it's the bottom number that is the problem.  think it's more like 88, you probably spilled some a1 sauce on there paper. another reason why you shouldn't use it. 
Nope.  I definitely wrote down 38, but that is obviously wrong.  I wrote it down when I got home, but either miss-remembered what I heard or I bet I transposed it.  I bet it should have been 138/86.  That would be more reasonable.  
186 would be nuts. LoL.  It was getting high, but the doctor wasn't panicking. He was just warning me that if I didn't improve it by next visit through diet and exercise, he was going to start recommending some pills.   And I don't want to get started down that road.  That was 6 months ago.
The moral of the story is, unless you have a specific genetic BP issue, I believe just dropping weight can drop your BP to more reasonable levels.  And for me, it must not be a salt problem, because I am getting a bunch of sodium now (bacon, bone broth, etc).  In fact, in the first month I was supplement above my dietary intake to fight the Keto Flu.  But I do know a guy who is highly salt sensitive with his BP, so again genetics play a big role too.