So the person with diabetes has a choice, they can either lose their toe or their life. In most cases, they choose to lose the toe. In some cases, however, the gangrene has already spread to the foot. Plus, the amputation risks more infection. In many cases, not only does the person lose their toe, but their entire foot. Cost is also a consideration in many cases as the insulin must be injected every day and, in certain instances, many people have to inject the insulin several times a day. Another benefit of modern technology in managing people with diabetes through the use of insulin is the insulin pump. This is much more effective than injections as it is a catheter that remains under the skin and separates the insulin into three different types of insulin. Because of this potentially dangerous side effect, sulfonylureas are often given with other drugs, most notably Glucophage, or more commonly known as Metformin. This drug works well with Glucotrol as it reduces the amount of glucose in the liver while the Glucotrol increases the amount of insulin in the pancreas. Diabetics have a difficult time breaking down the sugars and starches and absorbing them into their system. Certain carbohydrates have higher blood glucose levels which takes them longer break down. By being aware of which carbohydrates rank high in the glycemic index is just one way to monitor the glycerin, which is the amount of glucose in the blood. 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. Prior to becoming pregnant, discuss any concerns you have regarding weight or diabetes with your physician as he or she can probably give you some advice on how to avoid this pregnancy complication. Even if you are diagnosed with gestational diabetes, chances are that you will not develop Type II diabetes, neither will your baby and both of you will be just fine.