Here is some SleepyHead data
Last 30 Days Details
7:57 Average Hours per Night
3.32 Obstructive Index
5.12 Hypopnea Index
1.84 Clear Airway Index
0.22 Flow Limitation Index
1.82 RERA Index
0.84% % of time in Cheyne Stokes Respiration
2.3 Average Leak Rate
3 90% Leak Rate
1.36% % of time above Leak Rate threshold
9.66 Average Pressure
4 Min Pressure
14 Max Pressure
13.4 90% Pressure
Leak rate isn't bad, but you need to be mindful of it. Do you notice a problem at night, are you possibly mouth breathing at all?
I believe if your starting pressure were raised to 8cm, you may see a reduction in the Hypopneas and Obstructives.
You may also want to try turning the ramp off.
It's hard to understand why your doctor wouldn't want to help you get your AHI down.
An AHI <5 is considered treated.
Maybe bump up the top pressure a bit... If you don't need it you likely won't use it.
you will likely wind up around a 9.5 min pressure but go up 1 cm at a time . or -even .5 at a time
I agree with bumping your pressure up a little at a time. I would bump both EPAP and IPAP the same amount. Stick with each small change for a while before making the next adjustment. If centrals go up and stay up, make no more adjustments. Ditto if you start having aerophagia. Let it run for a while longer and if either goes away give it the next bump. If your AHI does not improve by the time you get to 9-16, let it run for a while and take stock of where you are. Let us know how you are doing.