Post Reply 
Has 'mild sleep apnoea' been redefined numerically?
Author Message
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #11
RE: Has 'mild sleep apnoea' been redefined numerically?
You could set the minimum up 1/2 a point. Not anymore than that. See what happens. You might need to raise the max a little too, but not now. One thing at a time.
05-21-2015 12:51 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #12
RE: Has 'mild sleep apnoea' been redefined numerically?
Hypopnoeas refer to a narrowing of the air passage, and the machine figures that out through various methods, depending on the manufacturer. While it means that less air is flowing efficiently into your lungs, you are still getting air and unless your sO2sats are dropping precipitously with hypopnoea events I would not sweat that figure so much. If you have a recording pulse-ox, then take a night's readings, hook it into the data for that night and see if you have any major desats during your hypopnoeas. My guess is that you will still be relatively high, over 90% and so there is not much risk of cardiac stress at those levels.
(This post was last modified: 05-21-2015 12:54 PM by DocWils.)
05-21-2015 12:53 PM
Find all posts by this user Post Reply Quote this message in a reply
Asjb Offline

Advisory Members

Posts: 173
Joined: Oct 2014

Machine: Aircurve 10 CS Pacewave ASV. Before 11/2015 Airsense 10 Auto
Mask Type: Full face mask
Mask Make & Model: FP Simplus & Remzzzs liner
Humidifier: Integral
CPAP Pressure: Current info in this post
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: France

Post: #13
RE: Has 'mild sleep apnoea' been redefined numerically?
(05-20-2015 08:18 PM)Mosquitobait Wrote:  
(05-20-2015 12:04 PM)Asjb Wrote:  I saw a new sleep doctor today (here in France) who told me that any AHI of less than 12 is now *not* sleep apnoea, even 'mild', so that no changes need to be made to my regime.

I thought 'mild' OSA was an AHI of 5-15?

Has anyone heard that is has been redefined, or was I told nonsense?

However, the diagnosis is based on your sleep study number(s), not what you are getting with therapy.

Sorry but I don't understand the reasoning - could you explain it further please?

If, for example, I had a another sleep study now but secretly! did it while using my CPAP - on my current treatment results I would have a test result AHI of 5-10, which would then be <diagnosed> as mild sleep apnoea.

I am of course very pleased that my AHI with CPAP is greatly reduced compared to my (real) diagnostic test, but I just think it would be a good idea to try and improve things even further and I do not understand why two different sleep doctors are not at all concerned. If I have to go to bed each night with a pump, hose and mask... I would much prefer that this treatment resulted in <no sleep apnoea> rather than <mild sleep apnoea>.

So surely that suggests that my current CPAP regime is sub-optimal?

Or have I misunderstood missed your point?

05-22-2015 04:29 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: 4,995
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: #14
RE: Has 'mild sleep apnoea' been redefined numerically?
There is no reason to think that an AHI of 5 means your CPAP therapy is effective, other than the fact that that's the threshold used to diagnose untreated patients.

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.
05-22-2015 10:05 PM
Find all posts by this user Post Reply Quote this message in a reply
Asjb Offline

Advisory Members

Posts: 173
Joined: Oct 2014

Machine: Aircurve 10 CS Pacewave ASV. Before 11/2015 Airsense 10 Auto
Mask Type: Full face mask
Mask Make & Model: FP Simplus & Remzzzs liner
Humidifier: Integral
CPAP Pressure: Current info in this post
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: France

Post: #15
RE: Has 'mild sleep apnoea' been redefined numerically?
(05-22-2015 10:05 PM)Sleepster Wrote:  There is no reason to think that an AHI of 5 means your CPAP therapy is effective, other than the fact that that's the threshold used to diagnose untreated patients.

Dear Sleepster,

OK, I take your point but, when taken together with my symptoms -
quote <Still tired and not very good sleep quality and increase in insomnia. Oxymetry results are acceptable>
which I mentioned in a previous post in this thread, why therefore are my AHIs on CPAP of 5-10 not relevant?

Please could you explain why a first step to try and improve my continuing symptoms on CPAP treatment would not therefore be to start with trying to find a pressure setting that achieved an AHI of less than 5?

Thanks
05-23-2015 04:21 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
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: #16
RE: Has 'mild sleep apnoea' been redefined numerically?
(05-23-2015 04:21 AM)Asjb Wrote:  Please could you explain why a first step to try and improve my continuing symptoms on CPAP treatment would not therefore be to start with trying to find a pressure setting that achieved an AHI of less than 5?

