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If one has A10 Autoset Why adjust ranges?
#11
YES. I like what you have decided, and hope it works well for you. Don't be disappointed if it feels awful or bad in some way. Just take it on bit by bit.

You asked what I would do if it were me doing it for myself. I would do it gently as #AsfSF says, would work up to 8.0 min 13.5 max, with EPR of 1 and would ramp from 6.0 for 10 minutes (I fall asleep in less than 7). It looks like we are all in the same ballpark.

by the way, I also concur with #AshSF that you are going to see that you'll have a 95th percentile pressure below 9.5 most nights, and your max have a hard time reaching 11. I also predict that you'll have AHI of under 1.5 most nights, and that your CA will be about 1.3 of that.

tell us how well we did at guessing.
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.
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#12
Thanks all for your excellent ideas and insights. I didn't read some of the newer one's till today, like the idea I change up by only .5 or 1.0 at a time. Oops.

So the night was wild...I did as I said I would, except having tried the settings before going to sleep, I didn't like the EPR of 3, so I put that down to 1.

Well I woke up during the night, having pulled mask off....also noted i'd heard raspberry sounds coming from my pursed lips etc....I had the presence of mind to try then resetting the EPR to 3 as had been suggested, managed not to mind it as I'd build in a 5 min ramp to my plan, and went back to sleep.

This A.M had my first AHI of 2.0 ever in 24 nights. (was a 0.9 OSA 0.9 CA and 0.1 unknown ) Yes I had more leaks, and disruptions etc in my sleep fidgeting, feeling air or leaking, but I think it says I was right to move it, if perhaps slower, to a narrower range. I did have a spate of 5 centrals during a couple mins of the early a.m all under 13 or so seconds.

I think I'll stay with this plan for another night with it starting at EPR 3, and the range staying 8-13.3 and see how that goes.

If you all have any thoughts let me know. I'll keep you posted how it goes night 2 of the narrower range.

Do all changes, even good one's, take some adjusting to for the body/brain etc?
I also think I only got up to pee like 2 or 3 times, which for me, is an improvement over pre-pap.

Sleep-well

Susan
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#13
excellent score. changes do take some adapting, good or evil. staying at a setting for a week before making more adjustments is prudent. hey, maybe you won't even need to change again.
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.
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#14
Hi Susan,
I agree that you need to narrow your range, but do it slowly. If you make an adjustment, try it for say 5 days and take note of AHI and how you feel. It took me almost a month to go from 4 to 20 range to my current range of 8.5 to 15. My AHI numbers are low, usually 2.0 and under. This morning it was .4. When I look at Sleepyhead, I can see that most of my events are in the pressure range of 10 and 11, so I may move minimum setting to 9. Believe me, I'm new at this too and still learning. Just to let you know, you will have ups and downs, don't get discouraged and take it one step at a time.
Good luck to you. The greatest thing for me is sleeping through the night, not getting up to pee, and feeling good in the morning...not like a Zombie.
R.Marie. Coffee
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#15
(01-20-2015, 12:58 AM)quiescence at last Wrote: YES. I like what you have decided, and hope it works well for you. Don't be disappointed if it feels awful or bad in some way. Just take it on bit by bit.

You asked what I would do if it were me doing it for myself. I would do it gently as #AsfSF says, would work up to 8.0 min 13.5 max, with EPR of 1 and would ramp from 6.0 for 10 minutes (I fall asleep in less than 7). It looks like we are all in the same ballpark.

by the way, I also concur with #AshSF that you are going to see that you'll have a 95th percentile pressure below 9.5 most nights, and your max have a hard time reaching 11. I also predict that you'll have AHI of under 1.5 most nights, and that your CA will be about 1.3 of that.

tell us how well we did at guessing.

Hi Quiescence,
Following up as you suggested. I have been doing what I've been doing for 7 nights now. I've had slightly more consistent numbers with my narrower range, but still not under AHI 6.0 consistently. Still about 1/3-1/2 of my number is centrals.

I am currently doing range of 5.6 (I couldn't bear the higher so I decided to go slower at raising it) -13.6 and my EPR is at 2.0 ...I'm not seeing dramatic improvements in numbers but I see what seems to be a trend towards more consistent numbers, lower 95th percentile pressure and 95th percentile leaks being at about 7.0 and under usually under 4.0 . My last two nights my maximum pressure was 11.00 which has happened in past so I don't know if it correlates.

Will keep plugging away.
Called to get appt for Sleep Dr followup...How dumb was I to think i'd be able to get an appointment for February when he said he'd like to see me to follow up? Um, they are booking in JUNE....I got a cancellation appt April 1st and the receptionist is going to see if He wants to try to squeeze me in earlier.

Thanks for your help.
Susan
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#16
that is great so far. interestingly you got a taste of AHI around 2, but just not ready yet. That is a-ok. surprised your 95% pressure is now so low, in the 7's. And, your median is down below 7, down from 8.3. If those CAs stay in the 1/2 or less as you up the pressure, it'll really be great news. those AHI values will be necking down as the min pressure is adjusted up. you might be aware of this, but the reason we were talking in the 8.0 range for the start pressure is because of the median being just above that. Now that you are getting consistent median in the 6.5 to 7.0 range, then I would have to suggest starts in that range or below. So, your next step may be the last you'll want, starting in 6.0 to 6.5 range. good luck to you. you'll be a pro by the 1st of April.
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.
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#17
(01-27-2015, 12:00 AM)quiescence at last Wrote: that is great so far. interestingly you got a taste of AHI around 2, but just not ready yet. That is a-ok. surprised your 95% pressure is now so low, in the 7's. And, your median is down below 7, down from 8.3. If those CAs stay in the 1/2 or less as you up the pressure, it'll really be great news. those AHI values will be necking down as the min pressure is adjusted up. you might be aware of this, but the reason we were talking in the 8.0 range for the start pressure is because of the median being just above that. Now that you are getting consistent median in the 6.5 to 7.0 range, then I would have to suggest starts in that range or below. So, your next step may be the last you'll want, starting in 6.0 to 6.5 range. good luck to you. you'll be a pro by the 1st of April.

Thanks for the encouragement Quiesence, I haven't seen such good numbers since I posted. If you feel like it, I've got my data posted on today's post that says "finally...data posted"...I like how you think, if you have any imput from those.

You'll be pleased to note, though I probably did make change too fast, I slept last night, horribly AHI wise/getting up to void wise, but very comfortably at 6.6...if that makes sense.

I've made changes in the past, perhaps too quickly, because I wasn't comfortable, not because I wanted better numbers necessarily, though that is motive no.2.

I had the machine running away on me and waking me some nights, I had pressure too low and feeling stuffy others etc. Now I FEEL good with what the machine does, (though It has been suggested to me by one who looked at my data, that I might consider raising my max a bit above the 13.6 I have it at, and that seems reasonable) But for now, depending on the general consensus of those who look at the data, other than a possible rise in top pressure, I'm happy to stay at 6.6 for at least 3-7 days to see how the numbers lay out.

Thanks for your very helpful thoughts. I'm also still grinning from Paula's herding cats analogy, and I am definitely a cat herder!Unsure here kitty kitty.

Susan
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#18
well I think comfortable sleep generally results in good sleep. how you feel is actually a great indicator of progress. just sorry that some either don't gain that sense of well being, or keep it.
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.
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