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Good numbers, still can't sleep.
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Rcgop Offline

Advisory Members

Posts: 215
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #1
Good numbers, still can't sleep.
All numbers are very good but I still can't sleep.

Best I do is 1 hour at a time for the first half of the night. Then mostly awake the rest of the night. First half AHI is around 0 to 1, then last half of night AHI 4 to 6 for an average AHI around 3.

Any suggestions?

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
06-11-2016 06:46 AM
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green wings Online

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Posts: 553
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #2
RE: Good numbers, still can't sleep.
Hi Rcgop. It sounds like you've got some serious insomnia going on. Was this something that started with CPAP use, or has it been going on longer than that?


(06-11-2016 06:46 AM)Rcgop Wrote:  All numbers are very good but I still can't sleep.

Best I do is 1 hour at a time for the first half of the night. Then mostly awake the rest of the night. First half AHI is around 0 to 1, then last half of night AHI 4 to 6 for an average AHI around 3.

Any suggestions?
06-11-2016 07:52 AM
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0rangebear Offline

Advisory Members

Posts: 342
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #3
RE: Good numbers, still can't sleep.
Welcome aboard Rcgop

(06-11-2016 06:46 AM)Rcgop Wrote:  Best I do is 1 hour at a time for the first half of the night. Then mostly awake the rest of the night. First half AHI is around 0 to 1, then last half of night AHI 4 to 6 for an average AHI around 3.

It would help the folks in the forum to advise you if they could see the daily graphs. Someone may be able to identify what is waking you up.

If you have not set up sleepy head there is a link at he top of the page just under the Apnea Board address.

The two things that most often cause loss of sleep with folks starting positive airway pressure, are leaks and high pressure, creating difficulty exhaling. We acclimate to the higher pressure overtime, it can help to start lower and increase the pressure gradually.

The leaks need to be minimized to have successful therapy.
You also could try dropping the high setting to 15 to see if that helps, but if you do watch for any elevation in you AHI.

I also have higher numbers in the second half of the night
06-11-2016 08:15 AM
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Rcgop Offline

Advisory Members

Posts: 215
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #4
RE: Good numbers, still can't sleep.
Screen shot from sample day. What wakes me up every hour or keeps awake all night. Leaks are in line. Pressure is not too high. It does change which might be part of it. The constant waking was the main reason for seeing the sleep Dr. in the first place.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
06-11-2016 12:03 PM
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PoolQ Offline

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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: #5
RE: Good numbers, still can't sleep.
Fighting some of the same here. Numbers fine means that the therapy settings are correct for you. IMHO what is happening is that some of the comfort settings are "off" for you and you are not comfortable to sleep thru the night. I was at 30-60 minutes and have slowly gotten quite a bit better. The problem is that some of the changes I made are only available on the AirCurve VPAP (BiLevel) machine. Still not sleeping thru the night, but with the suggestions from some here am making progress again.

I am very sensitive to exhale pressure and when the machine detects the start of my exhale. Any interruption in my exhale disrupts my sleep. This of course does not mean that exhale pressure is what is impacting you, but something is.

I suggest you start making adjustments to the different comfort settings and keeping a journal so you remember what works and what does not. If you still can't make enough of an impact, you may need to change to the AIrCurve and gain that extra control and exhale range.
06-11-2016 11:48 PM
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vsheline Online

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Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #6
RE: Good numbers, still can't sleep.
(06-11-2016 12:03 PM)Rcgop Wrote:  Screen shot from sample day. What wakes me up every hour or keeps awake all night.

Hi Rcgop,

I suggest your Min Pressure is too low. I suggest walking it slowly up to around 7, taking a couple weeks to walk it up.

Might not help much, but I think it will help.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 06-12-2016 02:05 AM by vsheline.)
06-12-2016 02:05 AM
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Rcgop Offline

Advisory Members

Posts: 215
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #7
RE: Good numbers, still can't sleep.
Thanks vsheline,
Moved min up to 6 with very good results. I am thinking about raising it to seven except I have started to sleep for a few hours. My AHs and OAs have dropped to almost 0. I think my problem now is the wake/sleep junk at the end of the night.

Will work on the comfort settings for the next week.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
06-20-2016 06:22 AM
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