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I recently started using a Resmed Airsense 10 APAP for the past month to treat my mild sleep apnea. My doctor has set my pressure to 8-20 with an EPR of 3, yet I still feel cruddy. I wake up several times a night to pee and wake up in the morning with horrible brain fog and sleep inertia.
I originally asked my doctor for a solution, and he bumped my min pressure up from 6 to 8. However, after nearly two weeks at 8, I've noticed no difference in my sleep quality and still wake up several times a night.
Can anyone here help me interpret my data and, if needed, recommend a pressure change or some advice on how to improve my sleep?
Welcome to the forum.
Overall Your numbers are awesome. BTW, I would have tried the same thing your doctor did.
two things. First, it can take time to feel better, often more time than we would like to give it.
Second, Your pressure is being driven by your flow limits. The RERA you have indicated this and the 95% FL stat also does as well as the correlation of your flow limit chart with your pressure increases.
On a BiLevel I would suggest you increase your PS/Pressure Support (EPR is your equivalent, but is limited to 3)
Ask your doctor if you could try a BiLevel to see if your comfort improves (I think it well)
The old school method is to increase your min pressure once again, I'll point our that the differential pressure provided by EPR is much more effective at this then just increasing pressure. If you simply turn off EPR, or reduce it, you should see an increase in your hypopneas and flow limitations and a decrease in your comfort.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
I'd bump by 2 as a trial, the goal is you seeing and feeling a difference. I'd be surprised if it hurt anything,
IMHO in the end you will end up on a BiLevel, even if you need to get it yourself.
Look for a new sleep doctor, one that has many patients with UARS. Note that officially this is nothing but OSA but very few doctors recognize this. Search for Dr Barry Krakow. Any clinic he is associated with should be good. I'm sure there are others.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
I tried the min pressure of 8 with an epr of 3 for the past few nights but I still woke over several times throughout the night and my flow limitations still remained high. It turns out my Oscar was acting glitchy and the EPR was on last time.
