My BP spikes in the am also, sometimes 140/90 and then falls in the afternoon to 120/80 or even lower to 114/76. I was so relieved to hear about the genetic code that makes it spike in the am as being normal. I have labile BP white coat hypertension also and am obcessed about BP, sometimes taking it 8 times a day and keeping a BP tracker on my iPhone. I have two cuffs and I think it is making me insane....View Thread