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Tired after waking up
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darth_vapor Offline

Members

Posts: 18
Joined: Apr 2015

Machine: Resmed Airsense A10 APAP
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Attached with Airsense10
CPAP Pressure: 5-15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #1
Tired after waking up
Hi,

I was recently diagnosed with Sleep Apnea. I had a sleep study and was diagnosed in late February with an AHI of 74.1 when on my back and 32 when on my side. Then there was a followup study for pressure titration which determined that I needed a pressure of 13 on my back and 8 on my side, after which the doctor prescribed an APAP device. Also, during the titration, they tried different masks but only the full face Fisher and Paykel Simplus worked.

I finally got the prescription and got it filled last week. I tried the Mirage Quattro for the first two days as the Simplus was uncomfortable for me during the titration, but the result was an AHI between 10 and 11 during the first 2 days with leaks between 35 and 45.

My provider recommended the P10 nasal pillow and then I tried it with more success. Two nights ago, my AHI was 3.29 and my 95% leak rate was 0, with one peak of 15. Last night, my AHI was 1.56 and my 95% leak rate was 8.4, with a peak of 16.

Sleepyhead Graphs from last night are:
   
   

There are 2 sessions because I woke up to go to the washroom. In the first session I was sleeping on my back and in the next, I was sleeping on my side. The numbers for the second session seem much better.

Overall though, Im still feeling tired in the morning. Is there anything blatantly obvious in my graphs that some experienced members can point out? Or do I just have to wait it out?


Ill post more graphs when my post count increases Smile
(This post was last modified: 04-26-2015 02:42 PM by darth_vapor.)
04-26-2015 02:40 PM
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JVinNE Offline

Advisory Members

Posts: 262
Joined: Jan 2015

Machine: ResMed Aircurve 10 ASV Bilevel
Mask Type: Full face mask
Mask Make & Model: F&P Simplus aka Facedigger
Humidifier: HumidAirâ„¢ with climate line
CPAP Pressure: Min EPAP 5 Max IPAP 13 PS 1-2
CPAP Software: SleepyHead

Other Comments: New, ASV Barbie, now with morning fart action.

Sex: Female
Location: New England

Post: #2
RE: Tired after waking up
Your user name is awesome!
04-26-2015 02:53 PM
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Crimson Nape Offline

Monitors

Posts: 1,330
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #3
RE: Tired after waking up
How long have you been on the CPAP therapy? Any thing below a 5 AHI is considered treated. The simple act of washing your face before bed can have an effect on your AHI numbers.

There are 2 sides to CPAP therapy, the first is getting the mechanics correct(e.g.: mask, humidity, pressure, pressure range(if auto), epr, ramp). The second becomes an art form; hygiene, mattress, pillow type, sleeping position, CPAP placement, hose placement, humidity level, and to use or not to use a heated hose (I know I'm forgetting some). The list is almost endless and it seems that no 2 people have the same combination. Obtaining the proper therapy is a long and slow process and if VERY odd to occur overnight.

Hang in there and prepare to have plenty of patience.

Good luck and welcome to the forum.

Statistics prove that people who have more birthdays live longer.
04-26-2015 03:19 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #4
RE: Tired after waking up
darth_vapor,
Your numbers look good considering you just started therapy. The only thing I see is that your starting pressure of 5 is too low. For 95% of the night, your pressure was at 14 and under, and your medium pressure was almost at 10.
It would be best if your starting pressure was slightly under your medium pressure.
I would raise your pressure settings at 8-16, turn off ramp if you are using it, and set EPR to 2.

OpalRose
04-26-2015 03:37 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: Tired after waking up
Hi darth_vapor,
WELCOME! to the forum.!
What OpalRose said about your pressure settings.
Hang in there for more responses to your post and much success to you as you continue and fine tune your CPAP therapy.

trish6hundred
04-26-2015 03:59 PM
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darth_vapor Offline

Members

Posts: 18
Joined: Apr 2015

Machine: Resmed Airsense A10 APAP
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Attached with Airsense10
CPAP Pressure: 5-15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #6
RE: Tired after waking up
(04-26-2015 02:53 PM)JVinNE Wrote:  Your user name is awesome!

Huge star wars fan... it just clicked Smile
04-26-2015 04:13 PM
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darth_vapor Offline

Members

Posts: 18
Joined: Apr 2015

Machine: Resmed Airsense A10 APAP
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Attached with Airsense10
CPAP Pressure: 5-15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #7
RE: Tired after waking up
(04-26-2015 03:19 PM)sgearhart Wrote:  How long have you been on the CPAP therapy? Any thing below a 5 AHI is considered treated. The simple act of washing your face before bed can have an effect on your AHI numbers.

Yesterday was my 6th day

Quote:There are 2 sides to CPAP therapy, the first is getting the mechanics correct(e.g.: mask, humidity, pressure, pressure range(if auto), epr, ramp).
[\quote]

Im in Canada and humidifiers are mandatory here. I think the resmed airfit p10 seems to be working for me, especially when I use Lasinoh around my nostrils for a seal.

[quote]
The second becomes an art form; hygiene, mattress, pillow type, sleeping position, CPAP placement, hose placement, humidity level, and to use or not to use a heated hose (I know I'm forgetting some). The list is almost endless and it seems that no 2 people have the same combination. Obtaining the proper therapy is a long and slow process and if VERY odd to occur overnight.

Hang in there and prepare to have plenty of patience.

Good luck and welcome to the forum.

Thanks. Will try looking at these factors
(04-26-2015 03:37 PM)OpalRose Wrote:  darth_vapor,
Your numbers look good considering you just started therapy. The only thing I see is that your starting pressure of 5 is too low. For 95% of the night, your pressure was at 14 and under, and your medium pressure was almost at 10.
It would be best if your starting pressure was slightly under your medium pressure.
I would raise your pressure settings at 8-16, turn off ramp if you are using it, and set EPR to 2.

I think the reason was that when I am on my side, the pressure needed was 7-8 in the titration study and on my back it was 11-13. Ill turn off ramp. What is EPR?
(This post was last modified: 04-26-2015 04:22 PM by darth_vapor.)
04-26-2015 04:19 PM
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darth_vapor Offline

Members

Posts: 18
Joined: Apr 2015

Machine: Resmed Airsense A10 APAP
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Attached with Airsense10
CPAP Pressure: 5-15 APAP
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #8
RE: Tired after waking up
(04-26-2015 03:59 PM)trish6hundred Wrote:  Hi darth_vapor,
WELCOME! to the forum.!
What OpalRose said about your pressure settings.
Hang in there for more responses to your post and much success to you as you continue and fine tune your CPAP therapy.

Thanks!
04-26-2015 04:47 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #9
RE: Tired after waking up
The EPR is a pressure relief setting when exhaling. The settings are 1,2, and 3.
An example... A starting pressure of 10 with an EPR setting of 2 would drop your pressure to 8 when exhaling. This is a comfort feature, as some find it hard to breath out against higher pressures. It is probably not set up on your machine, and you may not need it.

You should request the Clinical manual for your machine. See top of page.
Then if and when you need to change settings, this will explain how to do so.

OpalRose
04-26-2015 05:24 PM
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trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #10
RE: Tired after waking up
Darth, congrats on your great numbers! Many others take a while to reach those! You may continue to feel tired for some time though. Your body will like this new oxygenation and simply decide it wants more. Your job is to keep this up and keep your body, brain, and organs with their oxygen. The tired feeling will pass, and one day you will realize you have way more energy than before.

Download Sleepy head to watch your own stats, but use them as an indicator, not a report card.
04-26-2015 05:43 PM
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