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3 weeks of use. SH data any advice would be appreciated
#1
I was diagnosed 3 weeks ago and have been using the machine each night. I had to up my min pressure from 5-7 and was able to get my AHI under 1 each night but I'm not feeling very refreshed nor do I feel I have more energy during the day. I was hoping if I posted my numbers here, you may notice if I need to make some changes.

Here are some screen shots of my last 3 nights. Could you look over them and tell me what you think. Any changes you think I need to make or any issues you may see. I changed the graph to show what another poster said is the important info.

Thanks in advance!
Kim


Attached Files Thumbnail(s)
       
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#2
I compared yours to mine and the flow limit graph stands out. In the past week I have not had flow limits above 0.25 and many of the ones I have had triggered an increase in pressure.
Now what to do about them is beyond my level to say, but there are many here with much more experience that I am sure will offer suggestions.

Hang in there.
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#3
Your minimum pressure is 7.0, but your median pressure is 13.42. I would raise the minimum pressure to something like 11.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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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#4
Agree with Sleepster about raising minimum pressure.
Even though your AHI is low, you are experiencing many RERA's and FL. A pressure closer to your medium pressure should help elimate some of those.

RERAs are arousals from sleep that do not meet the definitions of apneas or hypopneas, but do disrupt sleep. They are abrupt transitions from a deeper stage of sleep to a shallower. May explain why you are tired.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

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

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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#5
Thanks I will up the pressure tonight. I started with 5, that the dr had as the low and moved it up to 7. Wasn't sure if it was ok to move it up more. I would really love a good nights sleep. fingers crossed!! MY AHI was over 40 before APAP.

Kim
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#6
(04-05-2016, 05:57 PM)giagray Wrote: Thanks I will up the pressure tonight. I started with 5, that the dr had as the low and moved it up to 7. Wasn't sure if it was ok to move it up more. I would really love a good nights sleep. fingers crossed!! MY AHI was over 40 before APAP.

I wouldn't try to jump from 7 to 11 in one night. I'd increase by at most 1cm per night and see how it feels.
Ed Seedhouse
VA7SDH

The above is my opinion.  It is just possible that I may, occasionally, be mistaken.

I am neither a Doctor, nor any other kind of medical professional.

Everything put together sooner or later falls apart.
Your brain is not the boss.
Our forefathers took drugs.
He's no fun he fell right over.
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#7
Hi giagray,
WELCOME! to the forum.!
Hang in there for more answers to your questions and much success to you with your CPAP therapy and good luck getting it fine-tuned to meet your needs.
trish6hundred
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#8
If you aren't sleeping on your side, do so for a night or two and see how it treats you. Apnea is nearly always worse when sleeping flat on your back. Side sleeping can prevent the pressure excursions that may be disturbing you and preventing you from getting the proper rest even though your AHI number is low.

Dude
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#9
Thanks for all the help. I do sleep on my left side always and hardly ever on my back. I turned my min settings up last night to 8 and my AHI went from below 1 to 1.5 and my flow was still up and down. I was so surprised because I felt so much better this AM I didn't even need my alarm to get me up, which is rare. The mask seal felt better at an 8 and I had almost no leaks. I know it will take more than one night to adjust, just hope it works. Could my AHI going up just be a fluke?
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#10
AHI will go up and down, just take it slow. This is where looking at your data will tell you what went up. Was it more Obstructives, hypopneas?

Your minimum pressure should be around your medium pressure or 2 to 3cm below your 95% number. This is something you will have to watch for awhile.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

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

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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