(07-06-2014, 02:38 PM)Salubrino Wrote: Hello everyone!
New to the forum - my debut post!
Hello and welcome!
Quote:I was diagnosed a month ago and got my machine and humidifier. No choice here in Sweden but it seems I got a good one - Resmed S9 VPAP + h5i with a Mirage Quattro FFM.
Your profile indicates you have a ResMed S9 Autoset, but you say you have the VPAP. Both of those are fine machines, but they have significant differences. There is also a VPAP Auto.
Quote:Anyway - I have some thoughts on what my goal AHI should be and what to expect. I read posts from people that are down to below 1...
There's really no consensus on that for a few reasons. First of all, you had an untreated AHI of 46.4, which translates to a diagnosis of severe sleep apnea. 15-30 is moderate, and 5-15 is mild. So below 5 is considered "normal" and accordingly that's the target we shoot for.
It's not some gold standard that you need to achieve. There are two hurdles to clear first.
1. Compliance. Are you using the machine every time you sleep, all the time you're sleeping. That's of primary importance and if you're doing that you should celebrate and consider yourself fortunate. Many people have a hard time clearing this hurdle.
2. Leaks. You need to check your leak rate and make sure it's acceptable. Getting the smiley face in the morning is the first step, but checking the leak rate with software is important, too.
3. AHI. Getting your AHI under 5 is the goal, but the AHI is the sum of three numbers and it's important to look at those three numbers and see how they're changing.
After that there are other things to be looked at such as flow limitation and snore, but that's nothing to worry about now.
Quote:Can I expect it to lower further by just continuing to using it or should I take some further measures. I do feel a lot better but still tired some evenings.
Both! I would not make any adjustments to the pressure settings until after you visit the doctor and have your results evaluated. When do you expect that to happen?
The fact that you're feeling better is the most important thing of all, and should be celebrated. You will have good days and bad. Your body has to adjust to being able to breathe and sleep at the same time, which is something it hasn't been able to do in the past, likely for a very long time. As you adjust your AHI will drop and the way you feel will continue to improve. Another thing you'll notice is improved cognition.