Post Reply 
Fragmented sleep
Author Message
SamStamport Offline

Preferred Members

Posts: 44
Joined: Mar 2016

Machine: DreamStation CPAP Pro
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Pico
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Began CPAP 3/3/16

Sex: Male
Location: West Columbia, TX

Post: #1
Fragmented sleep
Hello,

Since starting CPAP in early March my sleep has improved, but I've not yet achieved a solid night's sleep without waking 3 or more times each night. I've not found a graph in SleepyHead that shows the trend, but it seems that the wakefulness periods are slowly getting shorter. Should I be concerned about this or just be patient and wait for my body to continue to adjust into a normal sleep pattern?

Thanks,
Sam
07-03-2016 10:12 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Crimson Nape Offline

Monitors

Posts: 1,329
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #2
RE: Fragmented sleep
Don't worry, you're on the right path. Just try waiting it out. It almost took me a year to "normalize".

Statistics prove that people who have more birthdays live longer.
07-03-2016 10:35 AM
Find all posts by this user Post Reply Quote this message in a reply
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #3
RE: Fragmented sleep
There are so many possible reasons for this that no one can give an easy answer. Some people make 1 or 2 setting changes and then sleep fine, some adjust and then sleep fine, others like me are very sensitive to CPAP and just don't sleep restfully until the machine is adjusted with about every setting available. I can tell you that I would never adjusted.

I started out waking up every hour and slowly with lots of help from this forum just got up once last night and that was a bathroom break. It can be done, but it does not do it by itself. If you can get used to it then great, many can do just that. If not we need to see plots and get an idea of just what is going on for about an hour before you wake up.

step one is leak control
step two is therapy pressure to get the apneas under control
then you get on to comfort settings, if you are not comfortable you will not get restful sleep.

Personally I had to be able to rest with CPAP running and figure out what I was feeling: not enough air, too warm, too humid, inhale being cutoff, start of inhale being delayed. None of this was something I was used to before CPAP and was all new. Congested before was a cold, now it was too much humidity and just the pressure itself made me think I was congested.

Small adjustments and keep a journal so you know what changes you made and how your felt, you will forget.

If you want to go after changes, post some sleepyhead plots.
07-03-2016 11:53 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
chill Online

Advisory Members

Posts: 856
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #4
RE: Fragmented sleep
Did you wake up like this before you started CPAP?
07-03-2016 01:14 PM
Find all posts by this user Post Reply Quote this message in a reply
SamStamport Offline

Preferred Members

Posts: 44
Joined: Mar 2016

Machine: DreamStation CPAP Pro
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Pico
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Began CPAP 3/3/16

Sex: Male
Location: West Columbia, TX

Post: #5
RE: Fragmented sleep
Thanks for your prompt and helpful replies.

I started with a full face mask at a pressure of 10.

About a month ago I got a Respironics Pico mask and pressure was increased to 12. I've been using the small mask since I got it, but last night I decided to try the large mask again. I was having lots of large leaks with the large mask and lots fewer with the small one. Last night was a learning experience. I tried the large mask again. Wow! What a difference. I had an awful night. Toward morning I went back to the small mask and slept much better.

At the time I got the Pico mask and pressure was increased to 12 I also got a chin strap. I'm experimenting to see if that makes a difference. I'm concerned that it makes me grind my teeth. I've not used it the last several days.

Here's some data from last night.


Attached File(s) Thumbnail(s)
   
07-03-2016 03:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #6
RE: Fragmented sleep
Well a couple of things: first off it shows that you are really trying to make this work!

As I am sure you know by now-something is bothering you, a lot. Do you remember any thing about what you were feeling around the time you took the mask off? Starved for air, congested, something interrupting your breathing?

I would like to see two different zoomed in sections: first just before 23:30 and again just to the right of the green curser between 4:00 and 4:45 where the flow rate drops down and leading up to that point.

