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How common is it to take months to get AHI under 5.0?
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TheManseHen Offline

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Posts: 243
Joined: Jan 2015

Machine: RedMed A10 Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: One that came with machine
CPAP Pressure: 7.6-14.0 EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Started C-pap Boxing Day 2014. Tortured sleep more or less since 2000. Trigeminal Neuralgia.

Sex: Female
Location: San Francisco

Post: #11
RE: How common is it to take months to get AHI under 5.0?
Thanks Opal, Swazi, Tyrone, Mr.Van W, Sleepy, Very encouraging.

My overnight study was a home study with the ability to detect centrals. At that time I had no centrals.
It was a rushed study because I had to have it back by noon and only went to sleep at that time, at 5 am.
So I never got into my deep sleep period.

AHI 26.6
Apneas avg 22. longest 44.
Desats in Oxygen to 76 %
Positional was that I had the highest no of episodes on my left side. Least on my stomach (how I prefer to sleep) Second least on right side, and third least on my back. Interestingly I spent almost no time on my left side, I swear the body seems to "know."
I will ask Dr if he has a theory about the left being an issue.

My avg AHI that ResScan caluculates for all 45 days together, ahi is 5.5 /2.7 of that OSA and 2.1 Central. So I'm not totally out there.

My settings- I was set up with an Autopap set to 4-20. I started tinkering after 20 days. First move being up from 4 cause it was too stuffy.
Then I moved the range narrower and have been inching my way toward 8-14. I didn't have a titration study so i don't know what therapeutic magic number is.

Tyrone, I will try to keep the recording time to still and settled for sleep to eliminate any hangers on from movement.

Sleepy, I shall take a look at those studies. I spend a lot of time reading the literature and appreciate it.

Keeping at it!
The Manse Hen
(This post was last modified: 02-18-2015 04:09 AM by TheManseHen.)
02-18-2015 04:04 AM
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swaziman Offline

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Posts: 51
Joined: Dec 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed F10
Humidifier: inbuilt
CPAP Pressure: 8 -12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Australia

Post: #12
RE: How common is it to take months to get AHI under 5.0?
I set my range by monitoring the detailed flow diagram on ResScan when it was set at 4-20. Over time I was able to raise the lower number until it was just under my low point during the night. I don't think the upper number matters too much. Now I find my nightly flow is fluctuating between my range quite well, getting close but never touching.

Something unknown is doing we don't know what.
(Professor Sir Arthur Eddington, astrophysicist)
02-19-2015 04:05 AM
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TheManseHen Offline

Preferred Members-2

Posts: 243
Joined: Jan 2015

Machine: RedMed A10 Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: One that came with machine
CPAP Pressure: 7.6-14.0 EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Started C-pap Boxing Day 2014. Tortured sleep more or less since 2000. Trigeminal Neuralgia.

Sex: Female
Location: San Francisco

Post: #13
RE: How common is it to take months to get AHI under 5.0?
Swazi, that is excellent. I am very pleased for you that you've been able to do that! That is my theory too and I am aiming for it.
Happy Snoozing.

The Hen.
02-22-2015 04:05 PM
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Montreat Offline

Members

Posts: 9
Joined: Jan 2015

Machine: Airsense 10 - Started 02/05/2015
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro Mirage - Small
Humidifier: Integrated
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments: Switched to APAP from fixed on 5/21/15

Sex: Male
Location: Northwest NC Mountains -

Post: #14
RE: How common is it to take months to get AHI under 5.0?
My first sleep test showed my having an AHI of 25.6 I started on 02/05 this year, and it was not until 02/09 that I got the Resmed My Air set up so I can quickly check basic stats in the morning. Looking back to my first "my air" recorded night being 02/09 through last night gives me 13 sleep nights to average out and that shows an average AHI of 1.2 for the period, with a high AHI of 4.2 and a low of .3 I know I felt way better the first morning after starting with no afternoon "out of control" napping. I am looking forward to see what the moderate and long term effects are going to be. I am thankful to have this forum to communicate with others in the same apnea "pool" for support, ideas, product ratings, etc.
02-23-2015 06:17 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #15
RE: How common is it to take months to get AHI under 5.0?
welcome Montreat! you got great numbers and great feeling all at once. that is really really nice. let us know when you first feel like dancing or skipping. don't believe me it is in your future? BELIEVE!

