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Waking up a couple hours early and can't get back to sleep
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JiveMiguel Offline

Members

Posts: 4
Joined: Nov 2015

Machine: DeVilbiss Intellipap Standard Plus
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Confort Gel Blue
Humidifier: DeVilbiss
CPAP Pressure: 8.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Southern California

Post: #1
Waking up a couple hours early and can't get back to sleep
Hello all!
I'm a new member here, but I've been using my machine for about four years. I've had very little problems with it and took to it almost immediately.

But for the last couple days, I've had a new issue: I wake up around 5:30 am for some reason, and can't get back to sleep. I sense that I'm dozing back to sleep, but then I wake up again, breathing heavily. This happens three times maybe, then it's time to get up. I'm losing about 1.5 to 2 hours of sleep because of this. I go to bed around 11pm. I have no problem getting to sleep initially.

I don't know if my machine is a CPAP or a BiPAP or ???. My machine specs are in my profile. I've gone into the clinician menu and upped my pressure from 8.5 to 9.5 but that doesn't help. But I admit that I'm shooting in the dark since I don't understand most of the clinician menu items.

Can anyone give me some guidance on what to adjust or look for in the clinician menu or why this is happening at all?

I'd also like to know if I can use any kind of software with my machine.

Thanks in advance, and happy Thanksgiving to those in the USA!
(This post was last modified: 11-26-2015 12:00 PM by JiveMiguel.)
11-26-2015 11:56 AM
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cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #2
RE: Waking up a couple hours early and can't get back to sleep
Welcome to ApneaBoard!

Perhaps your body has just had enough sleep when you first awaken? Not sure what the waking with heavy breathing is all about.

Maybe it's time for a new sleep study?

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-26-2015 12:06 PM
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justMongo Offline

Monitors

Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #3
RE: Waking up a couple hours early and can't get back to sleep
The DeVilbiss Intellipap Standard Plus is a straight CPAP machine with EPR.
It has Auto-Start. Any chance you're machine has stopped running at 5:30 AM?
It might do that if you have a large leak or a failed part like the hose.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-26-2015 01:02 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: Waking up a couple hours early and can't get back to sleep
JiveMiguel,
I believe Sleepyhead software will work with you machine. It's a free download. See top of page.
I would think that after 4 years, it's time to take control of your therapy.

If you start looking at your data to see what the breakdown of your AHI is, and this way, we may be able to help you with a pressure setting.

It's also possible after 4 years that the machine is not working properly, or you may need a new sleep study. So let's start with the sleepyhead Download and go from there.

OpalRose
11-26-2015 01:09 PM
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JiveMiguel Offline

Members

Posts: 4
Joined: Nov 2015

Machine: DeVilbiss Intellipap Standard Plus
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Confort Gel Blue
Humidifier: DeVilbiss
CPAP Pressure: 8.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Southern California

Post: #5
RE: Waking up a couple hours early and can't get back to sleep
(11-26-2015 01:02 PM)justMongo Wrote:  The DeVilbiss Intellipap Standard Plus is a straight CPAP machine with EPR.
It has Auto-Start. Any chance you're machine has stopped running at 5:30 AM?
It might do that if you have a large leak or a failed part like the hose.

What wakes me up around 5:30 is usually something like my wife moving around or a cat jumping up on the bed. I checked for leaks and failed parts/hose and everything looks fine.

As far as I can tell, my DeVilbiss doesn't have a SD card slot. It has what looks like a PS2 connector (old style keyboard and mouse connections), but I don't know how that can be used.
11-26-2015 02:35 PM
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justMongo Offline

Monitors

Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #6
RE: Waking up a couple hours early and can't get back to sleep
(11-26-2015 02:35 PM)JiveMiguel Wrote:  As far as I can tell, my DeVilbiss doesn't have a SD card slot. It has what looks like a PS2 connector (old style keyboard and mouse connections), but I don't know how that can be used.

It is not compatible with available software.

Product brochure at manufacturer's website:

https://www.devilbisshealthcare.com/file...12_WEB.pdf

Rule:
"A member may post a direct link to a CPAP equipment manufacturer website in any forum for the purpose of linking to user manuals, product support documents, and similar information-only pages, as long as the manufacturer does not sell equipment directly to patients on their web site."

