recent problems with sleep disturbance

[gwc2795]

So glad it is working for you. With the knowledge you have gained your future looks bright.

[sleepybones]

[quote pid='256907' dateline='1525193654']
So glad it is working for you. With the knowledge you have gained your future looks bright.
[/quote]

thank you. i learnt a lot from this thread and website. these user forums are invaluable.
i assumed the increase in pressure would prevent the apneas, but the higher pressure seems to have reduced the likelyhood of them occuring and the less spikes in pressure seems to have given me a better nights sleep.

[gwc2795]

So glad

[ardenum]

hey its what i have issues with. i have over 500 microarrousals per night

[gwc2795]

hey its what i have issues with. i have over 500 microarrousals per night

WOW!! thats rough

[sleepybones]

You might want to try setting your machine for a fixed rate of 8cm and see if that helps you sleep better. Sometimes pressure changes can cause sleep disturbance.

that is very harsh. good luck with finding a solution to yours. i thought that i only need a low pressure, but found the higher pressure helped quite a bit. it was uncomfortable the first couple of nights, but now i don't notice the higher pressure. 
i also use the Resmed Airtouch mask which has a lot less leaks than i had on my previous F20, which used to blast the odd shot of air into my eyes and disturbed me.

[Sleeprider]

thank you. i learnt a lot from this thread and website. these user forums are invaluable.
i assumed the increase in pressure would prevent the apneas, but the higher pressure seems to have reduced the likelyhood of them occuring and the less spikes in pressure seems to have given me a better nights sleep.

That right there is a gem of advanced insight that we don't just treat the apnea, but manage the sleep quality as an equally important objective.

[sleepybones]

i have been subtlely increasing the pressure. i'm now at 11.6 minimum. it appears that from 11.2 to 11.6 should be my base figure. that seems to reduce AHI's to 0.2, and there are minimal leaks. i've felt quite refreshed the past 2 nights and waking a bit earlier. my upper limit is 12.6, but even when an Apneoa is identified the machine only rises to c.11.6/11.8, so i think the base figure is likely to be the best i could achieve.
fingers crossed i've cracked it. the past 12 months have been a learning curve with tweaking here and there, and hopefully if i continue at this level for the foreseeable future i'll have caught up on the tiredness and will only improve fully going forward.
i've also hidden my machine on the windowsill as the wife was suffering due to the higher noise of the machine. the curtain dampens the sound a bit, so hopefully she'll be a bit more rested going forward.
i'm also requesting a switch of clinic from my current hospital to Swindon, as i went to an open day at Swindon, and they are incredibly more proactive than the current and have weekly dropins - something which my current hospital doesn't offer, and my email request for help in March has still not received a reply.

[Sleeprider]

You have come a long way in optimizing your therapy and you're getting better results than most of us can hope for.   Such low AHI is not possible for everyone, but your technique is excellent. As far as machine noise, you can always enclose the machine in a bedside drawer.  I use a 2-inch hole cut through the back for the hose and power.