A study out of Oxford University casts an unfavorable light on a common sweetener used in processed food. More troubling, though, is how hard it is to avoid the additive in the first place.

In countries where there is a high consumption of high fructose corn syrup (HFCS for short), rates of type 2 diabetes are as much as 20 percent higher than countries that consume little to none.

The sweetener is used more widely than cane sugar because of its food-moistening benefits and the fact that it’s cheaper than cane.

The US was found to consume the most HFCS out of the 42 countries studied, with an estimated average of over 55 pounds of it consumed per person every year.

The US’s neighbors, Canada and Mexico, also ranked near the top of the list for high consumption of HFCS, followed by Argentina, Korea and Japan.

The study noted that in terms of causative elements for type 2 diabetes, the kind of sugar doesn’t matter, and countries that consume high amounts of total sugar, like the UK with more than 80 pounds per person in a year also see higher rates of the disease.

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