The blood pressure varies from time to time in a day. The target blood pressure should be-between 120/80 to 130/85. You need to increase the dosage of your BP medicines if you cannot achieve this target. You also need to decrease the protein loss in urine if any and control phosphorus level and Hemoglobin
. Also if you are nearing end stage renal failure
you should start planning for the type of renal replacement therapy you would opt.