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[Treatment] kpes - help with waking issues, lowering ahi?
kpes - help with waking issues, lowering ahi?
hi everyone, I'm around a month and a half into using my airsense 11 autoset.  I'm feeling better than I was, but I'm waking up more than I remember waking up prior to using the cpap, at least once a night around 3 or 4am, sometimes more.  I've attached screenshots of the data in Oscar from last night and the night before.  I'm not too sure what to make of them myself.  

Things I should mention:  I was using a N30i with an AHI of around 5 or 6 but sometimes around 10 and there were definitely leaks with it (I would wake up with it partially dislodged), and in the past several nights have been using the pillow version (P30i, though in this case since the frame is the same, just swapped out the cushion for the pillow) and my AHI has been between 2 and 4 I think.  

Something you'll see with last night data is I started out with a ramp pressure of 10, then a minimum pressure of 12.  I woke in the middle of the night though, and noticed that I had higher central apnea index than usual, so I brought the EPR from 3 to 2 after doing a little reading on that being a possibility.  I also brought the minimum pressure down to 11.  

Anyways, I'm lost on what to do.  I'm working with a sleep tech or therapist (is that the right term) from the place I got my cpap from, but I would love some other opinions as I'm the one pointing out patterns I'm seeing to them seeing things.  for instance I've been noticing when I wake the pressure has been on a downslope after going to a high for the night, at which point they suggested going up to a minimum of 12).

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