My dad's kidney specialist feels that 130's over 80's is good. Same with my doctor. I stopped taking my BP medication in August because I was getting readings of the teens over 70's. I don't like it that low for ME (each of our bodies are different). When my top number got to 106 once years ago I felt horrible (spacey, dizzy, etc) If you keep a record and bring it to your doctor he's not going to care that your top number was a tiny bit elevated at the office. I get 160's over 100's at the doctor and he just blows that off saying, "Your home readings are good, I'm not concerned about that". I took my home readings in to him when I went last week (which were mid 130's over low 80's and some low 140's over low 80's) without the medication and he told me that I don't even need the medication anymore, just keep monitoring it like I've been.