Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Need Help-AHI < 5 but still tired
#1
Need Help-AHI < 5 but still tired
I have been using CPAP for more than a year now. I have now managed to get the AHI level to be consistently below 5 and Obstruction to be less than 0 but I am still tired during the day. I have tried different pressure settings using CPAP and also auto APAP but it doesn't really change how I feel. I have enclosed the last couple of nights using various auto and fixed pressure settings. Can some body please help point me in the right direction and what I should do? I am out of ideas.

Thanks in advance.
Post Reply Post Reply
#2
RE: Need Help-AHI < 5 but still tired
I forgot the screenshots. Here they are.


Attached Files Thumbnail(s)
                           
Post Reply Post Reply
#3
RE: Need Help-AHI < 5 but still tired
Try these settings for a couple nights

Min 7
EPR full time 3
Max 20

EPR will help with your flow limits. FL are apnea also the same as O and H events. They stop you from getting deep sleep and can wake you up.

This setting will give you an inhale pressure 7 and exhale pressures of 4.

You need to give it a while and get better sleep for a few days to see any changes.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
Post Reply Post Reply
#4
RE: Need Help-AHI < 5 but still tired
I will add my 2 Cents: I too fought with brain fogging and tiredness for two years after I was switched from a ASV machine to a APAP.

The problem was/is although like you I was able to get my AHIs below 5 per night I was NOT getting GOOD sleep.

Good sleep requires DEEP sleep cycles and REM sleep cycles. With out them I could sleep 10 hours and still be groggy all day.

In my case I got a ResMed Sleep Score Max system and saw that the simple APAP was cutting my DEEP sleep cycles and REM sleep cycles short.

And in my case switching back to a ASV machine solved my sleep cycle problem.

Rich
Post Reply Post Reply
#5
RE: Need Help-AHI < 5 but still tired
Sorry, this had to be asked on my part

@racprops, do you have so many CAs that needs treating? Is that why you use and ASV? A person with so low levels of CAs shouldn't require an ASV, but maybe a BIPAP would be an improvement over a normal APAP that the PS is maxed out at 3.
Post Reply Post Reply
#6
RE: Need Help-AHI < 5 but still tired
Thanks for the replies.

(02-19-2023, 10:23 PM)staceyburke Wrote: Try these settings for a couple nights

Min 7
EPR full time 3
Max 20

EPR will help with your flow limits. FL are apnea also the same as O and H events. They stop you from getting deep sleep and can wake you up.

This setting will give you an inhale pressure 7 and exhale pressures of 4.

You need to give it a while and get better sleep for a few days to see any changes.


Thanks very much for the suggested setting. I will try it out starting tonight and will report back.
Post Reply Post Reply
#7
RE: Need Help-AHI < 5 but still tired
Reporting back after using EPR setting change since 2/20/2023. Feeling much better since the change until today. Even though the numbers look ok last night, see chart enclosed, I felt tired today. But I will continue on.

Also, seems to look like the Clear Airways numbers seems to have increased and also Obstructive numbers a little bit since the EPR change.


Attached Files Thumbnail(s)
       
Post Reply Post Reply
#8
RE: Need Help-AHI < 5 but still tired
It seems to improve the first couple of days but then it got back the usual tired feeling. Any other things I could change to help?
Post Reply Post Reply
#9
RE: Need Help-AHI < 5 but still tired
You're using a Resmed device, you can try a remediated Phillips device, it will help you sleep better. I'm one of the few on here that has tried both and the Phillips allows me to sleep better, juxtaposed with a similar AHI on DreamStation.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Still tired and CA events liebano 3 71 2 hours ago
Last Post: PeaceLoveAndPizza
  Low AHI but still feel tired everyday Abhi 5 250 11 hours ago
Last Post: staceyburke
  [CPAP] Low AHIs but still tired EntRESTo 1 71 Yesterday, 01:25 PM
Last Post: staceyburke
  New- CA CA-Tired help with settings advice jenjabba 8 182 03-27-2024, 01:03 PM
Last Post: SarcasticDave94
Question I'm back, tired, and hopeless. But is Bilevel the answer ?? weuw 83 4,988 03-23-2024, 08:16 AM
Last Post: Sleeprider
  Need help... Brain fog and constantly tired pulseoximeter 4 183 03-18-2024, 10:01 PM
Last Post: pulseoximeter
  tired during the day kwolsen 3 138 03-17-2024, 02:58 PM
Last Post: Big Guy


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.