(03-02-2014 04:09 PM)Don in Austin Wrote: Stats and facts:
67 years old, 5' 8", waist 33", weigh somewhere in mid 170s. BMI says I am "overweight" but does not take into account a long trunk and relatively short legs. Perhaps I am overweight, but not by much. I have been exercising fanatically for the last five years -- gym 2x/week, 100 miles/week on a bicycle seeking out hills, and used to weigh 210 +. No statins, no blood pressure meds and good cardio-vascular bloodwork. Untreated OSA is high moderate/low severe. I do not use a CPAP and would appreciate this thread NOT turning into "What's wrong with you, why DON'T you use CPAP?" I will keep an open mind and if I become that desperate may try CPAP again.
I am under the care of a sleep specialist dentist, a conventional sleep specialist who normally turns to CPAP for her patients, and have seen an ENT. Several months ago, all three of these medical professionals and I were in agreement that the regimen I was on was working reasonably well if not perfect. This regimen is a custom-made TAP oral device in combination with a "bumper belt" to keep me off my back -- (more or less.) I have my own recording pulse/oximeter and bring a week's worth of readings into my doctor appointments. Last of all, the whole thing is complicated by PLMD syndrome, but I don't think that is my primary problem.
Coincidental with acquiring a little extra weight over the Christmas/New Year's holiday the oximeter readings went to crap and the poor readings were corroborated by the all too familiar waking up at 12:30. 2:00, 3:00 4:30, 6:00 and difficulty getting back to sleep. Everybody on this forum knows what I am talking about! Discouraging to say the least! Damn near like I was before any treatment at all. With the help of fasting 40 hours for a colonoscopy last week, a little vigilance re' gratuitous calories and better weather allowing more cycling miles, I have lost a few pounds. How much did I lose? Hard to say because the scale fluctuates + or - almost 4 pounds with hydration level, meals, exercise etc, but it isn't much more than 5 lbs. Yet there has been a huge encouraging improvement. This morning's pulse/oximeter graph was back to the ballpark of what we all agreed was liveable and I slept 7 hours straight through.
It seems a real stretch that something like a 3% weight loss could have such a dramatic effect, but if so, I will take it. Not only will I take it, but I will do what needs to be done to lose maybe 10 or so pounds more. I hadn't been motivated previously because, as I said earlier, my weight is not really that excessive -- confirmed by two different personal trainers -- and because of fanatic exercise I have had the luxury of eating as much as I want, (with strict avoidance of junk carbs and junk food in general,) and maintaining.
I will be consulting my sleep dentist next week and think I may also move up my checkup appointment with my general sleep specialist nurse practitioner -- excellent lady who listens and informs very patiently however long it takes. When I made the appointment with the sleep dentist, his nurse did say that they had one lady who put on just a few pounds over holidays and had a major setback.
Has anyone else here found a seemingly trivial weight change to have a major effect on their OSA?
Awaiting and very appreciate of reports from anyone else who may have experienced such a correlation. If its something else altogether than weight-related I have no clue what!
Don in Austin
I am now down to almost 170 lbs -- lots of range with hydration levels and etc., have weighed as little as 169 but usually weigh 171, 172 lbs. Last night the pulse oximeter said: 4.1
events/hr, time below 90% 02 =.7%
, time below 88% O2 = 0%.
I know this is not perfect and I know that a pulse oximeter is not a full blown sleep study, but its what I've got. (Remember, I use bumper belt and oral device.) The apparent improvement is corroborated in that I am waking up once or never on a typical night.
I want to keep going but I am starting to plateau out. Seems my body is getting stubborn about losing any more. The week of a colonoscopy with 40 hours fasting (only clear liquids allowed and I wasn't about to drink sugar water) pre-procedure was great for weight loss, but I can't really have colonoscopies on a regular basis!
Don in Austin