sweeteners are created equal, but “natural” doesn’t automatically mean healthy.

Natural Sweeteners: Benefits & Limitations
Honey:

Contains enzymes, minerals, antioxidants

Raw honey superior to heated/processed

Still breaks down to glucose and fructose

Causes insulin response

Historically rare (significant effort required to harvest)

Use: Occasional sweetening, not routine consumption

Maple Syrup:

Contains minerals and antioxidants (manganese, zinc)

Still simple sugar (sucrose)

Expensive and historically rare

Use: Occasional sweetening, not routine consumption

Stevia (Stevia rebaudiana plant):

Zero calories

Minimal blood glucose impact

May have blood pressure benefits

Natural plant source

Centuries of traditional use in South America

Concerns:

Concentrated extract (100s of times stronger than leaf)

Bitter aftertaste for some

Most commercial products mixed with xylitol or erythritol

Look for: “Pure stevia extract” without additives

Use sparingly: Amounts consumed now far exceed historical consumption

Monk Fruit (Luo Han Guo):

Nearly calorie-free

Doesn’t affect blood glucose or insulin

No aftertaste

Centuries of traditional Asian use

Well-tolerated with minimal side effects

Concerns:

Also a concentrated extract

More expensive and less accessible than stevia

Use: Moderate amounts; still a concentrated non-nutritive sweetener

The Bottom Line on “Natural”
Being “natural” does not mean unlimited consumption is healthy. Honey, maple syrup, and coconut sugar still trigger insulin responses and promote metabolic dysfunction when consumed regularly. The advantage of natural sweeteners is psychological and cultural—not metabolic. They may be less processed and contain trace nutrients, but they’re still simple sugars with similar health consequences.

Part 7: Homemade vs. Store-Bought Baked Goods
The differences go far beyond freshness.

Store-Bought (Shelf-Stable for Weeks/Months)
Preservatives Required:

Calcium propionate (linked to migraines; gut dysbiosis)

Potassium sorbate (respiratory sensitivity)

Sulfites (asthma, allergic reactions)

BHA/BHT (possibly linked to cancer, reproductive disruption)

Dough Conditioners:

Potassium bromate (thyroid concerns; banned in major countries)

Azodicarbonamide (asthma, allergies; converts to mutagenic semicarbazide)

DATEM (gut dysbiosis, inflammation, fibrosis in animal studies)

Emulsifiers:

Polysorbate 80 (inflammation, leaky gut)

Mono/diglycerides (heart disease, obesity risk)

Flour Processing:

Often treated with bromide or other controversial chemicals

May contain residual pesticide

Nutrients removed; synthetic vitamins added

Sugar Content:

Often higher than homemade versions

Multiple sugar sources (high fructose corn syrup, sugar, honey, etc.)

Designed for maximum appeal and consumption

Overall Impact:

Optimized for shelf-life, not health

Cumulative exposure to multiple concerning additives

Hyperpalatable design promotes overconsumption

Crowds out nutrient-dense foods

Homemade Baked Goods
Advantages:

Full ingredient control: Choose quality butter, oils, flour

No preservatives: Eat fresh or freeze (no need for propionate, sorbates, sulfites)

No controversial conditioners: Choose not to use bromide, ADA, DATEM

No problematic emulsifiers: Use traditional methods (butter, eggs as natural emulsifiers)

Customizable sugar: Use less sugar, choose quality sweeteners

Fresh, nutrient-dense: Consumed soon after baking; nutrient retention

Lower allergen risk: Control for nut oils, sulfites, etc.

Disadvantages:

Time investment: Requires planning and baking time

Shorter shelf-life: Must consume within few days or freeze

Skill required: Baking has a learning curve

Higher per-serving cost: Higher quality ingredients cost more upfront

Less convenient: Requires planning ahead

Part 8: Practical Guidance for Sweet & Baked Consumption
If Purchasing Commercial Products
Best Choices:

Freshly baked goods from local bakeries (often fewer additives)

Products with shortest ingredient lists

Look for: Whole grain flours, minimal added sugar, no controversial additives

Check for: No potassium bromate, azodicarbonamide, DATEM, bromide

Choose: Products eaten quickly (less need for preservatives)

Check the Label For:

