The Beurer BM 59 blood pressure monitor can be used without the app. It operates automatically and provides measurements directly on the device, allowing you to track your blood pressure and pulse without needing the app.

If you choose to use the "beurer HealthManager Pro" app, it is not mandatory to share your data with Beurer. You can manage your data settings within the app to control what information is shared. However, for full functionality and to keep track of changes in blood pressure values over time, using the app is recommended.