Post Reply 
Overall quality of sleep
Author Message
SamStamport Offline

Preferred Members

Posts: 44
Joined: Mar 2016

Machine: DreamStation CPAP Pro
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Pico
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Began CPAP 3/3/16

Sex: Male
Location: West Columbia, TX

Post: #1
Overall quality of sleep
Of the various metrics exposed by SleepyHead is there one that will give me an idea of the overall quality of sleep I experienced?

Attached is data from last night.

   

I slept a long time, but woke up groggy, depressed, & with a low-level headache. I remember dreaming. One was a bad dream. The other a very good one.

Thanks!
07-31-2016 12:27 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
chill Offline

Advisory Members

Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #2
RE: Overall quality of sleep
Only you can judge the quality of your sleep. There are lots of things besides sleep apnea that can result in poor sleep. I often get poor sleep. Some days I can see why in SH, some days the data looks good. Tidal Volume is one that I look at. The more narrow the range, the better I generally slept. If it is a fat line or has lots of spikes above and below the median, then chances are I had a rougher night. But I had that last night and I feel good today, so go figure.
07-31-2016 12:33 PM
Find all posts by this user Post Reply Quote this message in a reply
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #3
RE: Overall quality of sleep
A few questions. You are using a CPAP only machine, did insurance get that for you? Is it a rental? An auto machine would help.
Headaches are caused by CO2 not clearing out enough. Do you find that you have to push to exhale? Do you have the flex turned on? if not try it.
Your numbers are fine, so the apnea treatment is working. You now have to adjust what you can to make it more comfortable. If you are not comfortable you will not sleep well.
You still have a little snoring going on which would indicate an increase in pressure would help with that. For me I had to increase only 1.2CM to "fix" my issues. Might try a little increase and watch the data.
Move your humidity settings around, a little at a time and keep track of how you feel in the morning and how often you wake up.
I change my humidity settings depending on time of year, guessing that this is because of nighttime temperatures.
07-31-2016 01:31 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
justMongo Offline

Monitors

Posts: 3,839
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #4
RE: Overall quality of sleep
It appears Cflex is turned on. So, CO2 retention shouldn't be an issue.
If I may suggest, instead of showing Snore, the Mask Pressure trace would be more useful.
By the numbers, things look OK. The flow pattern is a bit ragged.
IMNMO: the OP was titrated to "just good enough."

BTW -- why did you go off the machine from approx. 23:00 to 00:30 ?

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-31-2016 02:09 PM
Find all posts by this user Post Reply Quote this message in a reply
SamStamport Offline

Preferred Members

Posts: 44
Joined: Mar 2016

Machine: DreamStation CPAP Pro
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Pico
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Began CPAP 3/3/16

Sex: Male
Location: West Columbia, TX

Post: #5
RE: Overall quality of sleep
Thanks so much for your advice.

What do you mean by Mask Pressure trace? I see no graph in SleepyHead that's labeled Mask Pressure.

I couldn't get to sleep during the first session. Between 23:00 to 00:30 I got up, watched some TV or maybe worked at the computer until I got sleepy. I also listened to a sleep subliminal from YouTube. The number & duration of awake times during the night are sloooowwwwly diminishing. The most difficult thing is falling asleep.

By Flow Pattern you mean Flow Rate?

I have a DreamStation Pro. It has a Ramp setting that starts at a low pressure and gradually builds to the preset amount. In my case that's 12. Lately I've not used it because it seems that I have to work at breathing when I use it.

I live in a very humid environment here on the Texas Gulf Coast, but will test different humidity settings.
07-31-2016 02:45 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,988
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #6
RE: Overall quality of sleep
To me your leak rate graph shows signs of either a very poor-fitting mask or mouth-leaking. Leaks like that will ruin a night's sleep, for sure. In addition to just bothering you to the point that they will wake you up, they also render the therapy useless because the CPAP machine can't maintain the pressure splint required to keep your airway from collapsing.

If a chin strap doesn't fix the mouth leaks, you'll need to switch to a full face mask.