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-26-2015 03:07 PM
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JiveMiguel Offline

Members

Posts: 4
Joined: Nov 2015

Machine: DeVilbiss Intellipap Standard Plus
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Confort Gel Blue
Humidifier: DeVilbiss
CPAP Pressure: 8.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Southern California

Post: #7
RE: Waking up a couple hours early and can't get back to sleep
(11-26-2015 03:07 PM)justMongo Wrote:  It is not compatible with available software.

Thanks. I didn't think it was compatible.

I've just changed the SmartFlex setting. It was at 3 which gives the least resistance while exhaling. It seems to me that the problem is on exhale, I don't inhale again (an apnea event?), and that's why I wake up breathing heavily. So a lower setting increases the resistance (amount of air being pushed into the mask) during exhale. This might then trigger me to inhale and thus solve the problem. I set it to 2 and will see what happens tonight. It can also be set to 1 which creates even more resistance during exhale. But I'll try it one step at a time.
11-26-2015 03:23 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
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: #8
RE: Waking up a couple hours early and can't get back to sleep
Hi JiveMiguel,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you as you continue your CPAP therapy.

trish6hundred
11-26-2015 09:54 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #9
RE: Waking up a couple hours early and can't get back to sleep
(11-26-2015 03:23 PM)JiveMiguel Wrote:  Thanks. I didn't think it was compatible.
SleepyHead http://www.sleepfiles.com/SH2/ supports * data capable * CPAP machine models from the following series:
ResMed S9, AirSense 10, AirCurve 10, Philips Respirioncs System One, Fisher & Paykel ICON & ICON+ and DeVilbiss IntelliPAP

DeVilbiss IntelliPAP Plus is a fixed pressure data capable machine
SmartCode https://www.devilbisshealthcare.com/prod.../smartcode

[Image: devilbiss-smartlink-sd-data-card-install-diagram.jpg] [Image: smartlink1.jpg]
DeVilbiss SmartLink Module http://www.devilbisshealthcare.com/produ.../smartlink
http://www.devilbisshealthcare.com/files/A-DV5M-1_Rev_H-FINAL.pdf
11-27-2015 01:15 AM
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JiveMiguel Offline

Members

Posts: 4
Joined: Nov 2015

Machine: DeVilbiss Intellipap Standard Plus
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Confort Gel Blue
Humidifier: DeVilbiss
CPAP Pressure: 8.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Southern California

Post: #10
RE: Waking up a couple hours early and can't get back to sleep
After changing the setting I mentioned above from 3 to 2, I slept better last night. I did wake up a couple times, but in all cases I went back to sleep within a few minutes and stayed asleep. Hopefully that will continue.

(11-27-2015 01:15 AM)zonk Wrote:  DeVilbiss IntelliPAP Plus is a fixed pressure data capable machine
SmartCode

Thanks for this. I forgot that this machine does the smart codes. I retrieved them today and entered them into the report generator and got the following information. Maybe someone could tell me if these are good scores or not. They seem pretty positive to me:

AHI - Apnea/Hypopnea Index (AHI) represents the average number of apneas and hypopneas per hour for the timeframe.
last 90 days - 3
last 30 days - 3
last 7 days - 3.5
last day - 2.5

High Leak Flow Time
Shows the percentage of time where leak was above 95 liters per minute. A value of 10% or more indicates that the mask fit should be checked.

all time frames - 0

NRI
Non-Responding Event Index (NRI) represents the average number of non-responding events per hour. A non-responding event is a respiratory event that is detected but by design does not result in a pressure change during AutoAdjust therapy.

last 90 days - 1.25
last 30 days - 1.5
last 7 days - 1.5
last day - .75

EPI
The Exhale Puff Index (EPI) is the number of exhale puff events detected per hour. Exhale puffing is caused by inhaling through the patient circuit and exhaling through the mouth.

all time frames - 1

These numbers all seem pretty good to me. Can anyone give me any input?

Thanks again for everyone's input so far.
11-27-2015 12:02 PM
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