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Hi Doug,   The Joint National Committee defines four blood pressure categories.   Very High Range - Stage 2 Hypertension Systolic (top) blood pressure 160 mm Hg or high Diastolic (bottom) blood pressure 100 mm Hg or higher             If in this range you have hypertension (high blood pressure).   High Range - Stage 1 Hypertension Systolic (top) blood pressure 140 - 159 mm Hg Diastolic (bottom) blood pressure 90 - 99 mm Hg If in this range you have hypertension (high blood pressure).   Caution Range - Prehypertension Systolic (top) blood pressure 120 - 139 mm Hg Diastolic (bottom) blood pressure 80 - 89 mm Hg             Take action!   Normal Range - Normal Systolic (top) blood pressure below 120 mm Hg Diastolic (bottom) blood pressure below 80 mm Hg             Perfect! A blood pressure of 151/91 falls within Stage 1 Hypertension (High Range).  I recommend you consult with you MD regarding the best treatment plan.    All the best, Lisa Nelson, RD, LN Control High Blood Pressure with Diet