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Managing the Sweet Spot
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0rangebear Online

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Posts: 341
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #1
Managing the Sweet Spot
I just reached my 104th day of therapy, and I met with my Dr. for compliance visit requested by Aetna for final payment to the DME for the machine. I went over the Data form sleepy head and he agreed that we have identified the "sweet spot" he advised me to leave the machine set at it current settings, until the machine breaks.

ThanksI-love-Apnea-Board
"Mission Success" I now can sleep on my back with the APAP, an and AHI <1 .... The Dr. was only expecting <6
Grouphug3Grouphug3

Any thoughts on managing the "sweet spot"?

I have attached a image from the comparative analysis I reviewed with my Dr. comparing the first 5 days of therapy with the and the last 5 days of therapy. I clipped it down because all the data was to big for the forums attachment allocation

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
04-11-2016 09:49 AM
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justMongo Offline

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Posts: 3,847
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Managing the Sweet Spot
[Image: party.gif]

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.
04-11-2016 10:01 AM
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Crimson Nape Offline

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Posts: 1,327
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #3
RE: Managing the Sweet Spot
CongratsCongratsCongrats

Statistics prove that people who have more birthdays live longer.
04-11-2016 10:09 AM
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green wings Offline

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Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #4
RE: Managing the Sweet Spot
That's terrific news, Orangebear. I know I'll give a big "Whew!" when I finally get to that point.

I'm giving your doctor a big frown, though, for being willing to settle for a nightly average 5 AHI and also for suggesting that your pressure needs are fixed in stone and that you'll never, ever need to change the pressure settings again.

It sounds like you can relax for now and enjoy some good sleep while also treating your apnea effectively. I imagine it has often seemed like those two things were incompatible goals during your first few months of APAP use.

I would imagine staying in the "sweet spot" will involve keeping an eye on the data and making small changes to your pressure settings if and when they are needed. Sounds like things are going to be a lot calmer in the immediate future.

I don't know if you've used a pulse oximeter. If not, that could be something to add in the future for occasional checks on how well your therapy is working, depending on how you're feeling. If you're feeling terrific, I probably wouldn't bother.

Congratulations! I confess that I'm envious, but I know that you've done the work to get where you are. I still have work to do.
04-12-2016 09:53 AM
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tmoody Offline

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Posts: 175
Joined: Mar 2016

Machine: PR System 1 BPAP AutoSV
Mask Type: Nasal pillows
Mask Make & Model: Swift FX nose pillows
Humidifier: PR System 1 attached
CPAP Pressure: 8-25
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Philadelphia

Post: #5
RE: Managing the Sweet Spot
It's very encouraging to hear of your success, Orangebear. I've yet to find the sweet spot, although my numbers on ASV are much better than they were on APAP. I have no idea what they were for the previous nine years on CPAP, but I imagine they started out well and deteriorated.

At any rate, your story gives me hope!
04-12-2016 10:04 AM
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FrankNichols Offline

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Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

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

Sex: Male
Location: Live Oak, Florida

Post: #6
RE: Managing the Sweet Spot
My "sweetspot" so far appears to be AHI=8.1... Sad


Congrats on your success!

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
04-12-2016 10:12 AM
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OpalRose Offline

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Posts: 3,168
Joined: Nov 2014

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: #7
RE: Managing the Sweet Spot
That's good news Orangebear,

As far as managing the "sweet spot", all you can do is look at your data on a regular basis.
If your AHI starts to inch up, then look to see what might be causing it.

Mine goes up and down, but still stays fairly low. There are so many variables that affect our sleep, like eating too late, not having a regular schedule, drinking too much, stress (job or family) and many of the different medications we take.

Just don't stress over the little things in life that don't really matter. Take care of you. Smile

OpalRose
04-12-2016 10:17 AM
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trish6hundred Offline

Advisory Members

Posts: 6,436
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #8
RE: Managing the Sweet Spot
Hi 0rangebear,
GREAT JOB!
Keep up the good work.

trish6hundred
04-12-2016 01:40 PM
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trish6hundred Offline

Advisory Members

Posts: 6,436
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #9
RE: Managing the Sweet Spot
(04-12-2016 09:53 AM)green wings Wrote:  That's terrific news, Orangebear. I know I'll give a big "Whew!" when I finally get to that point.

I'm giving your doctor a big frown, though, for being willing to settle for a nightly average 5 AHI and also for suggesting that your pressure needs are fixed in stone and that you'll never, ever need to change the pressure settings again.

It sounds like you can relax for now and enjoy some good sleep while also treating your apnea effectively. I imagine it has often seemed like those two things were incompatible goals during your first few months of APAP use.

I would imagine staying in the "sweet spot" will involve keeping an eye on the data and making small changes to your pressure settings if and when they are needed. Sounds like things are going to be a lot calmer in the immediate future.

I don't know if you've used a pulse oximeter. If not, that could be something to add in the future for occasional checks on how well your therapy is working, depending on how you're feeling. If you're feeling terrific, I probably wouldn't bother.

Congratulations! I confess that I'm envious, but I know that you've done the work to get where you are. I still have work to do.
Hi green wings,
You’ll get there, just keep on going, I know you will, I just want to encourage you.
Keep up the good work.

trish6hundred
04-12-2016 01:47 PM
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