People are buying products that are marketed as being healthy or low-fat, which are loaded with excess sugar, and that makes it difficult for them to exercise personal responsibility. Because the food industry knows people will buy food products based on the way they're marketed and promoted, not on the nutritional value.
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The real culprit of obesity and heart disease is excessive sugar, excessive protein, and low-quality fat consumption. A high-sugar diet dramatically raises your risk for both type 2 diabetes and heart disease by promoting metabolic syndrome, which includes high blood pressure, insulin and leptin resistance, raised triglycerides, and visceral fat accumulation.
In short, when you reduce saturated fat and increase net carbs (total carbs minus fiber), you end up promoting obesity, diabetes and heart disease. Low-fat food items tend to be particularly high in sugar. Indeed, it's important to realize that if you eat a diet consisting primarily of processed foods, you are on a high-sugar diet.
It's virtually impossible to avoid added sugar unless you cook from scratch using whole ingredients. Ironically, a major reason why people eat too much sugar is because they're eating foods that are marketed as healthy! Even if the food label does not specify "sugar," it's likely in there in some form or fashion.
According to SugarScience.org, added sugars hide in 74% of processed foods under more than 60 different names. In theU.S., about half of sugar consumption comes from foods people think have very little or no sugar in them, like condiments and low-fat yogurt, for example.