Know the Red Flags

Warning signs to watch for and what to do. Numbers should always be considered together with symptoms and your personal care plan.

Section 1

Call 911 Now

Section 2

Contact Your Healthcare Team

High blood pressure without emergency symptoms

Stay seated and quiet. Check your position and cuff, wait at least 1 minute, and take your blood pressure again. If the second reading is still higher than 180/120 mm Hg, follow the Red Flags guidance. Call 911 if you also have chest pain, shortness of breath, back pain, numbness, weakness, vision changes, difficulty speaking, or another new and concerning symptom. If you do not have these symptoms, contact a healthcare professional promptly.

Call 911 immediately if emergency symptoms begin at any time.

High or low blood pressure

For a reading of 130/80 mm Hg or higher, stay seated and take a second reading 1 to 2 minutes later. Record both readings and contact your healthcare team when the pattern remains above your personal goal.

A reading below 90/60 mm Hg can be low. Sit or lie down if you feel dizzy, repeat the reading when it is safe, and contact your healthcare team when the reading repeats or you have symptoms such as dizziness, nausea, blurred vision, confusion, fainting, or heart palpitations.

Call 911 for fainting, severe confusion, chest pain, trouble breathing, stroke symptoms, or another medical emergency.

Low blood sugar

Below 70 mg/dL: Follow your low-blood-sugar treatment plan and the 15-15 rule when it is safe to swallow.

Below 54 mg/dL: This is severely low. Treat immediately according to your care plan. Use glucagon if prescribed and call 911 when the person cannot safely self-treat.

High blood sugar

At 180 mg/dL or higher, consider meal timing, compare the reading with your personal target, and record the pattern. Follow your healthcare team's correction plan; do not take extra medicine on your own.

At 240 mg/dL or higher, follow your ketone and sick-day plan. Check ketones if your healthcare team has instructed you how, and do not exercise when ketones are present.

Contact your healthcare team when the reading remains high, ketones are present, or you feel sick. Go to the emergency room or call 911 for persistent readings of 300 mg/dL or higher with vomiting, heavy or difficult breathing, fruity-smelling breath, severe confusion, or difficulty staying awake.

Urine protein

A trace or positive home urine-protein result is not a diagnosis. Record the result and contact your healthcare team for instructions. Ask whether it should be repeated and confirmed with a laboratory urine albumin-to-creatinine ratio (uACR).

Weight and swelling

Contact your healthcare team for rapid or unexpected weight gain, new or worsening swelling, shortness of breath, or another change outside the limits provided in your personal care plan.

Medications

Do not stop, start, skip, double, or change the dose or timing of a medication based only on information in this platform. Contact your healthcare team or pharmacist for instructions.

Section 3

Record and Continue Monitoring

Keep up your daily routine

When your numbers are within your personal goals and you feel well

  • Blood pressure within the goal your healthcare team set for you.
  • Blood sugar within the range your care team set for you.
  • Steady weight with no sudden gains and no new swelling.
  • Breathing comfortably and feeling like yourself.
  • Taking your medicines every day as prescribed.
  • Recording your check-in most days so you can see your trends.

Numbers should always be considered together with symptoms and the person's individualized care plan. Serious symptoms may require emergency care even when a measurement does not appear extremely abnormal.