diff --git a/backend/routers/blood_pressure.py b/backend/routers/blood_pressure.py
index 92bb28d..b613d3b 100644
--- a/backend/routers/blood_pressure.py
+++ b/backend/routers/blood_pressure.py
@@ -376,7 +376,10 @@ async def import_omron_csv(
                 ))
 
                 result = cur.fetchone()
-                if result and result['inserted']:
+                if result is None:
+                    # WHERE clause prevented update (manual entry exists)
+                    skipped += 1
+                elif result['inserted']:
                     inserted += 1
                 else:
                     updated += 1
diff --git a/backend/routers/vitals_baseline.py b/backend/routers/vitals_baseline.py
index 95b1d5d..dd8f02a 100644
--- a/backend/routers/vitals_baseline.py
+++ b/backend/routers/vitals_baseline.py
@@ -357,7 +357,10 @@ async def import_apple_health_baseline(
                 ))
 
                 result = cur.fetchone()
-                if result and result['inserted']:
+                if result is None:
+                    # WHERE clause prevented update (manual entry exists)
+                    skipped += 1
+                elif result['inserted']:
                     inserted += 1
                 else:
                     updated += 1