RE: Clear airway
Lower the EPR to 2 and see if that helps.
Let's see a chart before changing anything else.
RE: Clear airway
Thank you for responding ! I will do that and get some data and post later this week
RE: Clear airway
I also got ahold of the clinic today and they are fine with me changing settings they said they had to send in compliance report for insurance. Be glad to be off the insurance thing and not worry about someone tweaking things will be nice once pressures figured out.
RE: Clear airway
The CA's dropped a bit. We could probably see a further drop by lowering the EPR further, but one catch to that is that the Flow Limitation and Hypopnea may increase, which can cause sleep disruptions.
If you're susceptible to CA's, lower EPR is the key, but EPR is needed to keep the FL and Hypopnea at bay. Sometimes, it's a balancing act between CA's and FL/Hypopnea.
One question.... Did your sleep study show Clear Airway events? If not, then the few that's showing up on your graphs are nothing to worry over and will more than likely diminish as your adjust to therapy.
CA's sometimes occur just from movement or rolling over. I'm quite capable of holding my breath while rolling over or adjusting covers and causing the machine to flag a CA.
For an experiment, you can try EPR 1 without changing anything else, then repost a chart. If it didn't lower the CA's, go back to EPR 2. Also note, that higher pressures sometimes triggers more CA's.
And don't worry about your DME checking compliance. Regardless of what they tell you, insurance is only interested in hours of use, not your settings.
RE: Clear airway
Thank you for your response explanation and everything ! It is appreciated
My sleep study did not show any clear airway events . However my events did go up as I'm adjusting. My ahi was under one quite often, then as I got more adjusted and I started falling into deeper sleeps my ahi would go above one. Still under 5.
I will try a couple nights with epr at one and post some screenshots.
Thanks again
RE: Clear airway
Inspiring to see your progress. I'm interested in how you find the Knightsbridge chin strap. I've got one on order as I suspect I sometimes open my mouth in the night causing leaks.
RE: Clear airway
It's good that you were able to get a good nights sleep. I'm not worried about the CA's right now.
You can hold with EPR 1 for another day or two, but I think you need the EPR 2 to help with FL, Hypopnea and reras. The FL is what pushes your pressure up near the max.
One thing, if you're going to use ramp, change the ramp start pressure to 7. I think you have it set at 5. Eventually, you'll adapt to starting at your therapy pressure and eliminate ramp.
Hopefully, you'll sleep well tonight too.