I am saying that this is all very complicated, and there are many ways to view it. I don't think we know nearly as much as people claim about diet or anything else in history, until very recent times. Lots of claims and speculation, very little we can be certain of. Historians love to claim they know about these things, then something new comes along and look, a new story! This happens as well with science, like the growing evidence that saturated fat is not a problem for cardiovascular disease, it as all a beatup and over-reaction by public health officials and for dietary fads.
The Pima Indians were the prototype for diabetes research. Its why so much of that research is focused on obesity, ignoring the huge numbers of skinny type 2 diabetics. Much of the animal research is similar. They take animals that live close to starvation in the wild, and overfeed them. So they are not eating like they do naturally. Then they get diabetes. Some population groups are more susceptible to that, including many living in isolated Pacific communities. They are survivors, they tolerate starvation well, but when food is plentiful, particular packaged food, they do less well.
People of the recent past were less healthy, but food choices were not the only issue. Poverty, lack of sanitation, sudden emergence of new diseases, these take a massive toll, even starting in the womb. Smoking really did its number on civilization as well, as it created inter-generational changes in epigenetics. Diet is one factor in many, and one for which ancient diet is mostly speculation based upon a paucity of evidence. Our only real comparison groups, as I said already, are isolated groups in modern times.
That does not mean that I think the huge shift to grain agriculture was a great idea. I understand the imperatives, about reliability of food sources, but in times of starvation this was a great idea, and in times of plenty its a disaster.
Ancient civilizations and peoples had much less contact with others so rapid spread of disease was less likely. They didn't have to deal with environmental contamination so much, which has been an issue since Roman times. Poverty was not an issue, though of course starvation was always a risk for other reasons. Poverty is an artifact of civilization. Starvation in ancient times had more to do with the environment.
My main concerns with modern diet coincide with many groups, but the reasons are different. Its about nutrient quality and toxicity. I have no issues with most genetically modified foods, as genetic modification. I have an issue with what they were modified to do. Better tolerance of herbicides? That leads to higher herbicides in the food. Faster growth? That leads to poorer micronutrient content.
Similarly we replace nitrogen in food lands with fertilizer. We don't replace the full range of nutrients. Foods are becoming less nutrient dense. This is the main reason why organic farming is good. Yet commercial farming as we know it would not have to change much to fix this, but would have to give up modern fertilizer practices.