Tudor Lodge Surgery

Your blood pressure

High blood pressure rarely causes symptoms, but over time it strains your heart, brain and kidneys. Checking it at home gives us the clearest picture. This page shows you how, and works out your average for you.

135/85
Top number
Systolic: the pressure when your heart beats
Bottom number
Diastolic: the pressure when your heart rests between beats
Reviewed November 2026Next review November 2027Follows NICE guideline NG136

What the numbers mean

Understanding your home readings

These ranges are for averages taken at home. Readings at the surgery tend to be a little higher, so the limit for high blood pressure there is 140/90 rather than 135/85.

Low
Below 90/60

Often normal if you feel well. Tell us if you get dizzy or faint.

Normal
90/60 to 134/84

A healthy home average. Keep it up.

Raised
135/85 to 149/94

High blood pressure (stage 1). Send us your readings.

High
150/95 to 179/119

High blood pressure (stage 2). Send us your readings soon.

Very high
180/120 or above

Re-check after 5 minutes’ rest. If still this high, contact us today.

If your top and bottom numbers fall in different ranges, go by the higher one. If you are already being treated for high blood pressure, we may give you a personal target.

Average calculator

Work out your average blood pressure

Blood pressure goes up and down all day, so one high or one low reading does not tell us much. What we need is your average. Type in your readings below, for example 132/84, and the calculator does the rest. You do not need to fill every box.

DayMorning1stMorning2ndEvening1stEvening2nd

Take 2 readings 1 minute apart, morning and evening, for 4 to 7 days. Enter the top number, a slash, then the bottom number.

Your home average

–/–mmHg
0readings used
–highest
–lowest

Enter your readings

Your average and what it means will appear here.

Your readings stay on your device. Nothing is sent to us or stored.

Why leave out day 1? People are often a bit tense when they first start checking, so the first day’s readings tend to be higher. Leaving them out gives a truer average.

Ups and downs are normal

Why one reading is not the whole story

Your blood pressure changes from minute to minute. It goes up when you rush, climb the stairs, feel stressed, drink coffee or even talk. It falls when you relax and is at its lowest while you sleep. Your heart rate rises and falls in the same way.

So a single high reading after a busy morning is not a reason to panic, and a single low one does not mean everything is fine. That is why we ask for all your readings, not just the highest or lowest.

A normal resting heart rate for adults is usually between 60 and 100 beats per minute. It is often lower in people who are very fit.

Example of one person's top blood pressure number over a day. It rises to 148 during a stressful meeting and falls to 108 during sleep, with an average of 129. 160145130115100 7am10am1pm4pm9pm2am Rushing, coffee Stressful meeting Waking Relaxing Asleep Average 129

An example day for one person. All of these readings are normal for them.

Getting it right

How to check your blood pressure at home

  1. Get readyAvoid caffeine, smoking and exercise for 30 minutes before. Go to the toilet first.
  2. Sit comfortablySit quietly for 5 minutes with your back supported and both feet flat on the floor. Do not cross your legs.
  3. Position the cuffWrap it around your bare upper arm, about 2cm above the elbow. Rest your arm on a table at roughly the level of your heart.
  4. Stay still and quietDo not talk or move while the machine is measuring.
  5. Take two readingsWait 1 minute, then take a second reading. Write both down.
  6. Morning and eveningCheck in the morning (before any blood pressure tablets) and in the evening, for 4 to 7 days.

Use the same arm each time. If one arm usually reads higher, use that arm.

When to get help

What to do with your readings

Call 999

If you have a high reading and any of these:

  • Chest pain or tightness
  • Sudden weakness or numbness in your face, arm or leg, or slurred speech (signs of a stroke)
  • Severe headache, sudden changes in your vision, or confusion
  • Severe shortness of breath
Contact us today
  • Your reading is 180/120 or higher, and is still that high after resting for 5 minutes and checking again
  • When we are closed, call NHS 111 or use 111 online
Send us your readings
  • Your home average is 135/85 or higher
  • Your machine often shows an irregular heartbeat symbol
  • You keep feeling dizzy, light-headed or faint, especially when you stand up
  • You get palpitations (a racing, pounding or fluttering heartbeat) that keep coming back
No need to worry
  • An occasional high reading after activity, stress or caffeine, when your average is normal
  • Your heart rate going up when you are active, anxious or have just had a coffee
  • A low reading when you feel well

If you get palpitations with chest pain, shortness of breath or fainting, call 999.

We can help

Checking your blood pressure with us

No booking

Our patient pod

Use our patient pod without an appointment, from 8am until 6.30pm. It is in a quiet room behind reception, and the receptionist can direct you to it. Your results go straight into your medical record, so we can see them.

Free loan

Borrow a machine

Borrow one of our blood pressure machines for up to 7 days, for a £10 refundable deposit. Please bring £10 in cash, as we cannot take card payments for this. Each machine comes with clear instructions, including what to do if your readings are high. Use it to get a full week of morning and evening readings, then bring it back and we will return your £10. Ask at reception.

£15–£40

Buy your own

A good upper-arm monitor usually costs between £15 and £40. Ones with extras, such as an app or a heart rhythm check, cost more, but you do not need them. Choose one that is clinically validated (see the link below), and avoid wrist monitors.

If your upper arm is large, check the cuff size. Many monitors come with a cuff that fits arms up to 42cm.

Once you have your readings, use the calculator above and send us your average, along with all your readings, using GP Triage or by handing them in at reception.