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When should I expect AHI to decrease?
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NVGirl Offline

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Posts: 1
Joined: Nov 2015

Machine: Respironics BiPap S/T
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: unsure
CPAP Pressure: unsure
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #1
When should I expect AHI to decrease?
Started two months ago on BiPap, took one month to finally get a mask that fit correctly. My Ahi is at 50; I'm still experiencing a lot of symptoms. What should my expectations be regarding relief?

Still horrible anxiety attacks/nightmares although some increase in energy. Still do not sleep through the night. 100% compliance on my part.

Thanks!
11-23-2015 03:15 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: #2
RE: When should I expect AHI to decrease?
Two months on bipap and an AHI of 50?

First, fill out your profile with more detail, the exact model number of your machine.
The pressure your bipap is set at, including the pressure support.

Are you using software? If not, download Sleepyhead (link at top of page), then download some data from your SD card, then someone here who has experience with BiPap machines will be able to help you.

OpalRose
11-23-2015 03:28 PM
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Possum Offline

Advisory Members

Posts: 254
Joined: Oct 2015

Machine: Resmed Airsense Autoset A10
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: (included in CPAP model)
CPAP Pressure: 8-12
CPAP Software: ResScan SleepyHead

Other Comments: Innovo CMS-50F+ pulse oximeter

Sex: Male
Location: San Diego, California, USA

Post: #3
RE: When should I expect AHI to decrease?
(11-23-2015 03:15 PM)NVGirl Wrote:  Started two months ago on BiPap, took one month to finally get a mask that fit correctly. My Ahi is at 50; I'm still experiencing a lot of symptoms. What should my expectations be regarding relief?

Still horrible anxiety attacks/nightmares although some increase in energy. Still do not sleep through the night. 100% compliance on my part.

Thanks!

If you have consistent AHI = 50, I would regard your treatment as mostly ineffective. There are likely all kinds of adjustments that need to be made, including but not limited to your pressure(s).

Please post more information and complete your profile, as AHI is only one of many parameters that need to considered.
11-23-2015 03:40 PM
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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: #4
RE: When should I expect AHI to decrease?
Welcome to ApneaBoard NVGirl! Glad you found us. Hopefully you'll get lots of ideas on how to make your therapy MUCH better!

For one, are you a mouth breather when sleeping? Wondering if that is why you have the Mirage Quattro FFM. A lot of people here much prefer nasal pillows and from what I've read (having never worn a FFM) you may get a better seal with them than a FFM. Or you could try getting a liner for your mask.

Keep us posted!

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

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-23-2015 03:54 PM
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trish6hundred Offline

Advisory Members

Posts: 6,453
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: When should I expect AHI to decrease?
Hi NVGirl,
WELCOME! to the forum.!
Much success to you with your CPAP therapy and hang around for more suggestions and answers to your questions.

trish6hundred
11-23-2015 05:19 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #6
RE: When should I expect AHI to decrease?
Your profile indicates you have a BiPAP S/T. This model is normally prescribed for COPD and other obstructive pulmonary patients. If the intention was to treat central apenea, then you needed the BiPAP Auto SV.

We need to determine what kind of sleep apnea you were diagnosed with. You may have the wrong machine, and with an AHI of 50, it's my opinion your concerns should be shared with your doctor. You are not being treated, and it would not be the first time that a supplier provided the wrong machine thinking it was okay. If you need a Model 960 Auto SV, get it. Call your doc tomorrow and get to the bottom of this. The model 1060 S/T will not provide data that can be seen in Sleepyhead, so it's going to be very hard to help you on this forum.

Do you have COPD or other pulmonary issues that would indicate this machine? What can you tell us about your sleep study?

______________________________________________
Organize your SleepyHead Data
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11-23-2015 05:37 PM
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Tacoma Droner Offline

Preferred Members

Posts: 52
Joined: Sep 2015

Machine: PR System One autoSV BiPap
Mask Type: Nasal pillows
Mask Make & Model: Optilife
Humidifier: PR System One
CPAP Pressure: 9-18
CPAP Software: SleepyHead

Other Comments: Became a hosehead in 2004-still going strong!

Sex: Male
Location: TACOMA WA

Post: #7
RE: When should I expect AHI to decrease?
(11-23-2015 03:15 PM)NVGirl Wrote:  Started two months ago on BiPap, took one month to finally get a mask that fit correctly. My Ahi is at 50; I'm still experiencing a lot of symptoms. What should my expectations be regarding relief?

Still horrible anxiety attacks/nightmares although some increase in energy. Still do not sleep through the night. 100% compliance on my part.

Thanks!

NVGirl, welcome to the forum. With 50 events per hour, I think we can all agree that your therapy is not working. Your expectations as a new user should be (1) to have some challenges finding a mask that fits well, is comfortable, and doesn't leak, then when you get that part sorted out (2) you should expect to get immediate relief.

The forum is a pretty good place to find answers. But to find good answers, you need to provide lots of good information. First, look on the bottom of your machine for a label that has the serial number. Somewhere on that label it should say the model of the machine you have. We need to know that. Hopefully, it will be something like 1061420, and your machine will look something like this--
[Image: 03B5CEB25E4DFB2AFD09DE08927F30103D3BED35.jpg]

If that's the right machine, then the next thing you need to tell us is what settings are programmed into the machine. You can find out (with the machine plugged in but not running) by turning the big dial to "Setup" then pushing down on the big dial and and on the ramp button (the little button with the triangle symbol on it) and hold those both down until the machine beeps (takes about 5 seconds.) Once that happens, you can release both, then turn the big dial to "Setup" again. That's where you'll find all the settings. (after you write down all the settings, be sure to use the dial to "Exit" -- or simply unplug the machine, then plug it back in.)

That's the first step. The next step is as OpalRose instructed. You need to download the SleepyHead software, figure out how to install it on your computer, then transfer your sleep data from the machine to the computer. If you don't know how to do any of that, don't worry, you're not alone. Just let us know which part you're having trouble with and we'll tell you how to do it in more detail.

At some point, you'll probably want to get yourself a manual for your machine. Lots of info about that here--
CPAP Setup Manuals (clicky)

Unless you have something really unusual going on, we should be able to help you get your AHI down to single digits pretty quick. The nightmares suck, no doubt about it!
11-24-2015 03:08 AM
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WakeUpTime Offline

Advisory Members

Posts: 156
Joined: Jan 2014

Machine: PR System One BiPAP S60 Auto 760
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: PR S1 w Heated Tube+Hose
CPAP Pressure: Auto / Inhale 11-12.5 / Exh 9
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location:

Post: #8
RE: When should I expect AHI to decrease?
(11-23-2015 03:40 PM)Possum Wrote:  If you have consistent AHI = 50, I would regard your treatment as mostly ineffective. There are likely all kinds of adjustments that need to be made, including but not limited to your pressure(s).

Ditto on that.

I struggled for the first few months with settings that were less than effective. I had AHI numbers of 14-15 for a long time. It took me about 6-8 months to get below 10, and about a year to get below 5 (AHI).

Sleep Apnea has given me a terrible memory. Please forgive me if I've repeated myself.
11-24-2015 08:40 PM
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mandtsmith Offline

New Members

Posts: 1
Joined: Nov 2015

Machine: resmed
Mask Type: Nasal mask
Mask Make & Model: f and p eson
Humidifier: resmed
CPAP Pressure: 7
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #9
RE: When should I expect AHI to decrease?
I think I was lucky by the sounds of it. Started at 98 and then down to around 2-5 straight away after treatment.
11-24-2015 10:58 PM
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