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

http://www.apneaboard.com/wiki/index.php...ganization
http://www.apneaboard.com/wiki/index.php...pnea_Board
OpalRose
Apnea Board Administrator
www.apneaboard.com

_______________________
OSCAR Chart Organization
How to Attach Images and Files.
OSCAR - The Guide
Soft Cervical Collar
Optimizing therapy
OSCAR supported machines
Mask Primer



INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE.  ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.  INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#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.

http://www.apneaboard.com/wiki/index.php...ganization
http://www.apneaboard.com/wiki/index.php...pnea_Board

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?
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#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
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#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).
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#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
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#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.
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#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
Apnea Board Administrator
www.apneaboard.com

_______________________
OSCAR Chart Organization
How to Attach Images and Files.
OSCAR - The Guide
Soft Cervical Collar
Optimizing therapy
OSCAR supported machines
Mask Primer



INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE.  ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.  INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#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
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#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.
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