Before we change any medication based on home readings, I want to know how the readings were taken. Small errors move the number a surprising amount.

The setup

  • Sit for five minutes first, back supported, feet flat on the floor
  • Arm resting at heart level on a table, not held up in the air
  • Cuff on bare skin, not over a sleeve
  • No tea, coffee or cigarette in the previous thirty minutes
  • Do not talk during the reading

What to record

Two readings a minute apart, morning and evening, for seven days. Write down all of them, including the ones you think are wrong. Bring the whole list.

A single high reading is not a diagnosis, and it is not a reason to take an extra tablet on your own.