Sanity check on next steps (still tired)

[TSomm]

Of course! If ever I find something that really works and I don't feel tired, I'll definitely share! It's been a long, long process, and I'd love to help others in a similar spot.

That's great info! I was wondering about that, so this checks something else off my list.

Thank you again!

[TSomm]

Hello again,

So, I've had these settings (min/max the same) for a bit and I thought I'd report back with some info. When I went up to 10.4 I found I had some issues with my stomach. I may have been setting the mask too tight, but I'm not sure, so if going to a higher pressure is worth trying, let me know and I'll figure out if it's a pressure thing or a mask thing.

October 10th is interesting because I only had CAs. I felt just as tired as I had the few days prior and after (I've been a little more tired than usual the past week/two, which might be because of the weather changing). I know it's only a day, but to me this suggests that it's not necessarily OAs that are causing my tiredness. It could be CAs, or it could be something else.

I posted a couple other days, as well as some of the overview bar charts (I was away for a week, took a portable APAP with me, so no data for the week).

• The period from August 12 through September 17 seems to be quite a bit better than before and after that period.
  
• I want to say there's a loose correlation between lower pressure and lower AHI, but just before my trip I was turning up the pressure and the AHI was going down, so that throws this theory out the window.
  

Based on this, I'm thinking of turning down the pressure, to lower the centrals. Of course, it's going to be a game of obstructive vs central, so we'll see how that goes.

If anyone has any other thoughts or ideas, please let me know. As I mentioned, I'm willing to experiment however I can to help figure this out and I appreciate any ideas and thoughts you fine folks may have.

Thanks again for all your support!

PS. Dormeo - thanks again for this recommendation. It's definitely been interesting and these kinds of experiments really help to keep my morale up.

[Dormeo]

Your flow limitations are certainly reduced! Now I would suggest keeping EPR at 3 and coming down slowly from 10.2, pausing at each new pressure for at least several days, to see what happens to OAs and CAs. If there's a sweet spot, with a reduction in CAs and negligible numbers of OAs, that would be a good way to find it.

I can't remember whether this has already been discussed in your thread, but I wonder whether you need more sleep than you are getting. Some people really need 8 or even 9 hours to feel rested during the day. Any way you can give that a try?

[TSomm]

Your flow limitations are certainly reduced!  Now I would suggest keeping EPR at 3 and coming down slowly from 10.2, pausing at each new pressure for at least several days, to see what happens to OAs and CAs.  If there's a sweet spot, with a reduction in CAs and negligible numbers of OAs, that would be a good way to find it.

I can't remember whether this has already been discussed in your thread, but I wonder whether you need more sleep than you are getting.  Some people really need 8 or even 9 hours to feel rested during the day.  Any way you can give that a try?

Thanks, I'll take this approach to step things down. I'm also going to get a better cervical cushion. I'm fairly tall and the generic one I have feel short.

I've been getting about an hour less sleep than I normally get, so I will definitely increase that for a few days, see what's what. The only problem there is that I naturally wake up after about 7 hours, but I may be able to train myself out of that.

Thanks again! The flow limitations have been much better and I'm happy to see progress there.