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Over a month and AHI's still high
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Gulfbreezey Offline

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Post: #1
Over a month and AHI's still high
I am sleeping some better but I'm not getting those magic numbers of 5 and under for AHI's.

Looking for what to look at in SleepyHead to figure out what my settings should be. I'd really like to get this numbers down.

In the 34 days I've had one low of 5.2 and 2 in the low/middle 6's. The rest of the nights go from 9 to 18. Average is 11.29.

Thanks for any help.
02-27-2015 01:10 PM
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SailingAway Offline

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Post: #2
RE: Over a month and AHI's still high
It would make it a lot easier to answer your questions if you would post the SleepyHead screenshots of what's going on with you.
02-27-2015 02:08 PM
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retired_guy Offline

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Post: #3
RE: Over a month and AHI's still high
For beginners it looks like your pressures could stand to be raised a bit. But we really can't know that without some statistics. Last night for instance, what was your 95% pressure, and your max pressures? If, as I suspect, you are sitting parked on your upper limit, it might be helpful to raise your minimum to about 6, and your max to 10, then watch it for a few days.
02-27-2015 02:33 PM
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Gulfbreezey Offline

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Machine: PR System One REMstar Auto 560
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CPAP Pressure: 4 - 8
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Sex: Female
Location: North Florida

Post: #4
RE: Over a month and AHI's still high
[attachment=1311][attachment=1314][attachment=1315]
(02-27-2015 02:08 PM)SailingAway Wrote:  It would make it a lot easier to answer your questions if you would post the SleepyHead screenshots of what's going on with you.

I hope these are what you wanted.
Thanks!
02-27-2015 03:20 PM
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Mr. Van Winkle Offline

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Post: #5
RE: Over a month and AHI's still high
(02-27-2015 03:20 PM)Gulfbreezey Wrote:  
(02-27-2015 02:08 PM)SailingAway Wrote:  It would make it a lot easier to answer your questions if you would post the SleepyHead screenshots of what's going on with you.

I hope these are what you wanted.
Thanks!

I would agree with retired_guy and change to 6 min. - 10 max., and let it ride for awhile a see if your AHI's drop.
Sleep-well
02-27-2015 03:30 PM
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Gulfbreezey Offline

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Machine: PR System One REMstar Auto 560
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Sex: Female
Location: North Florida

Post: #6
RE: Over a month and AHI's still high
(02-27-2015 02:33 PM)retired_guy Wrote:  For beginners it looks like your pressures could stand to be raised a bit. But we really can't know that without some statistics. Last night for instance, what was your 95% pressure, and your max pressures? If, as I suspect, you are sitting parked on your upper limit, it might be helpful to raise your minimum to about 6, and your max to 10, then watch it for a few days.

Haven't copied since 2/24 but did upload most of my charts including the Pressure Chart as SailingAway asked for.

Looking at a few days back 95% is always max or 8cm h20. Med is 6's and 7's.
(This post was last modified: 02-27-2015 03:34 PM by Gulfbreezey.)
02-27-2015 03:32 PM
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OpalRose Offline

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Post: #7
RE: Over a month and AHI's still high
Agree with all above,
Change pressure as suggested and watch for a week to 10 days. I would be surprised if you didn't see a difference in your AHI numbers. It sometimes take a few days to settle down, so don't get discouraged.
Sleep-well
OpalRose

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02-27-2015 04:04 PM
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quiescence at last Offline

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Post: #8
RE: Over a month and AHI's still high
I agree with the others here, especially since your median is rarely less than 6. min 6 max 10. If you start at 6, though, you will start with the same pressure support as you get during sleep... It may feel a little strange as you try to fall asleep, with the pressure dropping as you exhale. Your body likes this when you are asleep, but your brain may fight it when you are awake (or get woken up).

When I was trying to get used to starting at 6 or above, I set my ramp on and had it start at 5.5 for 10 minutes. I am usually asleep within 10 minutes (actually under 5 minutes). After a couple days, though, I just left the ramp equal to start.

Since you have a fair amount of CAs, we will be interested to find out if these settle out or get worse when you increase the pressure. So, let us know. This may be why your prescription was initially set so low. If you do get negative results you'll want to have your doctor's help getting the appropriate machine and settings to control this.

QAL

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You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
02-27-2015 07:40 PM
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Sleeprider Online
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Post: #9
RE: Over a month and AHI's still high
It would be great if you would post the detailed graph of a night you are concerned about, including the left window with the machine, event summary, settings, and the detail graphs of Events, Flow rate, Pressure and Leaks.

The summary data really doesn't tell us how events are getting past your pressure settings. I think you need to be on minimum pressure of 6.0 and maximum of 14.0 and see where that takes us. The graph we're looking for should look something like this:

[Image: 9h2EgUbl.png]

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02-27-2015 08:38 PM
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DeepBreathing Offline
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Post: #10
RE: Over a month and AHI's still high
Your results are showing a very high proportion of central apneas. Did these show up in your sleep test?

DeepBreathing
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02-28-2015 12:48 AM
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