The problem here is throwing around medical terms as non-medical people. "Cause" has an exact definition in medical terms: the specific agent, event, genetic mutation, or underlying mechanism that is directly responsible for initiating a disease, condition, or pathological process. By that definition, the medical definition, sugar intake does not cause diabetes. I get that it's a shit post and funny to make jokes about from a non-technical point, FFS I led by saying I understand it's just a pet peeve that the terms are used interchangeably, but the fact so many people are so diehard about insisting that in some definition of cause or factor or "leads to" bullshit sugar can cause diabetes is exactly the source of my frustration.