Not sleeping as great as used to

[kemeky]

Hello,

Over the past month, my quality of sleep seems to be diminishing.  The "how I feel" metric is not nearly as good as it used to be.  The numbers are creeping up a bit.  AHI has been consistently over 3 for the past month.  I understand that is still within range, but my sleep quality seems to be impacted by the subtle increase.  Or, maybe it is just a coincidence?

Any thoughts?  Pressure increase?  Raise or lower my head (Currently use a super flat pillow)? 

Thanks!!



        Hello,

[mesenteria]

I don't know what your night's charts looked like back in June or in March, but you show quite a few CAs, which are reflected in the left-side summary. Have you gained weight, have any other life's circumstances of note changed (good or bad), have you lost a partner, have you entered into a relationship...had a cold recently?  Maybe got COVID and didn't have it manifest?

[kemeky]

CA's have always been the issue. Just not that many. The charts from earlier in the year are similar, just with a lot less CA's. No lifestyle changes or illnesses. Ironically, when I did have a cold, possibly Covid, my AHI was under 1.

I will keep doing what I am doing and maybe my body will adjust. Thanks!

[kemeky]

Hopefully someone can give some advice or suggestions.....I truly do appreciate the help!!

Over the past month, my numbers have gone up with no changes in lifestyle or illnesses.  I don't wake up feeling rested.  I feel fatigued right off the bat.  

My settings were the same for over a year.  Over that time period, the average AHI was 2.4.  I understand that my numbers will never be less than 1.  A 2-3 range with a good night sleep would be the perfect scenario.  That has been the case up until recently.  Centrals are the overwhelming majority of nightly events.  Very few obstructive, if any.  Did change to the nasal pillows last month from a full face mask.  Numbers were very similar up until recently.

So, here are 3 recent nights.  Last night, I did adjust the pressure up to 9 to see if that worked.  It did not.  I am beyond frustrated.  I do appreciate any suggestions and advice.


           

[OpalRose]

Have you always used EPR? Let's try setting EPR at 1 and see if that helps.

Also, higher pressures won't help with CA's, but you may need to adjust higher if Obstructives increase.

[kemeky]

Thank you. Yes, at the recommendation from this board, I have my EPR set at 3. Would you recommend dropping the pressure back to 8?

[OpalRose]

Set the pressure back to 8cm with EPR at 1. This way, you're only making one change at a time.

[kemeky]

Will do. Thank you for the suggestion. Will see how that goes.

[Gideon]

Note that here we do not assume that EPR WILL lead to increased CA events at a problematic level. Congrats you have done so. As Opal as said the solution is to first back off of the EPR and watch the balance between Obstructive and Central events with the goal of not eliminating central as a LOW number of central will help your body adjust, but to reduce the central without the obstructive events rising too high.

[kemeky]

So, I tried the new suggestions over the past 2 nights.  Thank you for the input!


A few observations:
    * I feel like I am sleeping longer without tossing or turning
    * I feel a bit more rested
    * It seems like the humidifier is using more water
    * Flow limits are a bit higher