Every year, many patients with fluctuating blood sugar come to the hospital to adjust their blood sugar after the holidays. As an endocrinologist, I will give two prescriptions to patients who come to the hospital for help to cope with “Spring Festival hyperglycemia”. Every year, many patients with fluctuating blood sugar come to the hospital for blood sugar adjustment after the festival. As an endocrinologist, I would try my best to advise my patients to maintain a regular lifestyle during the holiday season, and it is best not to eat or drink too much. But to keep your mouth shut during the Chinese New Year, the biggest holiday in China, is honestly difficult for most patients to do. When friends and family get together, it is up to them to eat. When friends and family get together, eating becomes a matter of nature. Some patients come to the hospital before the Chinese New Year to ask for help on how to keep their blood sugar as stable as possible during this special period of the holiday. Generally speaking, I will give patients who come to the hospital with two prescriptions to deal with the “Spring Festival hyperglycemia”. The first one is diet and exercise. For diet, the principle remains the same, you still need to keep the total calorie balance. If you eat a lot of greasy dishes or various kinds of pastries during the festival, you should reduce the amount of staple foods or metabolize them in the form of increasing exercise, otherwise the calories will be over the limit and blood sugar will increase. Exercise, my suggestion is, if you can replace the relatives in the hotel to meet some sports gathering, such as friends and family out to play ball, friends and family to go sightseeing or moderate amount of hiking and other forms to celebrate the gathering, is a good way to ensure the best of both worlds, not only to ensure the health and enhance the feelings between each other. Medication prescription: Give patients a small degree of autonomy. In general, it is not recommended that diabetics adjust their own medication doses. This is because the increase in blood sugar is ultimately the result of an uncontrolled diet and irregular exercise during the holiday season. Adjustments to medications should not be made arbitrarily, but should follow the guidance of one’s primary care physician. Especially those drugs that can easily lead to hypoglycemia, it is not possible to change them at will. However, if one really accidentally eats too much, then for those patients treated with oral medication, one or two more tablets of hypoglycemic medication can be taken under the guidance of a professional doctor. Sometimes I will give my patients a small margin of autonomy for certain medications depending on their condition and diet and exercise, such as advising my patients to chew an extra tablet of acarbose at the same time as they eat when they anticipate they will eat more when they go out for a meal. For a patient on insulin therapy, first calculate the insulin sensitivity factor of that patient, which is 450 ÷ total daily insulin. For example, if a patient has 45 units of total insulin a day, then calculate the insulin sensitivity factor of that patient as 10 g. For rice whose glycemic factor is 0.24, an extra 100 g of rice requires an extra 2.4 units of short-acting insulin. Different foods have different glycemic factors, and the insulin dose to be adjusted varies. For those patients who have regular visits, as I am familiar with the patient’s daily habits and insulin sensitivity, I will give him an autonomous insulin adjustment dose, such as adding 2 units as appropriate before a meal to offset the excessive amount of food eaten during the meal. This gives the patient a small range to adjust himself for a short time. The premise, of course, is that the decision is based on the patient’s insulin function and condition. Always be guided by a doctor, preferably one who has been in contact for a long time and is familiar with his or her condition. Because each patient’s condition is different, the medication is also different. It is important to note that patients are not advised to increase or decrease the dose of medication on their own for a long period of time. After all, the key to high or low blood sugar is diet and exercise regulation in addition to medication. This small adjustment of medication is only a stopgap measure during this special period of Chinese New Year.