(09-22-2014, 11:31 AM)drpjfitz Wrote: I am new to this forum and only been diagnosed/using CPAP for about a month. I've been fairly compliant with the CPAP but am still struggling with sleepiness and tiredness.
That can happen to some of us. We are so used to having sleep apnea that our minds have been trained to keep waking us up to breathe. It's a behavior learned from decades of untreated sleep apnea.
You can break the habit but only if you want to re-train your brain. Your brain has to be convinced that it's safe to sleep, and that you won't stop breathing as soon as you fall into a deep sleep.
Every time you sleep without the machine you reverse that training process and your brain says "See, I told you it wasn't safe to sleep."
It may be that you have no memory of these awakenings, but they are happening, they are disturbing your rest, interfering with your cognitive functions during the day, and making you feel tired. You have to make a commitment to being 100% compliant. Your life in on the line here. In addition to feeling lousy due to lack of sleep, you also run a much higher risk of heart disease, hypertension, and stroke.
Once you get past the compliance hurdle, the next thing is getting your leaks under control. Then, and only then, can you start worrying about your AHI.
Getting a comfortable mask will help with compliance and leaks, but only you can make that commitment to 100% compliance.
Quote:The information on the Respironics System One indicates an AHI of about 6. Woult this be enough to cause ongoing sleepiness?
The goal is to get it under 5, but it's not that big of a deal because as you adapt your AHI will naturally drop. If you were diagnosed with very severe apnea the doctor may be happy to see a AHI under 10, especially during the first month.
Good luck and by all means download your data and look at it. The more you know about it the better you'll be able to communicate with your doctor.
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