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Inconsistent AHIs... Still adjusting?
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kyhmm72 Offline

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Machine: Philips DreamStation
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Sex: Female
Location: State of Confusion

Post: #1
Question Inconsistent AHIs... Still adjusting?
I downloaded the EncorePro software for my DreamStation yesterday as well as my 8 nights of data. My AHI ranges from 2.7 - 4.8. I know the goal is to keep it below 5, but I see people with 0 - 1 AHIs. I've been satisfied with my DreamWear mask; no, it's not perfect, but there's nothing covering my face, and no hose in my face, so it makes the night smoother for me, or at least I feel like it does. With that said, that's the only mask I've purchased and used since my sleep study. I'm wondering if I keep going as I am, with the DreamWear and accept the inconsistent AHIs, or do I start looking for another mask to hopefully satisfy me and provide lower and consistent AHIs?

As always, thank you all in advance for your input!
04-03-2016 08:40 AM
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
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Humidifier: REMStar heated humidifier with heated hose
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CPAP Software: SleepyHead EncoreBasic

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Location: Northeast Ohio, USA

Post: #2
RE: Inconsistent AHIs... Still adjusting?
(04-03-2016 08:40 AM)kyhmm72 Wrote:  I downloaded the EncorePro software for my DreamStation yesterday as well as my 8 nights of data. My AHI ranges from 2.7 - 4.8. I know the goal is to keep it below 5, but I see people with 0 - 1 AHIs. I've been satisfied with my DreamWear mask; no, it's not perfect, but there's nothing covering my face, and no hose in my face, so it makes the night smoother for me, or at least I feel like it does. With that said, that's the only mask I've purchased and used since my sleep study. I'm wondering if I keep going as I am, with the DreamWear and accept the inconsistent AHIs, or do I start looking for another mask to hopefully satisfy me and provide lower and consistent AHIs?

As always, thank you all in advance for your input!


Hi kyhmm72
It is normal to see the AHI change from day to day. You are still early in the game, so give it some time.

Sleepyhead software now supports the DreamStation. You will be able to see more with this software than Encore Pro, plus easier to use. See Sleepyhead link top of page. This way you can post some screenshots and someone can take a look to
see what is going on.

My AHI can range anywhere from .3 to just under 2. I am still considered treated, but I know if I reach an AHI of 2, I need to look at my data. Everyone is different, and there are a lot of things that affect our sleep from night to night. Try to keep a consistant bed time schedule, and sleep hygiene is important. Plus no caffeine before bed, and for me, I don't eat after dinner. Meds also affect our readings.

If you like your mask, stick with it. How is your leak rate?

OpalRose
04-03-2016 09:03 AM
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kyhmm72 Offline

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Posts: 20
Joined: Mar 2016

Machine: Philips DreamStation
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics DreamWear
Humidifier: Philips DreamStation
CPAP Pressure: 6-16
CPAP Software: Other Software

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Sex: Female
Location: State of Confusion

Post: #3
RE: Inconsistent AHIs... Still adjusting?
How do I insert a screenshot?
04-03-2016 09:56 AM
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Sleeprider Online
Wiki Editor
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Posts: 3,378
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Machine: Resmed Aircurve 10 Vauto
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CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Post: #4
RE: Inconsistent AHIs... Still adjusting?
Screenshots are taken in Sleepyhead by touching the F12 key. These tutorials explain how to organize data and post a screenshot.
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
04-03-2016 10:14 AM
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justMongo Offline

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Post: #5
RE: Inconsistent AHIs... Still adjusting?
And, there's Paula's how to:
http://www.apneaboard.com/forums/Thread-How-to-HOW-DO-I

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.
04-03-2016 10:18 AM
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chill Online

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Post: #6
RE: Inconsistent AHIs... Still adjusting?
I have no advice for you, just an assurance that you are not alone. In the last week my AHI has been as low as 1.1 and last night was 6.2. Yawn, where is the coffee again? I think this is likely due to three factors: poor sleep hygiene, taking or not taking sleep medications, and drinking alcohol too close to bedtime. I have not isolated it yet.

Before starting CPAP drinking before bed never seemed to affect me, either way I woke up feeling terrible. Now I notice. Last night I decided to stay up late as I was not sleepy and do some reading over a few whiskies. Today I am paying for that.
04-03-2016 12:21 PM
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FrankNichols Offline

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Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

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Post: #7
RE: Inconsistent AHIs... Still adjusting?
(04-03-2016 12:21 PM)chill Wrote:  Last night I decided to stay up late as I was not sleepy and do some reading over a few whiskies. Today I am paying for that.

Well, and pay you should, Whisky - yuk!, you should drink home made Mead - ah, now that is a drink made for sipping and reading Smile

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
04-03-2016 12:33 PM
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kyhmm72 Offline

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Machine: Philips DreamStation
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics DreamWear
Humidifier: Philips DreamStation
CPAP Pressure: 6-16
CPAP Software: Other Software

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Sex: Female
Location: State of Confusion

Post: #8
RE: Inconsistent AHIs... Still adjusting?
Let's see if this works...

[Image: upXWzAOl.png]

If this is helpful to anyone, please let me know what you understand from it. Thanks in advance!!

~Helen
(This post was last modified: 04-03-2016 02:23 PM by kyhmm72.)
04-03-2016 02:21 PM
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OpalRose Offline

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Posts: 3,181
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Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #9
RE: Inconsistent AHIs... Still adjusting?
Good job on your screenshot.

I don't see anything to be concerned with, but if you want to tame the Hypopneas, FL, and Snores, you may want to move your start pressure up to 8cm. A start pressure of 6 is a little too far from your 90% number. The 90% number means you were at that pressure and below for 90% of the night.

Clear airways are not a problem. You could bring your max pressure down to 15 or leave it where it is for now.

OpalRose
04-03-2016 02:58 PM
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kyhmm72 Offline

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Posts: 20
Joined: Mar 2016

Machine: Philips DreamStation
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics DreamWear
Humidifier: Philips DreamStation
CPAP Pressure: 6-16
CPAP Software: Other Software

Other Comments:

Sex: Female
Location: State of Confusion

Post: #10
RE: Inconsistent AHIs... Still adjusting?
(04-03-2016 02:58 PM)OpalRose Wrote:  Good job on your screenshot.

I don't see anything to be concerned with, but if you want to tame the Hypopneas, FL, and Snores, you may want to move your start pressure up to 8cm. A start pressure of 6 is a little too far from your 90% number. The 90% number means you were at that pressure and below for 90% of the night.

Clear airways are not a problem. You could bring your max pressure down to 15 or leave it where it is for now.

Thank you thank you thank you!! I know I can physically change the settings on the machine, but should I do that or wait until I see the sleep specialist on the 28th for follow-up? Also, I will be getting a new machine next week probably. I am supposed to have the Auto adjusting machine and they were out of them, so the one I have is auto for up to 30 days, and then must be a set pressure.

I really really really appreciate you taking a look at that for me!! I just don't know yet what I'm looking at. And I want to be as informed as possible about my therapy, and not just take doctors' words for it. Thanks

Oh yeah, how do I know what my 90% is??
(This post was last modified: 04-03-2016 03:11 PM by kyhmm72.)
04-03-2016 03:09 PM
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