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My AHI doesn't match how I feel..any ideas?
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REMfan62 Offline

Members

Posts: 14
Joined: May 2015

Machine: Phillips Respironics System One 60 Series
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: System One
CPAP Pressure: fixed at 14
CPAP Software: SleepyHead

Other Comments: Severe Obstructive Sleep Apnea (64 AHI when untreated)

Sex: Male
Location: Gages Lake, IL

Post: #11
RE: My AHI doesn't match how I feel..any ideas?
Sleeprider, most of what you asked is in my profile on the left.
05-12-2015 09:54 PM
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REMfan62 Offline

Members

Posts: 14
Joined: May 2015

Machine: Phillips Respironics System One 60 Series
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: System One
CPAP Pressure: fixed at 14
CPAP Software: SleepyHead

Other Comments: Severe Obstructive Sleep Apnea (64 AHI when untreated)

Sex: Male
Location: Gages Lake, IL

Post: #12
RE: My AHI doesn't match how I feel..any ideas?
Ah, i didnt realize i was zoomed on a short timeframe. Try this


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(This post was last modified: 05-12-2015 10:08 PM by REMfan62.)
05-12-2015 10:05 PM
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leximorph19 Offline

Members

Posts: 9
Joined: Feb 2015

Machine: Philips Respironics REMstar Auto A-Flex 60 series
Mask Type: Nasal mask
Mask Make & Model: Respironics WISP
Humidifier: System One 60 series humidifier
CPAP Pressure: 6-11 cm H20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location:

Post: #13
RE: My AHI doesn't match how I feel..any ideas?
hi REMfan62,

I'm in the same boat as you. I've also been on the CPAP for 3 weeks. Though there are noticeable improvements, they are not as exhilarating as the one after the first titration. I still experience bouts of sleepiness during the day, which I fix with coffee and the occasional power nap. I've reduced caffeine intake to 2-3 cups a day. Dancing

In 2 weeks, I will be discussing my progress with the sleep doctor. Maybe after that, I can modify pressure settings such as the ramp minimum. I feel a bit starved with 4cmH20 at the ramp start - though I'm getting used to it anyway. Earlier, the sleep lab recommended a setting of 6cm as ideal since it did not cause central apneas. Nevertheless, the sleep doc prescribed 4-10cm for me - telling me not to worry about central apneas that could occur, as they did during the titration @ pressures above 6 and below 10. My AHI averages 2.7 which sounds good according to SleepyHead. Overall, my figures are improving. How I feel though is something else. Maybe my body will take some more time to fully recover, after having been sleep-deprived for years. Unsure

It's encouraging that other members report that the wait could take up to a few months. So there's hope of better things to come.
Sleep-well
05-12-2015 10:24 PM
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OpalRose Offline

Monitors

Posts: 3,180
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: #14
RE: My AHI doesn't match how I feel..any ideas?
(05-12-2015 09:54 PM)REMfan62 Wrote:  Sleeprider, most of what you asked is in my profile on the left.


REMfan62,
I believe Sleeprider is asking the specific model of your machine.
If you turn it over, (remove humidifier first), you will find a model number.
Look for either PR S1 460 or 560 series.

OpalRose
05-13-2015 07:21 AM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,369
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #15
RE: My AHI doesn't match how I feel..any ideas?
(05-12-2015 09:54 PM)REMfan62 Wrote:  Sleeprider, most of what you asked is in my profile on the left.

Your profile only says Remstar 60 Series. There are numerous devices that match that description. The latest screen shot (well done!) clarifies you have the Auto 560. I'll stand by my previous post that while you're doing well with CPAP, if you wanted to experiment with APAP mode, then a minimum pressure of 11 and maximum of 16 would be a good bracket to try. I also think 5.0 minimum for 20 minutes is not a good ramp setting for you. I'd start at a higher pressure for shorter time if you're comfortable with that.

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05-13-2015 09:22 AM
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AshSF Offline

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #16
RE: My AHI doesn't match how I feel..any ideas?
RemFan. Your AHI is pretty low. So you can't get a better feeling in the morning by tweaking your pressure to lower the AHI score further. Something else is at work here. It could either be Flow Limitations or it could be your body is adjusting to the new normal.

