I think this might be an example of what I was talking about: you think blood pressure guidelines might not apply to you because of something your watch says.
[1] https://my.clevelandclinic.org/health/diseases/23989-white-c....
On average, men are taller than women. That doesn't mean every man is taller than every woman. If a woman is taller than a man and says she needs specific treatment because of it, she may be 100% right.
After this experience I did some reading and as far as I can tell, blood pressure is the least consistent, least rigorous test you can do in mainstream medicine. The “normal” range spans ~10mmHg and yet readings can vary by 10-20mmHg according to each of: stress level, standing up in the last 15 mins, recently having a drink of water (as you do in a doctor’s waiting room), whether your legs are crossed, etc. Without controlling for all of these (which is almost never done properly) they might as well be reading your tea leaves.
They have not. The guidelines are against controlled studies with strict protocols on how to take the measurement.
To know your blood pressure relative to the guidelines, you want to be as close to the guideline protocols and possible. That can be a 20/10 point difference or more.
The average physicians office doesn’t follow those protocols unless you deviate significantly. e.g you walk in with 140/90 and they aren’t going to bother. 160/95 and they will recheck you with more care given to the proper measurement technique.
This isn’t to say one should dismiss the numbers when taken properly; I’m just pointing out that calibration is necessary.