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Recommendations on sleep machine
#11
Yes, this is more important since I am sure I will pay more now thru the DME !

Wonderful that you figured that out.
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#12
I think your insurance company has the upper hand, unless you can pay cash and buy online.

I would check with your local DME and insurance and get an exact $ amount of what your cost will be.  

Then check with an online supplier, and you may find that it may be cheaper to buy yourself.

The important thing is you will need a perscription to buy online, unless you shop Amazon.  Then you may be limited as to type of machine available.
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#13
Interesting re: Amazon.

They do have the Resmed Airsense 10 Autoset that was recommended.

Looks like it will be cheaper and easier from them !!

thank you !!!!!!
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#14
(03-08-2017, 04:52 PM)Sleeprider Wrote: Your prescription can be matched on the Resmed Aircurve 10 Vauto, and on the lower priced Resmed Airsense 10 Autoset CPAP.  Resmed CPAPs use a form of exhale pressure relief that allows up to 3 cm of pressure relief through exhale and a comfortable rise of pressure during inhale, just like a BiPAP. Both of those machines are auto-adjusting, so they have more capability and comfort than your former machine, as well as full data.  So the choice is really yours.  Be aware the Philips Respironics Dreamstation Auto CPAP will not match that pressure reduction on exhale, but the Dreamstation BiPAP-S or BiPAP auto can.

Your settings did not take advantage of the auto adjusting capability of your M-series.   When your new machine is setup, you can set it for 10/8.0 at PS 2 (PS= pressure support), or you could start a bit lower at a minimum EPAP of 6.0 and let the machine adjust as high as you want, so your machine could start at 8/6 an it would be able to automatically provide 9/7, 10/8 and you can limit it to whatever you want.  If you choose the Resmed Auto CPAP, then just set EPR to 2 and use a minimum pressure of 8 to simulate your current machine at 8/6.  Or you could choose to set a minimum pressure of 6 and maximum pressure of 10 and it would again deliver 6/4, 7/5, 8/6, 9/7, 10/8.   So you can choose to spend less and get the same results or better than you had before, even with auto CPAP (Autoset).  Resmed machines also provide ramp at whatever pressure and time you choose; the interesting thing is, you could just let the pressure start at 6/4 in auto mode and ramp would not be needed.

The data either of these machines offer is better than a sleep study, especially if you have a computer that you can read the data on.  Any current laptop or desk computer would work with SleepyHead to show you an amazing amount of information, and the forum can help you get dialed in.

Its been a long time since this question was answered but it actually did take this long to finally be prescribed a new machine.  I was given the Dreamstation Auto CPAP to try out.   I have only had it 2 nights, both times the AHI was between 3-4.  I understand this is considered "normal" but I am exhausted.  Maybe its because of 10 years of an AHI at less than 1.  You said that this machine will not match the pressure reduction on exhale:  my question is that could that affect AHI?
0I believe its set to min pressure 4, max 15 and 2 nights have shown an 90 percent average of 6.

Its so hard to go back to that very tired state :-(
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