How we help
- Accurate diagnosis: careful office readings, confirmed with home readings, so you aren't treated for a single high number.
- Looking for causes and damage: blood and urine tests, and an ECG in our office, to check your heart and kidneys.
- Lifestyle changes that work: practical advice on salt, weight, activity, alcohol and sleep.
- The right medicine: if you need it, we start with the simplest effective treatment and adjust until you reach your goal.
- Regular follow-up: visits until your pressure is controlled, then routine checks to keep it there.
- Sleep apnea testing: untreated sleep apnea can raise blood pressure. If you snore loudly or feel tired all day, our sleep specialist Dr. Bangalore can evaluate you in the same office.
What your numbers mean
These are the categories used by the American Heart Association and American College of Cardiology for adults:
| Category | Top number (systolic) | Bottom number (diastolic) | |
|---|---|---|---|
| Normal | Less than 120 | and | Less than 80 |
| Elevated | 120 – 129 | and | Less than 80 |
| Stage 1 high blood pressure | 130 – 139 | or | 80 – 89 |
| Stage 2 high blood pressure | 140 or higher | or | 90 or higher |
When to get help right away
If your blood pressure is 180/120 or higher and you have chest pain, shortness of breath, back pain, numbness or weakness, a change in vision or difficulty speaking, call 911. If it's that high without symptoms, wait five minutes and check again, then call our office.
Checking your pressure at home
Home readings help us see your true blood pressure away from the doctor's office. Use an upper-arm cuff, sit quietly for five minutes first, keep your feet flat and your arm supported at heart level, and write down or save each reading. Bring your cuff to a visit and we'll check that it's accurate.
Frequently asked questions
Can high blood pressure be treated without medication?
Sometimes. For elevated or mild stage 1 blood pressure, lifestyle changes alone may be enough. Dr. Singh will recommend medicine when your numbers or your overall heart risk call for it.
Will I have to take blood pressure medicine for life?
Not always. Some people can reduce or stop medicine after losing weight or making other changes, but never stop on your own. Talk to us first.
How often should I check my blood pressure at home?
When starting or changing treatment, twice a day for a week before your visit gives the clearest picture. Once controlled, a few times a week is usually enough.
Is my insurance accepted?
We accept most major plans, including Medicare, Horizon, Aetna, Cigna and UnitedHealthcare. Call to confirm your specific plan.