Sometimes it is necessary to trick the system in order to get what is the most appropriate for our health. sometimes the "guidelines" are well behind the technology and in order to get the correct therapy, one must trick the system. Not saying that is what you are doing Jane, just that sometimes it is necessary.
If I had the choice, I would op for an APAP, which many seem to consider the Cadillac of sleep apnea treatment, particular for pressures on the higher end. Whenever I eligible for a new machine, I will push for an APAP.
My journey continues....
I have completed a 2 week trial of CPAP at 12.
Followed by a 2 week trial of CPAP at 14 that lasted 1 night. Could not tolerate fixed pressure at 14.
Then a 2 week trial with APAP 5-15 -
Apnea Index: 6.6 Hyponea index: 1.5 AHI: 8.0
Obstructive: 4.0 Central: 2.5 Unknown: 0.0
Median Pressure: 9.4, Maximum pressure: 13
Next APAP trial 7-17
Apnea Index: 5.4 Hypopnea Index: 1.0 AHI: 6.4
Obstructive: 3.2 Central: 2.5 Unknown: 0.0
Median Pressure: 9.7 Maximum Pressure 13.1
I really don't know how to interpret these stats but I think I fall under the required 4 pressure variance to be eligible for the APAP through government assistance.
I am going to buy an APAP anyway but want to know if the results are acceptable. I started at 48 AHI - I don't know the breakdown of Central and Obstructive. Does CPAP therapy eliminate AHI altogether if set properly? Do I need a different PAP therapy?
I couldn't figure out how to use sleepyhead. No card in the Loaner machines.
Last machine ResMed AirSense 10 AutoSet for Her.
You need to get the AHI down below 5.
Your trials suggest you are getting close and need to fine tune the therapy. Whatever machine you buy make sure it is fully data capable and at least an APAP machine, not a simple CPAP. You may end up needing a constant pressure but, if so, the APAP machine can be set to do that. If you need variable pressures then you have the machine to do that.
If you fail on the APAP then there are further steps available to you but there are good chances you will be fine on APAP.
Once you get your machine make sure it comes with an SD card and download SleepyHead and check your numbers and graphs each day. After awhile you will begin to see patterns and that will help you titrate your therapy to where you need it. Make sure you learn how to adjust all the settings yourself at home and not need to have the DME or Doctor do it for you.
And although the numbers and graphs are vital for you, so also is how you are feeling. If you have the best numbers in the world but still feel bad you need to make sure that this is addressed and not ignored.
The above is my opinion. It is just possible that I may, occasionally, be mistaken.
I am neither a Doctor, nor any other kind of medical professional.
Everything put together sooner or later falls apart.