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Savvy Senior: How to Choose and Use a Home Blood Pressure Monitor

Dear Savvy Senior,

I just found out I have stage 1 hypertension and my doctor recommended I get a home blood pressure monitor to keep an eye on it. Can you offer me any tips on choosing and using one?

Hypertensive Helen

Dear Helen,

It’s a smart idea! Everyone with elevated or high blood pressure (or 130/80) and higher – should consider getting a home blood pressure monitor to help you keep tabs on your blood pressure in a comfortable setting. Plus, if you’re taking medication it will make certain it’s working.

Home Monitors

The best type of home blood pressure monitors are powered automatic arm monitors, which are more reliable than wrist or fingertip monitors. With an automatic arm monitor, you simply wrap the cuff around your bicep. With the push of one button the cuff inflates and deflates, giving a blood pressure reading in a matter of seconds.

Many monitors also come with features like irregular heartbeat detection; a risk category indicator; a data-averaging function that allows you to take multiple readings and overall average; multiple user memory to save readings; and downloadable memory to transmit data to a computer or smartphone.

You can find these monitors at pharmacies, medical supply stores or online, and you don’t need a prescription to buy one. Prices typically range between $40 and $100.

In most cases, original Medicare will not cover a home blood pressure monitor, but if you have a Medicare Advantage plan or a private health insurance policy it’s worth checking into, because some plans may provide coverage.

Some of the best automatic arm monitors as recommended by Consumer Reports are the Omron 10 Series BP786N ($75); Rite Aid Deluxe Automatic ($60); Omron Evolv BP7000 ($70); and A&D Medical UA767F ($45).

How to Measure

After you buy a monitor, it’s a good idea to take it to your doctor’s office so they can check its accuracy and make sure you’re using it properly. Here are some additional steps to follow to ensure you get accurate readings at home.

Relax: Don’t exercise, smoke or drink caffeinated drinks or alcohol for 30 minutes before measuring. Sit quietly for five minutes before taking a measurement. Remain quiet during the test.

Sit correctly: Sit with your back straight and supported in a chair. Your feet should be flat on the floor and your legs should not be crossed. Your arm should be supported on a flat surface with the upper arm at heart level. Place the middle of the cuff directly above the bend of the elbow.

Put the cuff directly on your bare skin: Putting it over clothes can raise your systolic (upper) number by up to 40 mmHg.

Measure at the same time every day: It’s important to take the readings at the same time each day, such as morning or evening. It doesn’t matter whether you do it before or after taking medication. Just be consistent.

Go to the bathroom: A full bladder can raise your systolic pressure by 10 to 15 mmHg.

For more information on high blood pressure numbers and how to accurately measure it at home, visit Heart.org/HBP.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.