Why It Happens

Morning is the most common time for blood pressure to spike — it’s when the body transitions from rest to activity, guided by hormone cycles and sympathetic activation.

Cortisol Awakening Response: Cortisol naturally rises in the early hours, increasing vascular tone.

Dehydration from Sleep: Low overnight fluid intake reduces blood volume and increases resistance.

Sleep Apnea: Breathing disruptions during the night can cause early morning pressure surges.

Delayed Medication Timing: Missing or delaying antihypertensives may allow pressure to climb.

Sudden Movement or Stress: Getting up too quickly or rushing can shock the nervous system.

Sources: Healthline, Mayo Clinic, Cleveland Clinic, WebMD.

How to Manage

Hydrate Upon Waking: Start with a glass of water before coffee or food.

Take Medications as Prescribed: Consider timing with your provider to cover early hours.

Rise Slowly and Mindfully: Sit up gradually and stretch before standing.

Address Sleep Issues: Snoring, fatigue, or headaches may suggest apnea — get tested.

Track BP First Thing: Morning readings are a vital sign of heart health trends.

You can tame morning pressure spikes by syncing your rhythm with calm, consistent routines.

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