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[CPAP] still very tired and don't know what to do
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #1
still very tired and don't know what to do
Hi
I've been on cpap therapy for about 4 years or so now.
I am still waking a lot during the night and feel very tired during the day.
Lately it has gotten worse but I cannot figure out why.
Doctor is trying me on some sleep pills and melatonin for the last week and half but I don't feel any different.
attached are my graphs.
I use a ResMed S9 AutoSet and a resmed airfit P10 nasal pillow mask.

Last time I used sleepyhead the sdcard was reformatted when I inserted it back in the resmed machine which is why I think there is a gap in some of the graphs.

Any help or suggestions would be very much appreciated.


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10-02-2016 05:02 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: still very tired and don't know what to do
Hi miasham and Welcome to Apnea Board!

The biggest thing I see is the large leak rate. This could be from an ill fitting mask, or you are simply mouth breathing. This could be keeping you from getting restful sleep.

There are many other reasons for not getting a good nights sleep, especially if you have any medical issues not related to Cpap. Are you on any new medications?

I am attaching a couple links to help you in posting some data. If we can see your detail data and the actual graphs, we can better advise.

You will need at least 4 posts to upload data to us, but until then, study these links so you can send the most useful data.

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

OpalRose
10-02-2016 05:24 PM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #3
RE: still very tired and don't know what to do
Thanks Smile
My message count must have been reset as I've not posted here for a few years Smile
Will update some images shortly.
10-02-2016 06:15 PM
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trish6hundred Offline

Advisory Members

Posts: 6,453
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
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: #4
RE: still very tired and don't know what to do
Hi mlasham,
WELCOME! to the forum.!
Hang in there for more answers to your question and good luck too you as you continue your CPAP therapy and gett it fine-tuned to better meet your needs.

trish6hundred
10-02-2016 07:56 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #5
RE: still very tired and don't know what to do
What happened September 1? It looks like you changed pressure settings drastically. You went from fixed pressure about 8.0 to variable pressure, and it blew up your AHI.

[Image: attachment.php?aid=2867]

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 10-02-2016 08:56 PM by Sleeprider.)
10-02-2016 08:49 PM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #6
RE: still very tired and don't know what to do
Thanks, here is some more data from today and I will also add some from a few days ago.


[Image: KUDZ2fw.png]

older:

[Image: eOkTNJn.png]

and another:

[Image: tSOPR03.png]



and another without flow rate as resmed does not keep it apparently:
[Image: h7lXPtI.png]
nothing changed in September that I can think of.
I will have to check the machine to see if the settings have changed or something - we've had a few power cuts and flickers over the last couple of months.
(This post was last modified: 10-02-2016 10:55 PM by mlasham.)
10-02-2016 10:53 PM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #7
RE: still very tired and don't know what to do
I checked the machine and it all is still set correctly.
The date the pressure went up is when I had a bad cold - and I've been feeling super tired ever since then. Been over the cold for a few weeks now.
10-02-2016 11:05 PM
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mlasham Offline

Members

Posts: 14
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: H5i
CPAP Pressure: 7-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Zealand

Post: #8
RE: still very tired and don't know what to do
Weird, still high pressure last night but don't know why. When I went to bed mask fit felt really good.

[Image: QqUyEbx.png]
10-03-2016 08:45 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #9
RE: still very tired and don't know what to do
Miasham, show me a graph from August. I just want to compare settings. You have developed open mouth syndrome. Those flat-topped leaks around 34 LPM are not from the mask slipping or adjustments, the spikes are. Your AHI is predominately CA, and higher pressure is not going to fix it. Just for the heck of it, try setting your minimum pressure at 8.0 and maximum pressure at 8.0. That's right, CPAP. Let's see what happens.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
10-03-2016 09:01 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #10
RE: still very tired and don't know what to do
Miasham, looking at your daily leak rate graphs I see the leak rate going up and down a lot, with extended periods of time where it's high. This looks to me like mouth leaking. Try a chin strap, and if that's not working switch to a full face mask.

Leak rates like you have will ruin your sleep and cause you to feel tired during the day. The leaks compromise the therapy and cause sleep disturbances. I had the same issues and a full face mask worked very well for me. I still wake during the night but not as much. And I have a lot more days where I feel rested.

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.
10-03-2016 09:08 PM
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