acp44, mine crept up gradually for about a year. Last Sept it was 168/120 and my doctor immediately put me on meds, Lotrel. I went out and joined weight watchers that week because I was overweight. So far it has gone to normal range but I don't know if that's the 50lb weight loss or the meds. I think I'm stuck on the Lotrel for life though since hbp runs in the family and my mom was diagnosed with it in her late 30's, I am 42. My mom is skinny so it's not her weight.