As someone said above: Debugger != IDE.
gdb and (back in the day) TurboDebugger (stand-alone) work just fine for the languages they support[ed], thank you. (or an even older technology: Clipper debugger linked into the xBase executable itself) -- none of these required an IDE
Also, though C/++ coding is more rare, printf statements sometimes mask off the very bug you are trying to find! (initialization problems in auto vars on the stack, for instance, or memory allocation/alignment)
Finally, as others stated, you can use both. Some real-time-ish problems almost require a print, or at least a judicious "*video_dbg = ( is_good ? '+' : '-');" somewhere into video memory. My age is showing, this was under DOS :-)
TMTOWTDI