This can be easily accomplished through diet and exercise. For those who feel that it is too much trouble to manage their weight or complain that they do not have the time to exercise, they need to realize that the time they spend exercising now can eliminate their time spent on dialysis. While not all people with diabetes experience kidney failure, many do. Many cases of hypoglycemia are unexplained as no sample is taken from the blood before glucose is given to relieve the symptom. In many cases, hypoglycemia is nothing to be concerned about. It can simply be the reaction of malnutrition or fasting. Many people experience hypoglycemia without even knowing it. If you are diagnosed with Type II diabetes, one of the first things you need to do is to get a blood sugar monitor so that you can keep a record of your blood sugar. Your doctor will want you to do this several times a day, particularly after you eat. You will also, most likely, be prescribed certain medications. Because high blood glucose levels make it difficult to stave off infection, a diabetic with a sore on their foot must be treated differently than a person without diabetes. The sore may be very slow to heal, if it heals at all. Infection often sets in. This can lead to gangrene and, in some cases, amputation. The Glycemic Index was established in 1981 to rate which carbohydrates are the worst for those with diabetes. The carbohydrates that are high on the list, such as white bread, take longer to digest and should be avoided. Carbohydrates that have low scores, such as brown rice, can be eaten in moderation. Other ways in which someone can manage their diabetic condition is to take the proper medication as prescribed by your physician and be certain to monitor your blood glucose with a testing device. Many diabetics, especially when first diagnosed, are in denial. Diabetes are among some of the most non compliant patients treated by physicians, which can be dangerous to the patient and frustrating to the doctor.