Post Reply 
Can someone comment on this?
Author Message
Marnid2014 Offline

Preferred Members-2

Posts: 187
Joined: Mar 2014

Machine: ResMed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: P10 & Circadience Advance Cloth Mask
Humidifier: H5i
CPAP Pressure: 4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Florida

Post: #1
Can someone comment on this?
I am mystified why my AHI is going up as I am losing weight, so far I have lost 23 lbs and have 30 to go. I know I was told that if the CA's were increasing, then that would possibly be not a big deal, but it's really the OA. I was having about 0.2 something or other and now it's up to 2.16 last night. Funny thing, I am sleeping very well, and hardly waking up and before I was waking up 2-3 times a night. My stats are:

PressurePressure (cmH20)
W-Avg: 6.00 6.00 6.00 6.00 6.00
EPAPExpiratory Pressure (cmH20)
W-Avg: 4.00 4.00 4.00 4.00 4.00
Minute Vent.Minute Ventilation (L/min)
W-Avg: 4.07 0.00 3.88 6.38 9.62
Resp. RateRespiratory Rate (breaths/min)
W-Avg: 15.22 0.00 15.20 18.40 20.80
Flow LimitFlow Limit Graph (0-1)
W-Avg: 0.05 0.00 0.01 0.27 0.42
LeaksLeak Rate (L/min)
W-Avg: 6.02 0.00 3.60 18.00 21.60
SnoreSnore (unknown)
W-Avg: 0.01 0.00 0.00 0.04 0.06
Insp TimeInspiratory Time (seconds)
W-Avg: 1.86 0.88 1.74 2.60 5.08
Exp TimeExpiratory Time (seconds)
W-Avg: 2.10 0.00 2.12 2.68 3.36
Tidal VolumeTidal Volume (ml)
W-Avg: 263.90 0.00 240.00 440.00 780.00

I am not sure what to look for so I am attaching a screen shot of last night. Does this look like a REM issue? I was told that when you go through REM cycles you can have this happen, but I just don't know if that is the deal.

Thanks!!!
06-12-2014 08:38 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,013
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #2
RE: Can someone comment on this?
Marnid,

I think I remember reading a post by someone who lost significant weight and had to raise their therapy pressure. Probably not the norm but not necessarily something that needs to be worried about. It also might be your body readjusting.
Just keep on truckin' Marnid you are doing great.

Best Regards,

PaytonA
06-12-2014 08:49 PM
Find all posts by this user Post Reply Quote this message in a reply
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #3
RE: Can someone comment on this?
You included the AHI graph which is unnecessary but excluded the event graph which I like to see. You also omitted the color key at the top of the image and I am not smart enough yet to remember which events are what color, but I can easily match them to the event chart.
06-12-2014 08:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Can someone comment on this?
(06-12-2014 08:38 PM)Marnid2014 Wrote:  Funny thing, I am sleeping very well, and hardly waking up and before I was waking up 2-3 times a night.
That is all what does matter the most

If I have to make a comment, I would suggest a chinstrap
One question if I may ask: is there a reason why going to bed in the early hours of the morning?

Looks like you have EPR set at 2 or 3, this is something for you and the doctor to find what level works better for you
06-12-2014 09:12 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #5
RE: Can someone comment on this?
The leak graph looks ok, but could be better. As Zonk suggests you might benefit from a chinstrap gently applied.

Other than that I would consider increasing your pressure from 6 to 7 for a few days and see how it looks.
06-12-2014 10:42 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #6
RE: Can someone comment on this?
It could simply be body positioning. As you lose weight, you are changing positions more or sleeping in a different position or something.

It is still well below 5, you are feeling good. Leave it alone but keep an eye on it. If it starts to regularly be into the 4 or you start to not feel like you are getting adequate sleep, then perhaps increase the pressure. But until then, continue to monitor.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
06-13-2014 03:36 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Noobie with comment and question Snowbird47 12 1,170 10-07-2015 09:16 PM
Last Post: zonk
  ResMed AirFit P10 comment... GrammaBear 12 2,244 08-25-2015 06:32 PM
Last Post: GrammaBear
  Comment about AHI Stats robgb 5 2,352 03-14-2013 07:15 PM
Last Post: PaulaO2

Forum Jump:

Who's Online (Complete List)