No propionate (E282) or sorbate (E202) unless product will spoil otherwise

No bromide, ADA, DATEM, polysorbate 80, or mono/diglycerides

Whole grain flour as first ingredient

Sugar < 5g per serving for savory bread Minimal sodium At Farmers Markets/Local Bakeries: Ask baker about ingredients (especially preservatives and dough conditioners) Freshness is premium; less need for chemical preservatives Often higher quality, fewer additives Support local producers Homemade Baking—Best Practices Flour Choice: Use 50-100% whole wheat flour depending on desired texture Seek organic when possible (lower pesticide residues) Store in freezer to prevent rancidity Fat Choice: High-quality butter for most applications Olive oil for lower-temperature baking (muffins, brownies) Avoid vegetable shortening and hydrogenated oils Sweetener Choice: Use less sugar than recipes call for (reduce by 25-30%) Consider blending sweeteners (honey + stevia for balanced taste) Honey and maple syrup are acceptable in moderation Pure stevia or monk fruit for zero-calorie applications Avoid artificial sweeteners (aspartame, sucralose, erythritol) Additives to Avoid Adding: No need for dough conditioners (don’t need shelf-life) No need for preservatives (freeze extras) No need for artificial emulsifiers (butter and eggs work fine) Fermentation: Use traditional sourdough starter for bread (fermentation increases bioavailability of minerals) Let dough rise slowly (overnight refrigeration is fine) Long fermentation also improves flavor and digestibility If You Eat Store-Bought Harm-Reduction Approach: Choose the least-processed option available Eat smaller portions (satisfaction without excess) Pair sweets with protein/fat to slow absorption Don’t make it a daily habit (occasional vs. routine) Choose versions without obvious problem additives (no DATEM, ADA, bromide) Part 9: The Hidden Costs of Ultra-Processed Baked Goods Understanding the long-term health impact of routine consumption helps contextualize the decision to make changes. Mortality & Disease Risk A 19-year longitudinal study of Spanish university graduates found: 62% higher mortality in those eating the most ultra-processed foods (>4 servings/day) vs. least (<2 servings/day)

A 15-year Australian women’s study found:

39% higher high blood pressure risk with highest ultra-processed food intake

A meta-analysis of 10 studies involving 325,000+ participants found:

24% higher risk of serious cardiovascular events (heart attacks, strokes, angina) with highest ultra-processed food intake

Each 10% increase in daily ultra-processed food calories linked with 6% increase in heart disease risk

Broader Health Impacts
Research links ultra-processed food consumption to:

31% higher all-cause mortality (highest vs. lowest consumers)

Increased dementia risk and cognitive decline

55% higher obesity risk

40% greater type 2 diabetes risk

Increased mental health disorders (depression, anxiety)

Cancer (upper digestive tract)

These aren’t modest health impacts. They represent fundamental changes in disease trajectory.

Part 10: Creating a Sustainable Relationship with Sweets
The goal isn’t elimination (unrealistic for most people), but informed consumption.

Principles for Moderation
Sweets as occasional treats, not routine:

Occasional = special celebrations, rare indulgences

Routine = daily or several times weekly consumption

Shift from routine to occasional

Quality over quantity:

Choose high-quality homemade or artisanal baked goods

Satisfaction comes from quality, not volume

Spend more per unit but eat smaller portions

Transparency matters:

Understand what’s in what you eat

Homemade = you know the ingredients

Store-bought = read labels; research concerning additives

Plan ahead:

Don’t keep tempting foods readily available

Require effort to access (bake, go to bakery, etc.)

Reduces impulsive consumption

Pair with protein/fat:

Eating sweets with cheese, nuts, or other protein slows absorption

Reduces blood glucose spike

Improves satiety

Protect children:

Children’s brains are developing; sugar impacts developing brains differently

Limit sugar exposure (especially from beverages and processed snacks)

Model healthy choices

The Bottom Line
Sugar and refined carbohydrates are directly linked to metabolic disease, cardiovascular disease, neurological decline, and mental health disorders. The baking industry’s reliance on controversial additives compounds this problem. Yet sweets and baked goods don’t have to be eliminated—they can be enjoyed occasionally, with awareness.

Key Takeaways:

Sugar is a public health crisis: 21% increased depression risk, 3x cardiovascular mortality risk, linked to dementia, stroke, autoimmune disease

Artificial sweeteners are not a safe alternative: Aspartame, sucralose, and acesulfame K linked to cardiovascular disease risk

Baking additives are concerning: Potassium bromate, azodicarbonamide, DATEM, and emulsifiers have documented health concerns

Butter vs. vegetable oil is nuanced: Butter has cardiovascular risks but also anti-inflammatory benefits; vegetable oil has better cardiovascular profile but processing concerns

Whole grain flour dramatically improves nutritional value: 3.6x more fiber, lower glycemic index, higher in vitamins and minerals

Homemade is better: Full ingredient control; no preservatives, dough conditioners, or problematic emulsifiers

“Natural” doesn’t mean unlimited: Even honey and maple syrup trigger insulin response; moderation matters

Ultra-processed baked goods carry serious health risks: 31-62% increased mortality, significantly increased cardiovascular disease, dementia, and metabolic disease risk

By understanding these realities, you’re equipped to make informed choices aligned with your health values.

This hub is part of Food Reality Check’s mission to help consumers make informed choices about the sweets and baked goods they consume. Last updated: December 2025