If possible, you should be re-evaluated in a sleep lab.
Running an APAP with such wide limits is lazy therapy. The min pressure is too low.
The troublesome part is: even at near max pressure, obstructive apnea and hypopneas are not being taken care of.
You may need a different machine; perhaps a BiPAP.
You also have some periodic breathing. May I ask you approximate age? And do you have a cardiologist? How's your weight?
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09-04-2016, 10:36 AM
(This post was last modified: 09-04-2016, 10:40 AM by OpalRose.)
You are having a lot of mask leaks, or you are mouth breathing, which is what your gf said.
You also show mostly obstructed apneas, which warrants a higher minimum pressure setting.
I would start out by moving that minimum pressure to 7cm, and see if there is a difference.
You may need to inch it up by .5cm every week until you see improvement.
If you don't see the max pressure coming down because it is topping off at 20, you may need a different machine, like a bipap or bilevel.
The major issue is to get your mouth breathing under control. There is no guarantee that your AHI numbers are accurate when you have this problem.
Try using a chin strap, also don't lay on your back, try side sleeping as much as you can.