New Hi BP
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The initial visits to your doctor to deal with your newly diagnosed blood pressure involve review of risk factors for essential hypertension, a work up for the 5% to10% possibility that the pressure problem is related to other factors like kidney disease, valvular heart disease, renal artery problems or rare tumours, and a plan to treat the hypertension. This can be partially documented in a Hypertension Flow Sheet.

This documentation includes a current and previous lipid profile, fasting blood sugar and renal screening test if available. It also includes a medication list and weight and blood pressure readings. There is a timeline to repeat tests.

If new medications need to be started or doses adjusted there should be follow up blood pressure readings at about 2 week intervals. Ideally these readings should be done by the patient themselves with their own calibrated blood pressure monitor. Once the pressure is stabilized the number of doctor visits can be reduced. The patient should continue  to monitor the blood pressure and re-contact the doctor if the pressure again increases beyond 130/80. For people who do not monitor their own pressure visits every 3 months for monitoring may be necessary.

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