Those who feel that foods that are rich in carbohydrates are less expensive than healthier alternatives can be reminded of the cost of medications and doctor visits for those who refuse to take control of their condition right away. While some people are pre disposed to diabetes through genetic factors, others acquire this disease by eating too many bad carbohydrates, being inactive and not maintaining a healthy weight. In addition to carbohydrates that rate high on the Glycemic Index as well as low, there is also an intermediate group. It may surprise people to know that a chocolate bar is rated in the intermediate group on the Glycemic Index. This does not mean, however, that one should feel free to consume all the chocolate they want. Some of the ways a woman can do this is to lose weight if she is already overweight prior to becoming pregnant, develop a healthy exercise routine and follow certain food guidelines. The Glycemic Index is an ideal tool for a woman who is thinking about becoming pregnant to use to determine which foods to avoid. In many cases, patients are very successful at maintaining good blood sugar levels by modifying their diet, exercising and losing weight. Others who are not successful usually end up taking insulin. As with both Type I and Type II diabetes, there are complications. These complications such as heart disease, nerve damage, kidney disease and skin disorders can be avoided if patients comply with the instructions of their physician, learn about their disease and do all they can to manage it. They go to the doctor who begins to treat the wound with antibiotics. Sometimes this works, sometimes it does not. When the wound does not heal and the infection begins to spread, gangrene can set in. Gangrene can kill a person, and the doctor knows this. So the person with diabetes has a choice, they can either lose their toe or their life. They refuse to believe there is anything wrong with them. While they remain in denial, the condition worsens. This can often lead to depression. Depression and diabetes often go hand in hand. According to the American Diabetes Association, people with diabetes have a greater risk for developing depression than other individuals.