If your blood pressure is 163 over 88 is that bad?

Elevated BP : Those numbers are certainly elevated. This could be related to your insomnia and high stress. Other reasons could be smoking, weight, high sodium diet. Those are factors that should be addressed first. But, as with any test, if it doesn't seem to be fitting, then always repeat to confirm ;at any pharmacy. Check back in with your doctor if those numbers turn out to be real.