G'day rajiray, welcome to Apnea Board.
As Mongo said, you may need a higher base pressure and its possible the central apneas will need a different type of machine. However looking at your chart I see you have a very long ramp time of about 45 minutes - events which occur during this time can probably be discounted as the machine hasn't got up to its working therapeutic pressure yet. I'd suggest you reduce the ramp period - make it as short as you are comfortable with. The other issue is that if you were frequently waking and dozing, you might be seeing some "sleep / wake junk" which is what happens when you're not properly asleep and your breathing is irregular. As you get used to the mask this should decrease and you'll get better results.
At this early time I wouldn't make any other changes except shorten the ramp and make sure you're comfortable with the mask. After a week or ten days it might be time to start fine tuning.
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03-18-2016, 01:56 AM
(This post was last modified: 03-18-2016, 01:59 AM by rajiray.)
Yes you are right, I set long ramp time, since I am not easily fall into asleep with the machine.
There is one thing very interesting when I go into the Events details.
Out of 34 CA events for the whole therapy, 11/34 of them happened before 1:43am
which I am pretty sure I not fall into sleep yet, cause I watched my watch lately at 1:34am
8/34 happened after 8am where I woke up and lay on the bed for a couple of minutesss.
The same on the Hypopnea Events (43) , which 20/43 happened before 1:51am and 6/43 after 8am.
Not sure if this is why the bad figures were taken.
Stop or don't fret over any numerical values on your CPAP machine for "at least" a week or so. The AHI 10.34 is overwhelmingly better then the 69 of last year. So what if its not down to under 5. You will get it down to under 5 in time, but maybe not tonight or tomorrow night. The secret to CPAP therapy is ""Usage"".
Throughout the years I have read this forum, I see people who are new users of CPAP therapy, wanting to "chase the numbers" by constantly wanting to tweak the machine so as to get this number or that number lower by one point. You've probably had sleep apnea for quite a while so it may take a bit of time for the therapy to work.. BUT it will work, and you WILL start to feel better, and your quality of life WILL be better.
Stay determined to keep that mask on at night and you will be amazed at the results. Keep visiting this forum also for a wealth of information to make life better.
Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
Yep, it's not a light switch, more like a dimmer control. Improvement usually does not happen overnight. Once all the "noise" settles down, if you are still having issues, there seems to be at least a few tweaks that can be tried. Your starting pressure of 5 "might" be a little low. You also have a pre-ramp starting pressure of 4 which again seems on the low side. As treatment goes at this point you are not doing bad.
Focus for now on how are you feeling, both before you fall asleep and after you wake up. This system should feel perfectly normal as far as breathing goes (you will get used to the noises and feel of the mask). Do you feel like you are getting enough air? Are you forcing yourself to relax and breathe slowly just to get enough air? Do you feel like the air is "heavy"?
While you are getting used to the therapy, you can be looking after feeling comfortable with the therapy.
WELCOME! to the forum.!
If you can help it, try not to look at the time. I used to sleep in my watch, but I had to quit that because I would open it up and look at it and that was it, I was awake for sure.
Hang in there for more suggestions and much success to you with your CPAP therapy.
Thank you all for responding this thread,
I tuned up the min pressure on the second night, tightened the headgear abit so it dont leak at my side sleep. However, I dont feel slept at all in this morning.
As what JudgeMental said, it is time to forget all the numbers, I really need to make myself comfort with this first. I need to check more side sleeper experience from this forum.