Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Seem to be moving backward
#1
Since beginning therapy a few weeks ago, I have found that I wake less frequently, but still up a number of times during the night.

After a few days, things were progressing on API, but have since adjusted to try to improve.

Original setting was 5 cm - 10 cm with auto ramp. Eventually adjusted by my therapist from 7.2 to 16 with auto ramp. Am attaching the best result from that time.

Lately in an effort to get better results, I have moved to 8 cm to 16 cm with no auto ramp. It's deteriorating as you will see below. Leak rate is up, but I don't think its mouth leak - no dry mouth.

Any suggestions are most appreciated.

Good Sleepyhead chart posted as well as last night's.

[Image: R5RXJY3m.png]
[Image: G08hJ8om.png]
Always grateful for help received. I am a part of all that I have met.
Post Reply Post Reply
#2
Since posting, I have had the benefit of trying to track the graphs with the wiki on Sleepyhead usage. Seems to me (as was noted earlier on here when I first started that most of the problem arises as the session is beginning, such that a big increase in pressure is required?

Also wondering if posture can contribute. Should I be concerned about neck position or anything along that line?

Thanks
Always grateful for help received. I am a part of all that I have met.
Post Reply Post Reply
#3
Hang in there, someone who reads these graphs better than I do will be along to help. I used to be better at this, but as I started to feel better I kind of slacked off looking every day, and don't know this as well as I should. Might be time for me to go back and read through it all again, get my refresher course.
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
Post Reply Post Reply


#4
It looks to me like your higher AHI was simply due to poor sleep. I am guessing here but it looks to me like a lot of your AHI on the high AHI night was sleep/wake junk which is normal. Any idea why you awakened so many times?

Generally my AHI is below 1.0 but if I have a bad nights sleep, it might go up to 3 or 4. Usually my bad nights sleeps are due to not being able to turn my mind off. If you have insomnia or other things like that I would recommend a book titled Sound Sleep, Sound Mind by Barry Krakow MD. I am in the middle of reading it right now and it is excellent. I do not have insomnia but on occasion have trouble getting to sleep or staying asleep.

Best Regards,

PaytonA
Post Reply Post Reply
#5
(11-19-2016, 11:47 AM)Galactus Wrote: Hang in there . . .

Thanks. I'm committed to the process but don't want to flail away mindlessly. Truly appreciate the support.
Always grateful for help received. I am a part of all that I have met.
Post Reply Post Reply
#6
(11-19-2016, 12:34 PM)PaytonA Wrote: It looks to me like your higher AHI was simply due to poor sleep. I am guessing here but it looks to me like a lot of your AHI on the high AHI night was sleep/wake junk which is normal. Any idea why you awakened so many times ...

It's a pattern that has existed a number of years. Seems better since therapy started but still hard to shake. Last night was the worst yet but the upcreep in AHI has been going on a week now.

Thanks for the pointer on the book. I am going looking for it today.
Always grateful for help received. I am a part of all that I have met.
Post Reply Post Reply


#7
You're using EPR at 1, and I was wondering if you have ever considered a higher exhale pressure relief? EPR or bilevel pressure support is often used for hypopnea. I'm not sure that increasing pressure is the full answer her as you don't have obstructive apnea events, and flow limitation is mild to moderate. It could just be you need some extra help in fully exhaling so you improve on respiratory volume (hypopnea). Want to give it a try?
Post Reply Post Reply
#8
(11-19-2016, 12:57 PM)Saskie Wrote:
(11-19-2016, 11:47 AM)Galactus Wrote: Hang in there . . .

Thanks. I'm committed to the process but don't want to flail away mindlessly. Truly appreciate the support.

You're in the right place, and are asking for help, you're in good hands. I might have quit if not for the people here. They talked me through scrapping the junk machine the DME gave me, buying a better one, setting it up, and tweaking it. You're at the right place, do what they suggest, post the results, and believe me they'll help you.
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
Post Reply Post Reply
#9
Makes sense. I'll try it tonight.
Always grateful for help received. I am a part of all that I have met.
Post Reply Post Reply


#10
(11-19-2016, 10:35 AM)Saskie Wrote: Leak rate is up, but I don't think its mouth leak - no dry mouth.

No dry mouth means nothing. Your leak rate graph shows signs that you are leaking, and my guess is it's mouth-leaks. Try a chin strap. If that doesn't work, a full face mask.

Those leaks are likely due to the higher pressure. They ruin your sleep because they either render the therapy ineffective, wake you up, or both.
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.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
Question [Equipment] trouble moving from RemStar Auto to AirSense 10 jim.evo 53 1,631 08-31-2017, 04:39 PM
Last Post: jim.evo
  Moving on from S&P Simplus. Need suggestions Harlon 10 464 06-01-2017, 10:46 PM
Last Post: Harlon
  Moving from full face to nasal mask tedgreen 4 352 05-15-2017, 02:09 AM
Last Post: Ockrocket
Question Potentially moving to UK: How does CPAP supplies work on NIH? lmoretti 1 222 04-17-2017, 12:32 PM
Last Post: holden4th
  Issues moving from CPAP to APAP bhamill 15 919 04-08-2017, 06:51 PM
Last Post: Sleeprider
Question [CPAP] CA's became more apparent after moving to Autoset olemarc 5 343 03-17-2017, 08:03 PM
Last Post: trish6hundred
  Changing Medicare Supplier when Moving jrh0 4 662 09-03-2016, 01:53 AM
Last Post: srlevine1

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.