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1 Month into CPAP - Still Exhausted. What Data to Post?
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IMSleeplessInSeattle Offline

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Posts: 18
Joined: Aug 2016

Machine: Resmed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear
Humidifier: Built in
CPAP Pressure: 6-9.6
CPAP Software: SleepyHead

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Sex: Male
Location: Seattle, WA

Post: #1
1 Month into CPAP - Still Exhausted. What Data to Post?
Hey all,

I'm 1 month into CPAP treatment for severe OSA. I've used it every night and I don't notice any reduction in daytime sleepiness. In fact, I'd say it's a bit worse.

It hasn't been difficult for me to acclimate to CPAP, mostly because I'm used to sleeping with 'uncomfortable' thing - first Invisalign braces, then an oral appliance for sleep apnea (which ultimately wasn't able to treat the OSA, hence the switch to CPAP).

I've set up Sleepyhead and have been casually looking at the various graphs, though I don't see anything that jumps out at me as a red flag. My reported AHI is down 2-3, on average.

I'm happy to post screenshots of data, just not sure what to post that's most helpful. Overall statistics? Detailed charts from a random night of sleep? Let me know your thoughts! I appreciate it. Smile
09-21-2016 12:47 PM
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OpalRose Offline

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Posts: 3,160
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Here are a couple links to help you.

https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

OpalRose
09-21-2016 01:42 PM
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IMSleeplessInSeattle Offline

Members

Posts: 18
Joined: Aug 2016

Machine: Resmed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear
Humidifier: Built in
CPAP Pressure: 6-9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Seattle, WA

Post: #3
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
(09-21-2016 01:42 PM)OpalRose Wrote:  Here are a couple links to help you.

https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

Thanks, OpalRose! That sheds some light on which graphs to post. How much data is good to post? Should I just choose a couple days?
09-21-2016 02:07 PM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Hi IMSleeplessInSeattle,
WELCOME! to the forum.!
Good luck to you with your CPAP therapy and getting it fine
tuned to meet your needs.

trish6hundred
09-21-2016 02:29 PM
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chill Offline

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Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #5
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Start with two nights where your AHI was on the higher end of things or you felt extra bad the next day. And zoom in on a 5 minute period where events are marked (not at a going to sleep or waking up point as those times are not reliable).
09-21-2016 03:34 PM
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IMSleeplessInSeattle Offline

Members

Posts: 18
Joined: Aug 2016

Machine: Resmed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear
Humidifier: Built in
CPAP Pressure: 6-9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Seattle, WA

Post: #6
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Here are 3 nights - 2 on the high end and 1 more around the low end of average, for comparison.

AHI 5.19, 9/11
Full View : http://take.ms/H9bZd
~5 Minute Event Zoom : http://take.ms/Kb2sP

AHI 6.19, 9/13
Full View : http://take.ms/gu6Yy
~5 Minute Event Zoom : http://take.ms/tjuLw

AHI 2.08, 9/18
Full View : http://take.ms/M5mSK
~5 Minute Event Zoom : http://take.ms/cv60G
09-21-2016 04:56 PM
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chill Offline

Advisory Members

Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #7
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Very briefly: your pressure is too low as you keep having events when it is maxed out, you have a bit of a leak problem with the mask you need to work on, and you probably want to start inching your minimum pressure up.
09-21-2016 05:02 PM
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OpalRose Offline

Monitors

Posts: 3,160
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #8
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Your profile pressure range is different than the SH graphs. Either way, your minimum pressure and max pressure is not optimal for you.
You have mostly Obstructives and according to your pressure graph, you need a higher minimum pressure to treat those events.

I would change the minimum pressure to 7 and more likely ending up at 8, and open up max pressure to 12 to see where the machine wants to go.

OpalRose
09-21-2016 05:34 PM
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IMSleeplessInSeattle Offline

Members

Posts: 18
Joined: Aug 2016

Machine: Resmed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear
Humidifier: Built in
CPAP Pressure: 6-9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Seattle, WA

Post: #9
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
(09-21-2016 05:34 PM)OpalRose Wrote:  Your profile pressure range is different than the SH graphs. Either way, your minimum pressure and max pressure is not optimal for you.
You have mostly Obstructives and according to your pressure graph, you need a higher minimum pressure to treat those events.

I would change the minimum pressure to 7 and more likely ending up at 8, and open up max pressure to 12 to see where the machine wants to go.

Ah, yeah - for the first two it's different (5-9). The last one is more recent and reflects a change I made to 6-9.6. I'll up the minimum to 7 and the max to 12 and see how things go. Thanks Smile
09-21-2016 06:25 PM
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chill Offline

Advisory Members

Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #10
RE: 1 Month into CPAP - Still Exhausted. What Data to Post?
Give it at least a week to settle out like that before you make additional changes. You may find that you need to increase both min and max further.
09-21-2016 09:35 PM
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