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
02-23-2015 06:54 PM
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holden4th Offline

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Posts: 239
Joined: Dec 2015

Machine: PR System One REMStar 60 Series Auto with Bluetooth
Mask Type: Nasal mask
Mask Make & Model: Respironics Dreamwear
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 11- 15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Gold Coast Australia

Post: #16
RE: How common is it to take months to get AHI under 5.0?
I started CPAPing in December and went about it the worst possible way. Four days after I got my machine I went on holiday to stay with friends for a month. I thought that a relaxed environment and plenty of sleep time would do it all. How wrong I was. I just couldn't get to sleep for any period of time and after a weeks I gave up until I returned home. The issue was using nasal pillows and mouth breathing waking me up (that sudden rush of air at the roof of the mouth).

At this point I discovered the Apnea Board - a very important step in my progress!

I went back to my DME and got a Dreamwear nasal mask and bought a chinstrap but results were variable and nowhere near that magic 5.0. However, the chin strap did manage to bring my AHIs down considerably. I had an APAP machine set to CPAP 13 and decided to go into auto mode and experimented with different ranges of pressure. The AHIs came down a bit further

My next move was to buy a soft cervical collar and get rid of the chinstrap. This was a big move and my numbers came down even more but were still too variable. Once again I read through all sorts of threads on this board, posted screenshots of my nights sleep via the Sleepyhead app and received heaps of great advice.

A lot of the advice made me wonder if a machine that used a different algorithm to the F&P Icon might be a good move. I felt that I needed some pressure relief when I exhaled and the Icon couldn't provide this feature.

So six days ago I picked up the Resmed S9 Autoset from the DME and the improvement has been dramatic to say the least. I've had 5 consecutive days under 5.0 with a record 1.14 recorded last night. I'm looking forward to my first <1.0 and I think it will be soon.

So the message is hang in there, experiment, use the advice you get from these very knowledgable people and you will get there. It's taken me three months but I know I am on the way to great sleeping.
03-22-2016 04:13 AM
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green wings Offline

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Posts: 548
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: #17
RE: How common is it to take months to get AHI under 5.0?
Hi Manse Hen. Thanks for this thread. It seems to be bringing comments from several people who are still relatively new to xPAP and are still working to get to a good place, therapy-wise.

I had my sleep study last fall and had untreated AHI in the 30s and RDI in the 50s. I was prescribed CPAP. My average AHI is hovering around 5 but my graphs are showing around 75% of the events in my last 2-3 hours of sleep, so I'm not happy with that.

I'm looking at taking some graphs to my doctor and seeing if I need to switch to APAP. My titration study wasn't very thorough, so it's not really a surprise.

From what you said, you still have some changes to make as you adjust to the pressure. I was amazed that such a small amount of pressure did initially give me sore muscles around my ribcage, like another poster mentioned.

I am so thankful for this board. When I found it in late January, I was having problems using my machine more than 2-3 hours a night due to waking up with nasal congestion.

gw
03-22-2016 08:35 AM
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archangle Offline
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Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #18
Necrothread
Mansehen posted this over a year ago.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
03-22-2016 11:18 AM
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green wings Offline

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Posts: 548
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: #19
RE: Necrothread
So she did. Still a helpful thread.

(03-22-2016 11:18 AM)archangle Wrote:  Mansehen posted this over a year ago.
03-22-2016 02:41 PM
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ruach Offline

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Posts: 33
Joined: Feb 2016

Machine: DS960T BiPAP autoSV ADV 60 series, 30cm DOM
Mask Type: Nasal mask
Mask Make & Model: DreamWave
Humidifier: PR1 60 Series Heated Tube Humidifier
CPAP Pressure: EPAPmin 8, EPAPmax 15, etc.
CPAP Software: SleepyHead

Other Comments: Max Pres 25.0, EPAP min 8.0, EPAP max 15.0, BPM Auto, PS min 0.0, PS max 17.0

Sex: Female
Location:

Post: #20
RE: How common is it to take months to get AHI under 5.0?
Hello TheManseHen,

It took me 3 years to get my average to be under 5 -
It took me a year to find a mask that I liked. In the past half year my average AHI increased . . .

But, finally, I am averaging 3.5 since I have been put on a different device - an auto ASV bipap, because they discovered I had central apneas that needed to be treated, and the auto bipap that I was using was not treating those. I have had my new device just a couple of weeks now . . .

Also, last month, my respiratory therapist suggested I try a new mask, which is my all time favorite- the DreamWear Mask - it's the most comfortable mask of the several masks that I have tried Smile

It is a journey, for some it seems to go well from the start, some of us others take time . . .
03-22-2016 07:58 PM
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