What is the normal blood pressure reading after waking up?

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Question
Hello doctor,
When I first woke up, before getting out of bed, I measured the blood pressure of both hands in turn, left arm was 133/82 and right arm was 125/81. I have a reference that when I first wake up, my blood pressure will be higher than normal. So the doctor asked me what is the normal blood pressure reading after waking up? Thank you doctor.
Tran Doan Ky (2002)
Reply
Hello,
To the question “What is normal after waking up blood pressure? , please answer as follows:
When measuring blood pressure, especially with electronic devices, we often see two readings: maximum blood pressure (also known as systolic blood pressure) and maximum blood pressure. (also known as diastolic blood pressure).
According to the guidelines of the International Society of Hypertension (ISH), hypertension is diagnosed when the systolic blood pressure is 140 mmHg or higher or the diastolic blood pressure is 90 mmHg or higher according to the steps in the standard diagnostic procedure. If our blood pressure reading is always lower than 90/60 mmHg, it is considered low blood pressure. Thus, our systolic blood pressure ranges from 90 to 140 mmHg, diastolic blood pressure ranges from 60 to 90 mmHg, which is considered normal.
Normally, blood pressure will tend to be higher in the morning and lower in the evening. Therefore, it is often recommended to measure your blood pressure at home in the morning when you first wake up and before you get out of bed. If you are required to monitor your blood pressure several times a day, you should choose fixed times that are easy to remember and also easy to compare. However, the measurements are taken after the body has been rested for at least 3-5 minutes in complete peace of mind, do not talk during and between blood pressure measurements. Absolutely do not measure blood pressure after a full meal or when too hungry, too tired, needing to urinate, after smoking or drinking coffee or in a state of stress, anger.
Measurement of blood pressure can be done while sitting and lying down with a comfortable position and provided that the position of the monitor on the upper arm or on the wrist is level with the heart. At this time, the patient should sit on a chair with back support, hands on the table or lying on his back, hands down to his body; At the same time, do not wear clothes that are too tight or too tight, which can artificially increase blood pressure. It is best to measure 3 times in a row, 1 minute apart each time and take the average between the last 2 measurements. Measure both arms at the same time and choose the hand with the higher blood pressure reading. So, with a home blood pressure measurement, your blood pressure can be considered normal, but to be more accurate you should take the measurement according to the instructions above or go to the most accurate blood pressure measurement medical facility.
If you still have questions about how normal your blood pressure reading is after waking up, you can go to a medical facility or hospital under Vinmec Health System for an accurate examination and consultation. Thank you for trusting and asking questions. Wish you health.
Best regards!

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