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[Pressure] self titration?
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shadowfx78 Offline

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Machine: A10 Autoset
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CPAP Pressure: 8 EPR: On, full-time
CPAP Software: SleepyHead

Other Comments: Panhypopituitarism, Asthma, Allergies

Sex: Male
Location: Southeastern Massachusetts

Post: #1
self titration?
Is in home self titration more effective than a second sleep lab study? If so i may talk to my doctor about not doing the study and just enabling my APAP and setting a range.
(This post was last modified: 11-01-2015 03:03 AM by shadowfx78.)
11-01-2015 02:59 AM
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zonk Offline

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Location: Australia

Post: #2
RE: self titration?
I don't say sleep lab titration more effective but can gives you something to fall back upon
If they say 10, you can set the machine something like 8-12 and see how things pan out
11-01-2015 03:57 AM
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DeepBreathing Offline
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Location: Perth, Western Australia

Post: #3
RE: self titration?
I've always doubted the value of the titration test. Consider this - at best it's a snapshot of one night, when we know that every night can be different. You'll be in a strange place, hooked up to wires and tubes etc, and sleeping according to their schedule - not your normal sleeping pattern.

When I was diagnosed I got an S9 Autoset set wide open on 4 - 20 for a week. After the week was up I had a consultation with the RT who narrowed the range based on the detailed data. As it turned out this didn't work for me as I have complex apnea and ended up with an ASV - but that's another story. The point is I could sleep in my own bed, at my own time. Data was gathered for a full week, adjustments made, then another week's data. I think this is a much better way of performing titration.

DeepBreathing
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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.
11-01-2015 04:44 AM
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cate1898 Offline

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Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

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Post: #4
RE: self titration?
Welcome to the forum shadowfx78!! Great place to get answers. Good luck with your therapy!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-01-2015 05:34 AM
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shadowfx78 Offline

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Posts: 33
Joined: Oct 2015

Machine: A10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed AirFit N10
Humidifier: Intergrated w/ ClimateAirLine
CPAP Pressure: 8 EPR: On, full-time
CPAP Software: SleepyHead

Other Comments: Panhypopituitarism, Asthma, Allergies

Sex: Male
Location: Southeastern Massachusetts

Post: #5
RE: self titration?
the main reason im wondering this is cuz the number of events im having hasnt decreased its actually increased by a small percentage. Im going to switch to apap and go with a range of 6 to 18 and see how that works where the autoset puts the pressure to help with events.
thanks for the welcome cate1998
(This post was last modified: 11-01-2015 06:03 AM by shadowfx78.)
11-01-2015 05:59 AM
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bwexler Offline

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Location: San Marcos, CA, USA

Post: #6
RE: self titration?
I started with a split night study. But I don't remember ever paying any attention to the recommended setting. I originally had an S9 Autoset and Resscan software and with the help I received here quickly learned to manage my therapy.
I advocate you doing the same, in consultation with your doctor IF he knows more than you and has an interest in helping.
11-01-2015 07:47 PM
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OpalRose Offline

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Post: #7
RE: self titration?
(11-01-2015 05:59 AM)shadowfx78 Wrote:  the main reason im wondering this is cuz the number of events im having hasnt decreased its actually increased by a small percentage. Im going to switch to apap and go with a range of 6 to 18 and see how that works where the autoset puts the pressure to help with events.


Have you been looking at your stats on sleepyhead? If so, what is your 90% pressure reading?

I agree with using APAP, but pressure changes should be made around your 90% number.

OpalRose
11-01-2015 08:55 PM
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shadowfx78 Offline

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Posts: 33
Joined: Oct 2015

Machine: A10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed AirFit N10
Humidifier: Intergrated w/ ClimateAirLine
CPAP Pressure: 8 EPR: On, full-time
CPAP Software: SleepyHead

Other Comments: Panhypopituitarism, Asthma, Allergies

Sex: Male
Location: Southeastern Massachusetts

Post: #8
RE: self titration?
I havent been able to get the data off the sd card as i dont have a reader but that will be remedied in the next week or so.
11-01-2015 09:22 PM
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justMongo Offline

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Post: #9
RE: self titration?
(11-01-2015 02:59 AM)shadowfx78 Wrote:  Is in home self titration more effective than a second sleep lab study? If so i may talk to my doctor about not doing the study and just enabling my APAP and setting a range.

Whether to doctor will go along depends upon the doctor. The doctor may say, "No way." Or, "Great idea." (Personally I do not care for doctors who take an it's my way or the highway approach.)

Insurance rules may also come into the equation.

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.
11-02-2015 11:14 AM
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Mosquitobait Offline

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Post: #10
RE: self titration?
(11-01-2015 02:59 AM)shadowfx78 Wrote:  Is in home self titration more effective than a second sleep lab study? If so i may talk to my doctor about not doing the study and just enabling my APAP and setting a range.

I don't think home self-titration is more effective, but I do think there is no reason for a lab titration unless you have a heart problem, lung problem, or severe apnea. Just set the auto-machine range and it responds accordingly. If you don't feel any better in a couple of months, then go for the lab titration to see what is going on. Given the fact that I had to wait 2 months AFTER being diagnosed to get the damned titration, I went out and bought a used machine so I could stop suffering. No matter what, most insurance will not pay for the higher end machines (like Bipap) unless you've done a trial with a cpap or xpap ANYWAY.

My opinion of course. I'm stuck with only lab studies since I have a low heart rate. But, at least they are willing to look at the Sleepyhead data first.
11-02-2015 12:57 PM
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