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When is the Best Time to Check BP?

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When Is the Best Time to Check BP? Q: What is the right time to measure the blood pressure? I am a 40 years old banker, having tendency of high blood pressure since my young age. Can two standard instruments show different readings at same time? What is the right time to measure BP? Which reading should I take more seriously? I am a borderline case, so, what would be the right time to take medicine to control high BP? Is elevated BP a symptom of other problems in the body? Can high blood pressure lead to Diabetes? Additional Details: I am a pure vegetarian, height 5.5, weight 68-70 kg. I don’t smoke or use tobacco. My elder brother at 43 is also diagnosed with high BP and diabetes recently. Please advise how can I measure my BP during office hours. Whenever I go to office doctor, it comes high but after office hours it remains on the lower side.



What is the way out? After how many times BP comes high that I need to start medicine. This is an absolutely normal situation. Blood pressure varies throughout the day. It is physiologically (normally) different, at different times of the day. Activity level - B.P. Diet - Some food like tea, coffee, tobacco tend to increase it. Also, it is less when you are empty stomach, as in the morning hours. Since blood pressure varies throughout the day, a standard practice is measuring it twice daily, once in the morning and once in the evening. The morning reading would be low and the evening one high. The average of these two readings is used for diagnosis. Let us take up your questions one by one. Can two standard instruments show different readings at same time? Yes, this is possible. Ideally the same instrument should be used each time to measure B.P. What is the right time to measure BP? A standard practice is to measure B.P.



The average of these two values is recorded for the day. A blood pressure chart is made for a period of time. However, if it is inconvenient for you to take the measurements at these timings, you may measure your B.P. Choose any two timings. Let these timings be consistent each day. Don’t measure your B.P. However, it is recommended to record your B.P. Which reading should I take more seriously? The average of the morning and evening B.P. I am a borderline case, so, what would be the right time to take medicine to control high BP? For borderline cases, management by diet and exercises is recommended. If required, a single pill in the evening is given. The exact way of administration of the drug would depend upon the medicine prescribed. Is high BP a symptom of other problems in the body? High blood pressure is a symptom. It may indicate some subclinical state like cardiovascular problem, kidney disease or metabolic disorders. But, without investigations, no inferences should be made. Just control your B.P. Can elevated BP lead to diabetes? No, high blood pressure does not lead to diabetes. However, these two conditions are often associated. The two conditions may together proceeds towards what is called as metabolic syndrome. People who have high blood pressure often present with high blood sugars. However, this is not always true.



The reason we need to cut down on saturated fats and GlycoCaresinsulin sensitivity support trans fats is because these increase blood cholesterol, especially ‘bad’ cholesterol. This is the type that’s deposited in our arteries, causing them to narrow and harden and in turn, increasing our risk of coronary heart disease and stroke. Most foods contain a mixture of different types of fat, but tend to be classed according to the ones found in greatest amounts. Red meat, full-fat dairy products, and fats such as butter, lard and ghee, as well as coconut and palm oil, GlycoCaresinsulin sensitivity support are amongst the richest sources of saturates. But foods like cakes, biscuits, pastries and chocolate can also contribute saturated fat to our diet, so it’s just as important to cut down on these. According to the National Diet and Nutrition Survey - a large survey that looks at what people eat in the UK - in adults aged 19 to 64 years, red meat, chicken and meat products such as bacon, ham, burgers, sausages, kebabs and meat pies provide around a quarter of the saturates in our diet.



This is more than is recommended. 1. Omega-3 fats - small amounts of omega-3 fats are found in plant foods like rapeseed oil, walnut oil, flaxseeds, nuts, soya and green leafy veg, but it’s hard to get all the omega-3 fats we need in this way. Oil-rich fish such as mackerel, salmon, sardines, trout, pilchards, kippers and herring provide a ‘ready-made’ source of omega-3 fats in good amounts. 2. Omega-6 fats - omega-6 fats are found in corn, sunflower and soya oils and spreads that are made from these. Good sources of monounsaturates include olive oil, rapeseed oil, avocados, nuts and seeds. What are trans fats? Trans fats occur naturally in small amounts in red meat and dairy products. They are also created when vegetable oils are processed to create solid fats. In the past, these manufactured fats - known as hydrogenated fats - were widely used in foods like cakes, biscuits, spreads, pastries and pies, as well as in many takeaway outlets.

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