I agree that tweaking your pressure to try and get a lower AHI is the thing to do. That's what your doctor is doing. What I and others are saying is don't freak out because your AHI is a bit above 5.

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.
05-23-2015 09:00 AM
Find all posts by this user Post Reply Quote this message in a reply
Asjb Offline

Advisory Members

Posts: 173
Joined: Oct 2014

Machine: Aircurve 10 CS Pacewave ASV. Before 11/2015 Airsense 10 Auto
Mask Type: Full face mask
Mask Make & Model: FP Simplus & Remzzzs liner
Humidifier: Integral
CPAP Pressure: Current info in this post
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: France

Post: #17
RE: Has 'mild sleep apnoea' been redefined numerically?
(05-23-2015 09:00 AM)Sleepster Wrote:  
(05-23-2015 04:21 AM)Asjb Wrote:  Please could you explain why a first step to try and improve my continuing symptoms on CPAP treatment would not therefore be to start with trying to find a pressure setting that achieved an AHI of less than 5?

I agree that tweaking your pressure to try and get a lower AHI is the thing to do. That's what your doctor is doing. What I and others are saying is don't freak out because your AHI is a bit above 5.

Dear Sleepster,

You have clearly never met me. It would be accurate to say I have never <freaked out> about anything in my life...

It can be rather discouraging to ask something on this forum as a <newbie>.

I think I may not bother again.
05-23-2015 10:18 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #18
RE: Has 'mild sleep apnoea' been redefined numerically?
(05-23-2015 10:18 AM)Asjb Wrote:  
(05-23-2015 09:00 AM)Sleepster Wrote:  
(05-23-2015 04:21 AM)Asjb Wrote:  Please could you explain why a first step to try and improve my continuing symptoms on CPAP treatment would not therefore be to start with trying to find a pressure setting that achieved an AHI of less than 5?

I agree that tweaking your pressure to try and get a lower AHI is the thing to do. That's what your doctor is doing. What I and others are saying is don't freak out because your AHI is a bit above 5.

Dear Sleepster,

You have clearly never met me. It would be accurate to say I have never <freaked out> about anything in my life...


It can be rather discouraging to ask something on this forum as a <newbie>.

I think I may not bother again.
(This post was last modified: 05-23-2015 11:10 AM by storywizard.)
05-23-2015 10:44 AM
Find all posts by this user Post Reply Quote this message in a reply
Asjb Offline

Advisory Members

Posts: 173
Joined: Oct 2014

Machine: Aircurve 10 CS Pacewave ASV. Before 11/2015 Airsense 10 Auto
Mask Type: Full face mask
Mask Make & Model: FP Simplus & Remzzzs liner
Humidifier: Integral
CPAP Pressure: Current info in this post
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: France

Post: #19
RE: Has 'mild sleep apnoea' been redefined numerically?

[/quote]

take a breath, this is the web, words can be misleading....

Storywizard....
[/quote]

Dear Storywizard,

I think the breath should rather be taken by someone before he or she writes misleading words!!

Might make for a more pleasant world...
05-23-2015 11:13 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #20
RE: Has 'mild sleep apnoea' been redefined numerically?

take a breath, this is the web, words can be misleading....

Storywizard....
[/quote]

Dear Storywizard,

I think the breath should rather be taken by someone before he or she writes misleading words!!

Might make for a more pleasant world...
[/quote]

Yes there is that, before we read and before we write or speak..

:-)

S
05-23-2015 11:17 AM
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
  mild sleep apnea LGF1 6 455 09-26-2016 07:10 PM
Last Post: BadGoodDeb
  Mild Apnea:do I need mask Orangey 7 474 08-01-2016 11:00 AM
Last Post: Mosquitobait
Question Newbie with Mild Sleep Apnea BeachyKeen 5 499 07-03-2016 08:38 PM
Last Post: Rcgop
  Predicting severity of sleep apnoea with just oximetry? Asjb 12 1,060 06-04-2016 03:34 PM
Last Post: eviltim
  Mild Pulsing Effect on Exhale holden4th 4 681 05-19-2016 03:33 AM
Last Post: holden4th
Question Awake periodic breathing/ desats, otherwise healthy? (+sleep apnoea) Carbon 7 993 03-02-2016 06:46 AM
Last Post: Carbon
Question Interesting Article on Sleep Apnoea Mutineer 7 877 02-12-2016 01:09 PM
Last Post: surferdude2

Forum Jump:

Who's Online (Complete List)