[Diagnosis] Please help with Sleepyhead Stats?

[ekimox]

[attachment=4550]Hello,

Long time lurker on here but I need to try and take control of how I'm feeling and was seeking help with my numbers & stats. I formatted the screenshot as instructed and wanted to see what can be improved or tweaked. My AHI seems really low for how poorly I feel every morning. I just switched from an S9 Autoset to a Airsense 10 Autoset. Not sure what to make of everything so any help that can be provided is really, really, appreciated. 

Thank you all!

[Walla Walla]

Except for the large leaks during the first part of the night the numbers look good. You might want to raise your ramp pressure to 6cm for comfort. Some people have trouble getting enough air at 4cm.

[ekimox]

Thanks for your response. Would you just increase the ramp pressure from 4 or increase the overall pressure at the same time (not sure if they can be tuned independently). 

I constantly wake up every morning in a braindead fog and have for far too long. Any other suggestions or info that I can provide that might be helpful? 

Cheers.

[yankees123]

Looks like your pressure is 7-11 with ramp off. Might want to raise your min to 8or 9 and raise your max since you ware hitting the max.  Maybe leave at 20 and then post another screenshot and see where it wants to go.

[ekimox]

I've made the changes to the settings and will report back.

In the meantime if anyone else has any helpful tips I'm all ears

[Walla Walla]

There really was no need to change your Therapy settings as you have great results with your numbers now. What I was talking about was just changing the ramp pressure to 6cm. But on second thought you'd probably be better off just turning the ramp off.

[Gideon]

I'm with Walla Walla here.   Your numbers are excellent, a small issue with a leak that is just over threshold.  Very few of us have a consistent AHI of under 1, yours is 0.26.  Under an AHI of 5 and you are "Officially" treated, but we are not very "official" in stopping there but there is very little left to do.

7-11 cmw EPR2 is your home, where you go back to if a change makes you uncomfortable.  Changes with an AHI of .26 should be small (no more than .4) and for a period of time (Ideally a week), preferably a week to evaluate the impact of the change.

Why to change?  To impact how you feel and your comfort, so How do you feel?

You say you are feeling poorly every morning.  Can you be more specific.

You have a consistent low level of "Flow Limit" thru the night.  It is possible, only possible, that this is causing your poor feeling.

Suggestions:
1: Raise your min by .4 cmw, to 7.4 cmw (a small change) and wee what happens to your charts and flow limits. 
2: Show an expanded view, about 2 minutes worth when something is happening with the Flow Limits.  That will give us a breath by breath view of what is happening.

Fred

[MikeBear]

I would kill for your numbers. The only issue I see is your leaks need to be better controlled.

Have you considered that the way you feel in the morning, is NOT completely related to your sleep apnea?

Have you been tested for other things, or perhaps you are taking some meds that are causing this?

[trish6hundred]

Hi ekimox,
WELCOME! to the forum.!
Good luck with CPAP therapy, hang in there for more responses to your post.

[ajack]

If it were my left hand side stat chart, I'd have min 9 to be around my 'Med' median pressure and lift my max to 15, to be out of the way. The machine may not rise above the current set 11, but it might want to. It probably won't alter your AHI or even make you feel better. It's just a standard way that is suggested, to set up the machine.

I would go back to your doctor and see if he has any ideas, why you don't feel refreshed.