To evaluate FLs, you can put the 560 machine in APAP mode and keep max and min pressure to 14 (your current pressure). Then, you will see Flow Limitations in your sleepyhead report as well. View it for a few days and see if it is high. If not, then you are good on that front too.

Most likely, your body is adjusting to the cpap machine. Your average minute ventilation is 10Lpm and Resp rate is 17. These are pretty high. Over time, these things adjust to normal. It may take a few weeks or months for that, so hang in there.

My 2 cents. YMMV.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
05-13-2015 10:02 AM
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Terry Offline

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Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #17
RE: My AHI doesn't match how I feel..any ideas?
(05-12-2015 08:33 PM)REMfan62 Wrote:  I've only been on CPAP about 3 weeks, and while I generally have more energy, I don't feel nearly as good as I thought I might after my first night on CPAP during the study. Perhaps my machine isn't functioning right in some way. I've read alot about the sleepyhead data, but there is so much, I don't even know where to look first.

Can anyone help point me in the right direction? Here is some recent data.

You might try switching your machine to auto and give it some head-room, and see if it fixed anything. It looks like you're set @ 14cm fixed pressure.
(This post was last modified: 05-13-2015 12:47 PM by Terry.)
05-13-2015 12:45 PM
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trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #18
RE: My AHI doesn't match how I feel..any ideas?
Other than your first 20 minutes, I think your graph looks pretty darn good!
Myself, I am not a fan of ramp, but some people need it, especially at the beginning getting used to the machine. Maybe in a few weeks when you feel more comfortable, try setting it to APAP and opening up the pressures like suggested above.

Congratulations! Your AHI is at a level many other wish they could achieve.
05-13-2015 12:49 PM
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darth_vapor Offline

Members

Posts: 18
Joined: Apr 2015

Machine: Resmed Airsense A10 APAP
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Attached with Airsense10
CPAP Pressure: 5-15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #19
RE: My AHI doesn't match how I feel..any ideas?
(05-13-2015 10:02 AM)AshSF Wrote:  RemFan. Your AHI is pretty low. So you can't get a better feeling in the morning by tweaking your pressure to lower the AHI score further. Something else is at work here. It could either be Flow Limitations or it could be your body is adjusting to the new normal.

To evaluate FLs, you can put the 560 machine in APAP mode and keep max and min pressure to 14 (your current pressure). Then, you will see Flow Limitations in your sleepyhead report as well. View it for a few days and see if it is high. If not, then you are good on that front too.

Most likely, your body is adjusting to the cpap machine. Your average minute ventilation is 10Lpm and Resp rate is 17. These are pretty high. Over time, these things adjust to normal. It may take a few weeks or months for that, so hang in there.

My 2 cents. YMMV.

What is the importance of flow limitations and how to interpret flow limitation data in Sleepyhead?
05-13-2015 02:38 PM
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DariaVader Offline
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Monitors

Posts: 1,827
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #20
RE: My AHI doesn't match how I feel..any ideas?
(05-12-2015 08:33 PM)REMfan62 Wrote:  I've only been on CPAP about 3 weeks, and while I generally have more energy, I don't feel nearly as good as I thought I might after my first night on CPAP during the study. Perhaps my machine isn't functioning right in some way. I've read alot about the sleepyhead data, but there is so much, I don't even know where to look first.

Can anyone help point me in the right direction? Here is some recent data.
  1. You have more energy
  2. Your treated numbers look fantastic!
  3. You have only been treated for 3 weeks....


I know it's hard, but be patient. For me the first couple weeks I would wake more alert and with less pain, but began craving sleep a little later in the day each day, and when I say crave, I mean I wanted to sleep so badly I could hardly keep my eyes open... Every fiber wanted to crawl back into that lovely sleep! I'm at 6 months now and am just starting to feel like I have more energy, so you already have me beat. Smile My treated AHI looks fantastic too... but feeling better is gradual. I just hope it takes less time than it took me to get so out of whack from lack of sleep... because if not, I will die before it happens Bigwink

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
05-13-2015 02:48 PM
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