Over the past year I have noticed my sleep is not as restful and generally tired. My AHI after starting CPAP for almost a decade was very low (Pressure ~10) and feeling good. Last year I was put on an APAP after not feeling well rested on CPAP.
I started looking through my data the past year and have 2 concerns;
Rising AHI (Centrals & hypopneas) and possible periodic breathing
Rising AHI
My AHI has risen to about 4 with frequent days >5 and the higher the number the worse I feel next day. Mostly Centrals and Hypopneas
Hypopneas: They always come with a flow limitation (pics incl). I noticed a good portion of them are preceeded with erratic breathing, I think these are from rolling onto my stomach after filming myself one night and with movement data. Can these be anything else? (Pics included)
Centrals: Always show up when falling asleep or before waking, some during the night. A decent amount come in clusters (pic incl)
(Pics included)
Periodic breathing:
I noticed my flow rate doesn't look like normal data and has a periodic pattern (sometimes more sometimes less pronounced). Rarely do the valleys reach zero but the pattern is visible alot. A couple times the pattern had central apneas at the nodes back to back but its rare.
(pics included)
Is this periodic breathing? Anyone have an idea whats going on and what can be done to help reduce my AHI and feel better rested?
PICS OF ALL EVENTS: https://imgur.com/gallery/ECO9qN8https://imgur.com/gallery/ECO9qN8ttps://imgur.com/gallery/ECO9qN8
APAP 10-11.6 (For Her Algorithm)
EPR Off
Airsense 10 with Amara View Full Face (mouth breather)
SPo2 avg ~96 most of the night