For me personally starting at 12 would be very difficult, even at 8 is not easy. Are you having any trouble exhaling? Feeling like you have to concentrate and push air out?
07-03-2016 03:43 PM
Find all posts by this user Post Reply Quote this message in a reply
SamStamport Offline

Preferred Members

Posts: 44
Joined: Mar 2016

Machine: DreamStation CPAP Pro
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Pico
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Began CPAP 3/3/16

Sex: Male
Location: West Columbia, TX

Post: #7
RE: Fragmented sleep
With the large mask I felt a lot of leaks and moisture accumulating on the lower part of the mask & my chin. I may have been drooling. It just seemed like I wasn't getting enough air.

I started in early March with a pressure of 10. It was increased to 12 a month ago per Pulmonologist prescription.

I hope these are the graphs you wanted to see.

https://www.dropbox.com/s/ed171ncg22us7n9/sh1.jpg?dl=0

https://www.dropbox.com/s/l2fm058vc2s1a2b/sh2.jpg?dl=0
(This post was last modified: 07-03-2016 06:11 PM by SamStamport.)
07-03-2016 05:58 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,994
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #8
RE: Fragmented sleep
(07-03-2016 10:12 AM)SamStamport Wrote:  Since starting CPAP in early March my sleep has improved, but I've not yet achieved a solid night's sleep without waking 3 or more times each night. I've not found a graph in SleepyHead that shows the trend, but it seems that the wakefulness periods are slowly getting shorter. Should I be concerned about this or just be patient and wait for my body to continue to adjust into a normal sleep pattern?

Just be patient and wait. But while you're waiting it's important to monitor your data and make changes.

I have the same problem you're experiencing. One thing that helped a lot was changing to a full face mask, something I did as a result of looking at my leak rate graphs. No doctor saw it, even though they looked at my data.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
07-03-2016 06:53 PM
Find all posts by this user Post Reply Quote this message in a reply
SamStamport Offline

Preferred Members

Posts: 44
Joined: Mar 2016

Machine: DreamStation CPAP Pro
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Pico
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Began CPAP 3/3/16

Sex: Male
Location: West Columbia, TX

Post: #9
RE: Fragmented sleep
My situation seems opposite from yours. The small mask has fewer leaks than the large one.

I guess everyone's face is different.
07-03-2016 09:38 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Rip and Rosie Offline

Preferred Members

Posts: 29
Joined: Feb 2016

Machine: RemStar Pro
Mask Type: Nasal mask
Mask Make & Model: Fisher & Paykell Eson
Humidifier: Dream Station
CPAP Pressure: 10.5
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Australia

Post: #10
RE: Fragmented sleep
When I started on CPAP, it fixed my SA but did nothing for my insomnia, which emerged as a greater issue for me.
I was taking ages to get to sleep, 2 -3 toilet breaks per night and couldn't get back to sleep for ages after each one.
I got a copy of The Sleep Diet by Carmel Harrington.... it gives some lifestyle changes and a diet..... which helped immensely..... and I'm losing weight.
The changes involved no caffeine after mid day, exposure to sunlight and decreasing bright lights before bed etc. The diet is a Spanish ketogenic diet... low carbs / high protein. Lots of fish, chicken, salads, olive oil, veges.... no calorie counting.
After 4 months, I'm doing okay... AHI under 3 usually, 8 hours sleep, 1 toilet break and back to sleep within minutes. However, nothing's perfect and it still takes me an hour or so to nod off, and some times my mask leaks annoy me .
Hope it helps you.
07-05-2016 06:56 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
Gross [Symptoms] Fragmented Sleep kwhenrykerr 11 638 08-30-2016 05:22 PM
Last Post: kwhenrykerr
  Fragmented Sleep help request and I know the Eyes have it! :) icyura10 5 352 08-25-2016 01:26 PM
Last Post: icyura10
  New to Apnea Board - Frustrated with Fragmented Care paige88 20 5,960 11-11-2015 07:03 PM
Last Post: wishicansleep
  [Health] Fragmented sleep due to pain storywizard 36 3,965 09-14-2015 07:01 PM
Last Post: Hanrahan

Forum Jump:

Who's Online (Complete List)