Do you have problems breathing in and out your nose due to congestion or other nasal issues?
If so, be sure to use nasal rinses and sprays to help with that.
I noticed you have not tried a nasal pillow mask. Is that a consideration? It could prove easier to use in combination with a chin strap.
The only other thing I can suggest is to use your tongue to seal off the air so it cannot escape out your throat. You do this by placing your tongue to roof of mouth with tip of tongue behind front teeth. Then suck lightly upwards. This allows your tongue to make a seal at the back of your throat so no air can escape. This does take some practice, but will work.
Much better than using a chin strap. :grin:
Also, your leak rates may be high due to this mouth breathing, and if you are showing high leak rates, your AHI number may not be accurate.
You are not going to feel well rested until you can get this under control. I suggest you download Sleephead software and start looking at your stats, especially leak rates.
[quote='OpalRose' pid='130659' dateline='1442076611']
I usually get some nose blocks in the Winter and this is the reason I have the FFM ready just in case .
I appreciate your kind tips & very helpful suggestions. Thanks .
I've had similar issues. Now 5 months in I'm getting good results. Early on I switched to nasal pillows and felt great but had unacceptable mouth leaks. When I switched to FFM, I had a heck of a time getting AHI under control and just couldn't zero in on proper pressures. Went back to pillows but with mouth taped (possibly dangerous, but I really wanted to figure this out!) with 2" paper tape. Same results as the FFM - high AHI and trouble finding right pressure. Finally guessed based on comments here that not only were pressure requirements higher on FFM than pillows, but also that I needed a tighter pressure range on APAP, possibly due to ResMed's aggressive pressure rises with flow restrictions and apneas. Now on a tighter 2 cm h2o pressure range and about 3 cm higher top pressure, I've got AHI consistently under 5 (and I feel good)! I'm about to go back to FFM and quit taping!
So - possible take-home for you is that you might need a tighter pressure range, and also that you might need higher pressures when mouth leaks are eliminated. I don't know how to zero in on these without either a period of adjusting pressures and watching the data with software so kindly offered here - or a really good sleep study titration.
You will likely need to up pressure a bit but im beting a Fitife total face is your answer.
No cheek ballooning , the pressure is equal alm over your face. Doesnt feel so " pressury" sas other masks and makes no difference if you mouth is open or closed.
Used one for quite a while.