Usually yes. I might not count a single hard candy (5 to 15 calories), which can bring my blood sugar back into a normal enough range that I have time to eat a regular meal, which I also count.
Blood sugar really has nothing, or very little to do with how many calories you burn, so I'm not sure what you mean by
Originally Posted by dirtybluebird
food taken when your hypoglycemic to bring you back up within your daily calorie count?
I assume you mean food taken to bring your blood sugar back into a safe range.
Your blood sugar can drop from eating too little, but eating only raises your blood sugar, it doesn't negate the calories. They still count, but there's a bigger issue here, and that's the hypoglycemia itself.
If you're experiencing hypoglycemic episodes more than once or twice a month, you probably should talk to your doctor or diabetes educator about it (if you haven't already).
I know it can be more difficult to manage blood sugar control if you're insulin dependent (I'm type II and only on metformin - so I usually only get hypoglycemic episodes if I skip or greatly delay meals, and exercise can make me more susceptible if I'm eating smaller meals), but preventing low blood sugar, is much safer than treating it.
I know I'm probably stating the obvious, and you probably know this and are taking the sensible precautions. However, it's easy to get careless about blood sugar control. I fell into a habit of skipping and delaying meals and snacks as long as I could, and then would find myself in an emergency situation, and I'd panic. I'd also use the hypoglycemic episode as justification to eat something with far more carbs than necessary, when a more sensible meal would have done just as well.
Often the "emergency" was entirely preventable. My husband sat me down one day, and told me he was worried that I was "setting myself up" for these emergencies, in order to justify eating things I usually avoided.
He may have been right, or maybe I just fell into a bad habit. Either way, I had to plan better to avoid the hypoglycemic episodes.
Lack of planning, still is sometimes an issue - but I've learned to recognize the symptoms earlier so that I don't have to eat a very high-carb food to address the problem, I just have to eat something sensible (which I do count).
Most of the time, even with a hypoglycemic episode, I don't have to eat anything "off plan" I just have to eat from my normal food budget (I use an exchange plan. So I can use one of my fruits or starches, for example).
I do try to pair higher carb exchanges with protein and/or fat, because eating that way seems to control blood sugar levels longer. Eating high sugar or high starch foods alone tends to make me more vulnerable to blood sugar control problems.