Knowing what your blood pressure is and having a consistently accurate
reading that you can trust is important, not only for you when you are
testing at home but also for your health professional. Inaccurate readings
can lead to misdiagnosis, and can mean the difference between having treatment
or not.
Some people would like to be able to monitor
their own blood pressure at home and many doctors encourage
this. Many people see their doctor or nurse every three months, six months
or each year, once their blood pressure is under control. In between these
times it can be very useful to regularly check your own blood pressure
at home.
Machines for measuring your blood pressure are not available on the NHS,
you will have to buy your own. However, in some cases your doctor or nurse
may lend you a machine for a period of time. Some clinics, doctors and
nurses will ask you to bring in your own machine before you start measuring
at home, so that they can check the machine is accurate and can answer
any questions that you might have.
Taking and
monitoring blood pressure can make you feel more in control of your condition,
and more confident that any medicines that you take and any changes that
you make to your lifestyle are working. However, measuring blood pressure
at home can also make some people feel more anxious about their readings,
not less. If this is the case, make sure that you resist the temptation
to take readings more often than your doctor has advised. It will also
help to make sure you are familiar and comfortable with taking your own
readings and that your make your measurements part of your daily routine.
The aim of treatment for high blood pressure is to reduce it, when measured
by your doctor or nurse, to 140/85mmHg or below. This figure applies to
readings that are taken in the surgery or clinic.
When your blood pressure is measured in a clinic, particularly with a
doctor but also with a nurse, it may be higher than when you are more
relaxed at home. It is therefore important that with your own measurements
at home, ideally they should be below 140/85mmHg. However, in some people
this may be difficult to achieve.
As blood pressure varies in everybody by quite a large amount, there will
always be one or two readings when you measure your blood pressure which
will be higher, so always repeat the measurements when you are more relaxed.
However, if you find that on repeated measurement your blood pressure
is higher than usual make sure that you go and see your doctor or nurse,
taking details of the measurements with you.
Your doctor or nurse will tell you when you need to measure your blood
pressure. When you first start measuring your blood pressure at home,
you will probably check it twice a day, morning and evening. This may
go down to once a day and then to once a week when your blood pressure
is under control and you become confident at measuring it. Try and take
it at the same times each day or week.
When you take your blood pressure, sit down and rest your arm on a firm
surface, such as a table. Follow the instructions that come with the monitor
and make sure that you keep a record of all your readings, and ideally
the time that you took your last tablet.
Need to know more?
The BPA has guidelines on measuring your blood pressure at home. Click
here to print a copy (This is a PDF file)