If cane sugar is the worst “natural” sweetener, why was diabetes so rare before the sudden increase of diabetes in the 20th century?

Question

I know around the middle of the 20th century vegetable oils, synthetic sweetener became a thing. But statistic wise doesn’t make sense, even if before it caused tooth problems, but not diabetes.

In: Biology

Answer 1

For diabetes you need a fatty liver, not just sugar overconsumption. If you’re active, it’s hard to get a fatty liver until later in your life, and the biggest cause was alcohol overconsumption