Can I see your Flow limit range? Still tired despite good AHI numbers.

[modest811]

        Hello Folks,

Been using a Cpap (Resmed For her) since september with some trial and error. It seems like some weeks I'm doing okay, others not so much. I've been going through a bout of pure exhaustion lately and my AHI numbers are the best they've been so i've been fairly distressed. I started doing some research and looked into Flow Limit and possible UARS. In my initial sleep study, I scored 0 RERA's and my RDI was the same as my ahi (5.3, VERY mild). But I don't think they scored RERA's at all if I had 0. It seems I had 99% of my apnea's were hypopneas and I had 98! spontaneous awakenings in the night. My Arousal index was 19.5/h, so something is definitely up. 

I've noticed on my Oscar chart that while it says my flow limits on the side bar are low, I look at the chart and they're pretty consistent through the night. I'm going to start experimenting with EPR (last time I used it I had a but loud of clear air apenas, but i'm hoping my body has gotten used to the CPAP so they won't come again). 



Trying to figure out if I'm just dealing with insomnia, or if this is something that can be treated. I've read BiPAP is better for UARS, but it's a lot of money that I can't spend right now on Vauto machine and I'm hoping i can solve this, or at least confirm if I do or do not have UARS from Oscar data alone (probably wishful thinking). 

Sorry for the rambling. I'm pretty tired today. I've attached a typical night for me below. I'd like to know how this looks compared to someone you seems to helped with CPAP and I want to know if the amount of FLs I'm getting are normal or not. Thank you.

[SarcasticDave94]

If you want to address flow limits on your machine, since it isn't on now, turn on EPR Full Time. Try whichever of 1-3, see how this affects stats. EPR X for number is measured the same as pressures on the PAP, in cmH2O. This EPR is the same as Bilevel pressure support except that EPR subracts from pressures on exhale and PS adds to pressures. EPR is labeled a comfort setting, but it does in fact add therapy as it addresses Flow Limits and other therapy needs.

[felipao11]

My FLs look just like yours and I've been having the same issue of still feeling tired some days, some others are better. Did EPR worked for you?