I'm a fairly new to the CPAP journey. I've had OSA for around a decade, and only recently decided to do something about it now that I'm old enough to realise that my health is something that doesn't fix itself.
The report attached to my polysomnogram results indicated "moderate to severe snoring" and "Severe obstructive apnea and hypopnea, worse in REM and when supine with significant desaturation", so CPAP was definitely going to be a good course of action.
I spent a month on a trial machine with a fixed pressure of 7, and over the month my average AHI was 2.6. I've changed masks around to find something I'm comfortable with (Using a Wisp, though some nights I have more leak problems than others). I am struggling a little with my sinuses and mentioned to my doctor about looking at a full face mask, but he's suggested I try nasal douching (which looks as bad as it sounds). Willing to give it a go - I have chronic sinus issues, and apparently this may help that as well. If it means I can stick with a nasal mask, then it's worth a shot.
I have a refurbished ResMed S8 Lightweight - it was cheap, and due to the nature of my health insurance, I need to self fund the purchase of a machine. I couldn't afford something decent (and hadn't really made up my mind), and buying an older, cheap unit seemed more logical than continuing to rent a unit. Also, I'd really prefer to have a unit at my partners place (a few hours away where I stay on weekends) and that can be used for travel, backup, etc., so having a backup seems to make a lot of sense. I function OK with this old machine, however I'm aware it's data output is limited and the cost of the card reader for that specific type of card is really quite expensive here so I haven't yet spent a third of what the machine cost me to buy a card reader.
I'm thinking further ahead to the machine I actually want to buy that will be my everyday machine (emphasis again on "buying" so cost is a factor).
My sleep doc doesn't like auto machines, and thinks that there isn't enough research for them to be of value to most people. My own research seems to suggest that people seem to be doing better with them.
I've been debating looking for an auto machine and seeing how close to my prescription it stays. I believe that my titration study was somewhat botched, as the computer controller they used to drive the CPAP machines wasn't working, and the technician told me outright that she didn't know how to drive the machine manually. Within 2 hours, my hose had enough fluid in it to gargle so loudly I had to take it off, so I suspect she was changing the humidity rather than the pressure.
My results after a month on CPAP had my AHI down to 2.6 so my doc says that it seems to be working where it is, however all of this testing occurred during our summer when my sinuses are pretty good, rather than for the other 9 months of the year when I'm usually suffering. I'm concerned (even with nasal douching) that I may need a little more pressure, and an auto unit would be a better investment.
I was thinking that the DeVilbiss SleepCube Auto Plus looks interesting - it's about the only auto machine I can buy here under $1000 (which is preferable as the next options are $1500+), the 5 year warranty gives me some confidence, and as far as I can tell it should be able to provide me with a reasonable level of information so I can monitor myself and start to get a clue how I'm really going.
Thoughts on whether I should actually move to an auto unit?
Anyone familiar with the data recorded by these units, and whether or not it captures enough useful information for me to monitor what is going on?
Thanks for reading (I know this was pretty long!).