I have been using the same model machine and same model mask for a year and a half now, and have gotten decent enough results. (I have mixed obstructive and central apneas while on cpap and typically at a 50 50 ratio but my AHI is still far better treated than not) I have always managed to control any mouth breathing by doing tongue seal and I also tuck blanket over my mouth as a reminder as I fall to sleep. I have not needed to use a chin strap.
Anyway, I had a machine that got damaged in March and the DME replaced it with the same machine (except newer one counts RERA's yay) and mask etc.
Ever since then I've had what appears to be an overall higher rate of large leaks on most nights, leading to a slightly higher AHI on avg as well.
I find myself waking with the lip flaps...Do we have an official term for these? I sleep on my stomach or side, never back. And I wake from the air escaping my lips on exhale, not a full open mouth snore, just my jaw shut and lips letting air out like involuntary horse lips. I also feel like I'm being slammed with pressure more often than I used to. I assume this is from the increased pressure to compensate for the leaks, which I feel when I shut my mouth. Maybe I have a vicious circle going on here.
I put the new machine on same settings. I did have one premolar taken out this spring so it is possible that before it was helping seal air in better. (I am nearly needing a lower partial but even when I get one, one isn't expected to sleep in them (does anyone here have comments on that as a side issue?)
I have had the EPR at 2 this past few weeks, and sometimes since march had it at 3 but don't see any tight correlation.
I have had lots of allergies this spring, I am taking benadryl, but that isn't so unusual over prior spring.
Thoughts? Anything I can try to stop the lip flaps? (Not interested in total taping of mouth)
I feel refreshed-ish but not the quality of sleep I had been used to.
ANy ideas why a new machine, could be behaving differently? Think I should rule it out as cause? Should I have it tested? HELP----
Thanks in advance....
The Manse Hen