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7-day diary for checking blood pressure at home

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Morning

1st read

Morning

1st read

Morning

1st read

Morning

1st read

Morning

1st read

Morning

1st read

Morning

1st read

Systolic: __________

Diastolic: __________

Pulse: __________

Morning

2nd read

Morning

2nd read

Morning

2nd read

Morning

2nd read

Morning

2nd read

Morning

2nd read

Morning

2nd read

Systolic: __________

Diastolic: __________

Pulse: __________

Evening

1st read

Evening

1st read

Evening

1st read

Evening

1st read

Evening

1st read

Evening

1st read

Evening

1st read

Systolic: __________

Diastolic: __________

Pulse: __________

Evening

2nd read

Evening

2nd read

Evening

2nd read

Evening

2nd read

Evening

2nd read

Evening

2nd read

Evening

2nd read

Systolic: __________

Diastolic: __________

Pulse: __________

Notes

____________________

Patient name: ______________________________

Patient ID: ________________________________

Primary care provider: _______________________

Average BP: _______________________________

You can use this table to keep track of your blood pressure (BP) and pulse.

When looking at your home meter, you will probably see at least 3 numbers:

Your "systolic" blood pressure: This is the top number of a BP measurement. For example, if your BP is "140 over 90," 140 is the systolic.
Your "diastolic" blood pressure: This is the bottom number of a BP measurement. If your BP is "140 over 90," 90 is the diastolic.
Your pulse: This is the number of times your heart beats in 1 minute.

BP: blood pressure.

Graphic 131359 Version 2.0