Despite claims from manufacturers, there is no way to quantify the quality of sleep. There are a large number of factors that affect it, and like everything else of import not all of them can be measured.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-31-2016 09:30 PM
Find all posts by this user Post Reply Quote this message in a reply
rkl122 Offline

Preferred Members

Posts: 74
Joined: Apr 2016

Machine: Philips Respironics System One 560P (Auto, Aflex, 60 Series)
Mask Type: Nasal pillows
Mask Make & Model: PR Dreamware Frame Med, Pillow MW
Humidifier: Remstar System One - Hose Unheated
CPAP Pressure: low 8.5, high 12.5, expting
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: NJ

Post: #7
RE: Overall quality of sleep
Additionally, notice that the "snores" tend to correlate with the leaks. They could be artifacts caused by the leaks.

-Ron

We are such stuff
As dreams are made on, and our little life
Is rounded with a sleep.
07-31-2016 10:57 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Jim Bronson Offline

Advisory Members

Posts: 263
Joined: Dec 2014

Machine: ResMed Airsense 10 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built-in
CPAP Pressure: 9.2
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #8
RE: Overall quality of sleep
I feel your pain. I've been keeping a sleep journal for years. I rate my subjective quality of sleep each day on a scale from 1-5 with 1 being the worst and 5 the best. The rating describes how I feel in terms of energy, sleepiness, motivation and physical problems like headaches and muscle pain.

I can tell you that the SH metrics often look excellent and nearly identical for quality numbers of 1 and 5, so clearly the therapy is working. There's another factor that's not revealed by the SH numbers. If I ever find it, you'll see me dancing in the street.

I'm always skeptical of very low AHI. I usually find long periods of no events at all, and that means I wasn't sleeping. On the other hand, if I see a baseline of low AHI and a few higher bumps while I sleep for 5+ hours without a break with few snore events, I often feel pretty good.
(This post was last modified: 08-01-2016 12:12 AM by Jim Bronson.)
07-31-2016 11:33 PM
Find all posts by this user Post Reply Quote this message in a reply
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #9
RE: Overall quality of sleep
Just thinking about CO2 retention because that is why my Doctor moved me to BiLevel, of course I also have mild COPD which would effect that. I said headaches and Doctor just said "that's the CO2".

Any reason you might suspect COPD on top of SA like I have? Smoking, dust, fire fighter, woodworker?
08-01-2016 12:19 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
chill Offline

Advisory Members

Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #10
RE: Overall quality of sleep
(07-31-2016 11:33 PM)Jim Bronson Wrote:  I can tell you that the SH metrics often look excellent and nearly identical for quality numbers of 1 and 5, so clearly the therapy is working. There's another factor that's not revealed by the SH numbers. If I ever find it, you'll see me dancing in the street.

I will be right behind you! These machine collect a lot of data, but they don't record everything that might affect your quality of sleep. I had a bad night last night according to SH, but I feel great today! There is so much to learn here.
08-01-2016 01:33 AM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
Information Vitamin D & B's and Sleep Quality membus 13 1,937 10-28-2016 05:35 PM
Last Post: mcsheltie
  RERAs and Sleep Quality holden4th 6 361 10-13-2016 03:58 AM
Last Post: holden4th
  LOW AHI vs actual REAL quality sleep waydavis 28 3,922 08-28-2015 03:37 PM
Last Post: PaytonA
  Is there a proven co-relation between AHI and Quality of life? TheManseHen 7 1,773 02-23-2015 07:44 AM
Last Post: novatom
  [News] Marijuana Linked with Impaired Sleep Quality ApneaNews 8 1,895 07-03-2014 09:15 PM
Last Post: retired_guy
Question EPR and Sleep Quality me50 11 3,305 10-07-2013 07:36 PM
Last Post: Sleepster
  [News] Full Moon Affects Quality of Sleep ApneaNews 2 1,134 08-09-2013 05:27 PM
Last Post: RonWessels

Forum Jump:

Who's Online (Complete List)