Get it done manually, and ask for a large cuff. I also have a female nurse take it (no BS). Takes me from top of the green arc/bottom of yellow, to well within acceptable limits.

What do you/your AME consider "acceptable" limits?

Ok i have a question I just took my blood pressure and it say's 151/70 am I still able to get a First Class?

Believe the BP limit for pilots is 150/90 so you are close. A single reading doesn't mean much. I would start working on reducing your BP now (avoid salt, don't smoke and start excercising regurlarly). Not just to get a 1st class, but to improve your overall life expectency.

Usually as you get older your BP will get higher.

I think it's a two part question. Can I pass a FAA medical? Will I see my grandchildren graduate from college?

I'm in the same boat as you. I've always white coated with new doctors, etc. In the dark ages, pilots with high blood pressure were kicked out. Then the FAA saw the light and approved some drugs. I'd check with my AME. I mean have a real dicussion about your situation. Does he think you have a problem? What are your options? If you have to go on meds, how long will you be out? Ask if it is a denile, or can you stop flying, get your BP under control and then take your medical.

To answer to second question, my wife is a RN. She'll graduate with MS and will become a Nurse Practioner. She is jumping on my case because the current guildlines are that if you can spike your BP at the drop of a hat, you have a problem. This means drugs and it means telling the FAA.

In the interest of full disclosure, I'm trying one last attemp to control it without meds.

155/95 per Flight Surgeon web page... go back to Page 1 and read it yourself... i posted a link.