I live in the US and every nurse I see is convinced they can tell by looking at me that I have high blood pressure, and when they take it with the regular sized cuff, it reads high. Using a regular sized cuff, it tends to read low normal. My husband has quite low blood pressure usually. and a low heart rate. Low enough that it scares nurses when they take it first thing in the morning. Low enough that it spurs jokes about not looking like an athlete on the outside. When he is in pain, his blood pressure gets high. He has fibromyalgia and so now it gets high often, especially after having trekked to the doctor's office and been made to sit in chairs with no low back support. The recurring theme seems to be when either of us go to the doctor that we are fat so we must have dangerous high blood pressure that needs immediate treatment. The doctors put him on some medication that was supposed to prevent migraines, but a little research revealed its primary purpose to be lowering blood pressure, research I did when he was so dizzy he had trouble standing. Heck, even my mother has had to deal with this. She has type II diabetes and though she may be over her ideal weight, she does not really obese, and she too has low blood pressure. The doctors gave her medication that lowers her blood pressure as well as treats diabetes, and don't seem to care that her blood pressure is at times far too low. The attitude I see again and again is that fat people all have dangerously high blood pressure, and must be treated for high blood pressure, even if it causes their blood pressure to crash. Better that than have high blood pressure, because high blood pressure kills. I know it does, but so can low.