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109AHI, starting 2nd week on CPAP, have some questions
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toinewi Offline

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Machine: Philips Dreamstation Auto BiPAP
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CPAP Pressure: 16-25
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Sex: Male
Location: Wisconsin

Post: #1
Question 109AHI, starting 2nd week on CPAP, have some questions
Lifelong 'snorer'. Finally decided to do something about it.

Went in for a sleep study about a month ago, and ended up with a wonderful 109AHI.

Starting week 2 of my CPAP treatment. My pressure range is currently at 8-20, but I'm still averaging between 12 and 21AHI overnight, with peaks as high as 45AHI.

I was wondering if I should be patient as I've only been using the machine for a week, or if I should be working with my healthcare professional to get the machine adjusted.

I do find myself currently waking up 1-2 times a night, usually right after a significant pressure jump.

Any advice would be appreciated.
07-05-2016 11:57 AM
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PoolQ Offline

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Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
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CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

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Sex: Male
Location: Sillicon Valley

Post: #2
RE: 109AHI, starting 2nd week on CPAP, have some questions
One week is still early, that being said your numbers are perhaps a little high to just wait it out-this coupled with the wide settings on your machine. Posting a plot from sleepyhead would help a lot. We need to see just how high your pressure is going and what the pressure is doing when you are having apneas still.

You have taken big step in getting your SA under control, and there is still room to do more!
07-05-2016 12:13 PM
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DariaVader Offline
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Machine: Resmed S9 AutoSet
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Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #3
RE: 109AHI, starting 2nd week on CPAP, have some questions
as poolq said - you should post some daily plots. you need a few more posts to actually post live links, but you can post cheater links containing removable spaces for something like this.
http://www.apneaboard.com/forums/misc.php?action=help&hid=22 for helps on formatting an image.

My son had an AHI like yours, and in his case, starting at 8 just wasn't enough. My guess is we will see that with you as well, but that could be dead wrong and you might have complex apnea, where upping the pressure makes it worse --- so really need to see data before making an actual recommend

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
07-05-2016 05:29 PM
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justMongo Offline

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Post: #4
RE: 109AHI, starting 2nd week on CPAP, have some questions
Welcome

Be sure to get a copy of your complete sleep report and your prescription.

Just get accustomed to CPAP for now. Post some plots (graphs); it's useful to see what the AHI is composed of: OA, HA, CA...

You are only at the start of your journey; you may graduate to a bilevel or an ASV machine with time.

a journey of a thousand miles begins with a single step -- Laozi from the Tao Te Ching

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.
07-05-2016 06:11 PM
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trish6hundred Offline

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Machine: Resmed S9 AutoSet for Her
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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: #5
RE: 109AHI, starting 2nd week on CPAP, have some questions
Hi toinewi,
WELCOME! to the forum.!
It can take time to get used to your mask and machine, so just stick with it.
Hang in there form ore answers to your questions and good luck to you on your CPAP journey.

trish6hundred
07-05-2016 10:44 PM
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chill Online

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Sex: Male
Location: Vancouver, Canada

Post: #6
RE: 109AHI, starting 2nd week on CPAP, have some questions
A life of CPAP begins with a single breath -- justMongo from the Apnea Board
07-06-2016 12:04 AM
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holden4th Offline

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Machine: PR System One REMStar 60 Series Auto with Bluetooth
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CPAP Pressure: 11- 15 APAP
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Sex: Male
Location: Gold Coast Australia

Post: #7
RE: 109AHI, starting 2nd week on CPAP, have some questions
AHI 109 - holy sh*t! That means you stop breathing twice every minute for at least 10 seconds. I'll let you do the rest of the maths. Your current numbers are a huge improvement and proves that xPAP should work for you. it's now a matter of tweaking your settings to get the best result. The folks on this forum can definitely help you do that. It's a gradual process but one well worth pursuing.
07-06-2016 04:43 AM
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toinewi Offline

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Machine: Philips Dreamstation Auto BiPAP
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CPAP Pressure: 16-25
CPAP Software: SleepyHead

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Sex: Male
Location: Wisconsin

Post: #8
RE: 109AHI, starting 2nd week on CPAP, have some questions
Thanks all. Yeah, I was pretty much scared sh*tless upon getting the AHI numbers.
I'll be sure to get a full copy of my sleep study results. I talked to my resp. therapist, and they suggested contacting the sleep study medical staff about getting my starting pressure raised a bit. I will say I'm happy so far with being less tired, and last night was a nice solid 8+ hours on the CPAP.

Soon as I can post, I'll go ahead and add some plots.
07-06-2016 01:34 PM
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DariaVader Offline
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Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #9
RE: 109AHI, starting 2nd week on CPAP, have some questions
you need 2 more posts, is all... you can make one by telling us what was last night's AHI? and what was the breakdown of contributing events? (CA, OA, H) This can be seen on the left side of the daily graph

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
07-06-2016 01:59 PM
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toinewi Offline

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Joined: Jul 2016

Machine: Philips Dreamstation Auto BiPAP
Mask Type: Nasal mask
Mask Make & Model: F&P ESON
Humidifier: Philips
CPAP Pressure: 16-25
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Wisconsin

Post: #10
RE: 109AHI, starting 2nd week on CPAP, have some questions
Last night's I haven't checked in Sleepyhead as of yet, but I do know the machine claimed about an 18AHI, which typically means I had a horrid first half of the night. When I can finally post plots, you'll see what the mountain ranges I've been dealing with look like.
07-06-2016 02:01 PM
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