Is a blood pressure 141/86 with a pulse of 76 bad? i'm diabetic and feeling palpitations also. how can i differentiate heart vs. anxiety?

Your upper blood: pressure reading (systolic) is a little bit elevated. Pulse if fine. Medical evaluation is used to differentiate anxiety vs medical cause. See you suffer from anxiety disorder and take xanax (alprazolam).

Get checked...: I am not very worried about your present blood pressure and pulse. The new recommendations for BP parameters for diabetics are 140/80 so you are not that far from that. However,I am more concern about having palpitations. You should get checked ASAP to evaluate for possible heart issues especially being a diabetic. If you have those symptoms and chest pain don't hesitate to go to the ED.

BP in DM: Diabetics have stricter BP control parameters and your BP would be at goal under 130/80. It can be tough to differentiate between heart and anxiety, and we deal with this issue on a daily basis. All I can tell you is see the Dr. get evaluated, get your BP a little better under control, get your heart checked regularly, eat well, be well, stay well. God Bless!

Pulse fine; BP not: Hi. Unless you have kidney disease or heart failure, I wouldn't let my diabetic patients run that BP. Was that a BP at rest? When you're exercising, it's fine, but not at rest. Is your kidney function normal? If kidney function OK, I'd treat first with an ACE inhibitor or an angiotensin II receptor-type 1 blocker. Many diabetics require more than one BP med to achieve control.