High Blood Pressure: Talking to Your Medical Provider
What should I know about talking to my doctor about high blood pressure (hypertension)?
In the office
Please bring your blood pressure log and ALL of your pill bottles to your appointment, including over-the-counter medications.
Questions to ask
- What is my current blood pressure measurement?
- What should my blood pressure be?
- What conditions or situations will increase my blood pressure?
- How much should I weigh? Can you recommend a diet or eating plan to help me reach that weight?
- Would I benefit from a visit to a Registered Dietitian in order to achieve my dietary goals?
- What kind of diet should I be following to help control my blood pressure?
- How much exercise should I be doing? What types of activities are recommended?
- What is the name of my blood pressure medication?
- What are the side effects of this medication?
- Should I be taking potassium supplements or increasing the amount of potassium in my diet?
How can I get help to quit smoking?
Here are some tips to help you stop smoking and stay stopped:
- Pick a quit date—usually 1 to 3 weeks in the future—and write it down. Prepare for the date by cutting down on tobacco use, staying away from your favorite places to use tobacco, and making a plan for how you will deal with stressful events without smoking. Don't try to become tobacco-free during a very stressful time in your life. This will lower your chance of success.
- List your reasons for becoming tobacco-free. Read over the list before and after you stop. Carry the list with you and look at it several times a day. (Successful people usually have strong personal reasons to become tobacco-free.)
- Tell yourself you are a great person for becoming tobacco-free. Remind yourself of this when you want to use tobacco.
- When you get the urge to use tobacco, take a deep breath. Hold it for 10 seconds, then release it slowly. Take it one moment, one hour, and one day at a time. Cravings are usually short-lived and will go away whether or not you use tobacco.
- Keep your hands busy. Doodle, play a sport, knit or work on a computer.
- Write down and understand what triggers your urge to use tobacco. Then change the activities that were connected to tobacco. Find new activities to replace tobacco use. Be ready to do something else when you want to use tobacco.
- Eat low-calorie, healthful foods when the urge for tobacco strikes. Carrot and celery sticks, fresh fruits, and fat-free snacks are good choices.
- Remove all reminders of tobacco use from your home, office, and vehicle.
- Drink a lot of fluids. Cut down on alcohol and caffeine. They can trigger urges to use tobacco. Select water, herbal teas, caffeine-free soft drinks, and juices.
- Exercise. Exercising will help you relax. Other ways to relax might include meditation or prayer.
- Hang out with other people who do not use tobacco.
- Get support when you need it. Ask friends and family for their support. Tell them about your milestones with pride. In addition to family and friends, seek support from a comprehensive tobacco cessation program, an individual counselor, and support groups as needed.
- Treatment options include medication, nicotine replacement therapy, and/or behavioral therapy.
- There is the Ohio Quitline: 1.800.TRY.TO.STOP (1.800.934.4840).
- You may also contact your local chapter of the American Cancer Society, American Heart Association, or the American Lung Association.
- There are many online resources to help you, including the Centers for Disease Control, National Cancer Institute, National Clearinghouse for Alcohol and Drug Information, and World Health Organization Tobacco-Free Initiative.
Lifestyle modifications to improve blood pressure
Calling your medical provider
Call your medical provider if you are not responding to the treatment your medical provider prescribed and your blood pressure is still high. For instance, call if you have two to three high readings in a row. You may need to be evaluated to find out if you have other problems causing your high blood pressure, such as kidney disease, over-production of certain hormones, blocked blood vessels, or an overactive thyroid.
- Shortness of breath
- Excessive sweating
- Problems with your vision
These issues might also be side effects from your medication. Your medical provider might need to adjust the dosage or switch you to another medication.
Lifestyle element: **Weight management** Blood pressure can fall by 5-20 mmHg for every 10 kg (about 22 pounds) of weight loss.
- Recommendation: If you are overweight or obese, losing weight will help your blood pressure. A person at a healthy weight has a BMI under 25.
Lifestyle element: **Alcohol consumption **Drinking only in moderation can result in a reduction of 2-4 mmHg in blood pressure.
- Recommendation: Keep alcohol intake to no more than 2 drinks per day for most men and 1 drink per day for most women. (One drink equals 12 oz. beer, 5 oz. wine, or 1.5 oz. spirits.)
Lifestyle element: **Physical activity** Getting enough exercise can improve blood pressure by 4-9 mmHg.
- Recommendation: Get at least 2.5 hours (150 minutes) of moderate activity (like a brisk walk) per week.
Lifestyle element: **Dietary Approaches to Stop Hypertension (DASH) Sodium Diet** Following this sodium-limited food plan can improve blood pressure by 2-8 mmHg.
- Recommendation: Limit sodium to no more than 2,000 mg per day. Some groups of people (African Americans, older people, and people with hypertension and diabetes mellitus) often are sensitive to changes in sodium (salt) intake.
Lifestyle element: **Potassium consumption **Getting enough potassium can improve blood pressure by 2-4 mmHg).
- Recommendation: Maintain adequate potassium levels. Potassium-rich foods include cooked beans, baked potato, squash, sweet potato, spinach, banana, tomato, orange juice, and melon.
Lifestyle element: **Tobacco use and second-hand smoke **Not smoking and not being around smoke can result in blood pressure decreases of 2-4 mmHg after one week of stopping.
- Recommendation: Quit smoking, and avoid second-hand smoke. Tobacco and its by-products increase cardiovascular risk. Consider calling the Ohio Quitline: 1.800.TRY.TO.STOP (1.800.934.4840).
Lifestyle element: **Stress management **Reducing your stress can reduce your blood pressure by 5 mm/Hg.
- Recommendation: Practice stress reduction techniques such as meditation, yoga, sleeping well, and breathing deeply.