Speaking medically, alcohol will have temporary effects while "under the influence". Sugar can have permanent effects based upon quantity consumed and diabetic status. Here's how it works.
Sugar is not a short term issue for non diabetics, but it will get you long term. For a diabetic, sugar and carbs are the enemy! The biggest offenders are high fructose corn syrup (HFCS), followed closely by refined table sugar, then any fast carbs. Both HFCS and table sugar break up into what are called "active metabolytes". Those chemicals, if at high levels, whack your insulin receptors leading to full blown Type II diabetes in the long run.
Once you have "receptor insensitivity" (the very definition of Type II diabetes) then blood sugar levels easily go high and stay high. High blood sugar levels lead to "glycosylation" or sugar deposits on red blood cells, tissues and organs. Those sugar deposits lead to reduced oxygen carrying capacity and death of capillaries. Death of capillaries happens first in the extremities (fingers and toes), then retina long term. I don't think you need a degree in medical science to realize what happens after capillary death...
Speaking medically, I'm a lot more worried about social sugar than social alcohol. What's the old saying, "You're ugly, and I'm drunk. When I wake up in the morning, I'll be sober, but you will still be ugly." The ugliness in this case is the effects of high sugar consumption.
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