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Real members of MyKidneyDiseaseTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

What is considered a stable blood pressure? Mine always goes up at the doctor's office ex. 155/78, then 150/84. 130's over 70s-80s at home.

A MyKidneyDiseaseTeam Member asked a question 💭
August 21
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Answer Summary

Members responded to the question about stable blood pressure with many recognizing the pattern of higher readings at the doctor's office as... Read more

Members responded to the question about stable blood pressure with many recognizing the pattern of higher readings at the doctor's office as 'white coat syndrome,' a common stress response even when you don't feel nervous. Several members shared practical strategies that helped lower their numbers, including reducing sodium intake, switching or adjusting blood pressure medications like lisinopril, losartan, or hydralazine, and taking deep breaths before readings at appointments. A recurring theme was that diet changes, especially cutting sodium, red meat, and late-night snacking, made a meaningful difference alongside medication.

A MyKidneyDiseaseTeam Member

How do you get it so low? I'm on a twice daily med and clearly I still have issues. I don't want anything stronger. I already feel lightheaded sometimes after I take it.

August 24
A MyKidneyDiseaseTeam Member

The spike at the office is simply nerves, even if you aren't feeling nervous. I do the same.

August 21
A MyKidneyDiseaseTeam Member

I take monjaro and i think that helps.

August 24
MyKidneyDiseaseTeam

What's considered a stable blood pressure for someone with kidney disease, and why does it spike at the doctor's office?

What's being described sounds like "white coat hypertension" — where blood pressure rises in a clinical setting due to nerves or stress. It's very common! Home readings in the 130s/70s-80s are actually Show Full Answer

What's considered a stable blood pressure for someone with kidney disease, and why does it spike at the doctor's office?

What's being described sounds like "white coat hypertension" — where blood pressure rises in a clinical setting due to nerves or stress. It's very common! Home readings in the 130s/70s-80s are actually much more reassuring. For people with kidney disease, doctors generally aim for blood pressure below 130/80 mmHg. So those home readings are right at or near the target range — that's a good sign.

Here are a few helpful tips for managing this:

- Log home readings at consistent times (morning and evening) and bring that log to appointments
- Share the log with your doctor — they often trust home readings as much as, or more than, office readings
- Take a few deep breaths before a reading at the clinic to help bring it down
- Ask your care team whether your home numbers are meeting their target for your specific situation

The occasional higher office reading alone isn't necessarily alarming, but it's always worth discussing with your nephrologist to make sure your blood pressure management plan is on track.

August 21
A MyKidneyDiseaseTeam Member

I had the same issue when I visited the doctors office of my blood pressure rising from my home reading! I learned to take very deep breath’s before they called me back to take my blood pressure and that has helped me a lot.

September 23

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