We already know from glycemic index charts that almost all sugar substitutes impact blood glucose to a certain degree, and there are only a few that have no impact. When sucralose became widely available, I bought some to try to bake with, but the carrier was maltodextrin - a starch, which prevented me from using it. Undeterred, I purchased pure sucralose drops in a neutral liquid. The sickly-sweet mouth feel after consuming sucralose is a bit tough to take [0], but that wasn't the worst of it. It actually impacted my blood glucose, and when I read more of the research, sucralose actually did cause an insulin reaction in many people who consumed it ("Several studies have shown that sucralose is not physiologically innocuous").[1]
Then I read how sucralose is produced; literally thousands of pounds of sugar is used and converted to produce a few pounds of sucralose. It's being pushed hard by the industry, and I can only think of the 'vilification' of cheaper sweeteners such as Aspartame by industry, much in the same way that saccharin was vilified by flawed [2] studies in the 1970s - just as Aspartame was being developed as a commercial product.
Alcohol is a class 1 carcinogen, and sugar causes irreparable damage to millions of people around the world. I find it somewhat odd how people react to what appears to be a flawed and dubious Aspartame study, when there are much larger elephants in the room.
[0] https://nationalpost.com/news/world/after-sales-plummet-diet...