Prehypertension?

[LJBio]

I've been worried about my blood pressure for awhile since I tend to have high readings at the doctor's office.  I do get severely anxious and worried at the doctors office and 2nd office readings are usually a bit lower than the first.  I have started monitoring my bp at home, and have normal average readings (morning avg= 113/78, afternoon/evening avg=121/81).  However, I get worried about some of the higher rates which are definitely in the prehypertension phase usually around the mid to lower 130s and mid to upper 80s.  I usually take my bp several times in one sitting a few minutes apart, and it can go from numbers such as 136/88 one minute to 115/77 the next.  Does anybody else have this problem?  Should I be somewhat worried or should I just take comfort that the avearge is completely normal?

Another note, the "lifestyle changes" really can't apply to me b/c I am 5ft4in, around 128lbs, eat an already low-salt diet, and get moderate exercise of a 40minute walk 4-5 days a week.  I don't really see what else I can do to keep the bp in good control, and would not want to start medication at this age (mid-20s).  

[Yvette BG]

Good for you that you're keeping your weight down, walking regularly and eating a low salt diet!

Keep in mind that a person's blood pressure will fluctuate throughout the day based on many factors, including what they've just eaten or had to drink, stress level, etc. A couple things folks sometimes forget that can increase blood pressure--caffeine and alcohol.

[Jill822]

it's very common for your bp to rise when visiting the doctor due to nerves. That seems to be your case as you said that it came down after it was taken a second time. Your morning bp readings seem to be great. I wouldn't worry it about