Post Reply 
Why do your numbers change?
Author Message
Marnid2014 Offline

Preferred Members-2

Posts: 187
Joined: Mar 2014

Machine: ResMed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: P10 & Circadience Advance Cloth Mask
Humidifier: H5i
CPAP Pressure: 4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Florida

Post: #1
Why do your numbers change?
First, I want to thank all of you for helping me. If it were not for you I would be stabbing in the dark and not taking control of my own health which is critical. You are my rocks and I appreciate all of your input so much!!! I am new to this and want to understand all I can.

So, finally yesterday the DME delivered my x-small pillow and I used it last night. I did not feel like I slept as well last night for some reason and this morning I read the data card. It showed that I had an AHI of 2.21. The leaks that were an issue for me were 12.0 Hyponia 0.65 Apnea 0 Obstructive 0.78, Clear Airway 0.78. The night before, my leak rate was 19 and the AHI was 0.24.

Is it normal to have fluctuations in AHI? My pressure is set to 8. I am still trying to understand all this.

Thanks
03-06-2014 07:25 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #2
RE: Why do your numbers change?
Yes, it is normal. There are a lot of variables that affect our sleep every night. New mask, new pillow size, leaks, sleep position, etc. etc. No 2 nights will be the same. As long as you are able to keep your leaks under 24 and your AHI under 5 then I wouldn't be overly concerned unless you feel really sick or feel bad. Hope this helps.

I go back and forth between 2 nasal mask cushion sizes. One night the one cushion size may work great and the next night, for whatever reason, it is uncomfortable, leaking more, etc. and I change to the other cushion size and all is well.
(This post was last modified: 03-06-2014 09:58 AM by me50.)
03-06-2014 07:28 AM
Find all posts by this user Post Reply Quote this message in a reply
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: Why do your numbers change?
Me50 said it best. No two sleep session are the same.
Your numbers sound pretty good. And your treatment pressure is low compared to people like me.
So, keep on doing what your doing.

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.
03-06-2014 07:37 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Marnid2014 Offline

Preferred Members-2

Posts: 187
Joined: Mar 2014

Machine: ResMed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: P10 & Circadience Advance Cloth Mask
Humidifier: H5i
CPAP Pressure: 4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Florida

Post: #4
RE: Why do your numbers change?
Thank you again!!! I was dreaming so vividly last night and about the dumbest thing, Reading the card from my machine of all things!! I think I am being overly worried but hopefully that will settle in now that I have taken more control over it. Knowing that the numbers actually look pretty good is a huge help to me. I have been ill, I had pneumonia last week, and am still getting over it so probably some of that is coming into play here. I did find myself in a rather uncomfortable position last night for some reason, I just could not settle in. Sigh.
03-06-2014 07:50 AM
Find all posts by this user Post Reply Quote this message in a reply
Bompa Offline

Monitors

Posts: 854
Joined: Mar 2012

Machine: DreamStation Pro
Mask Type: Nasal pillows
Mask Make & Model: Nuance Pro
Humidifier: DreamStation Heated Humidifer
CPAP Pressure: 12.0
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: Falkenburg,

Post: #5
RE: Why do your numbers change?
(03-06-2014 07:50 AM)Marnid2014 Wrote:  Thank you again!!! I was dreaming so vividly last night and about the dumbest thing, Reading the card from my machine of all things!! I think I am being overly worried but hopefully that will settle in now that I have taken more control over it. Knowing that the numbers actually look pretty good is a huge help to me. I have been ill, I had pneumonia last week, and am still getting over it so probably some of that is coming into play here. I did find myself in a rather uncomfortable position last night for some reason, I just could not settle in. Sigh.

Your numbers look good. Keep doing what you're doing.
Take care of yourself and get better!!!!!!

Coffee Sleep-well
03-06-2014 10:27 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #6
RE: Why do your numbers change?
Just keep a 'weather eye' on the leak rate and the AHI. Try to keep the leak rate down, and while "less than 5" is wonderful, for some of us, "less than 10" is usually all we can hope for.

Example: I switched from my FFM the other night to a mask I really like, and for whatever reason, my AHI for that night was '48'~!!! Very, very bad. Switched masks again (back to my FFM) and my AHI was my more usual '8.4' type number.

If you leak rate is low, but your AHI starts climbing, you have a problem that needs fixing. One night may be a fluke but 3-7 nights that are bad in a row is a sign that something needs to change.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
03-06-2014 12:48 PM
Find all posts by this user Post Reply Quote this message in a reply
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,068
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #7
RE: Why do your numbers change?
This is why we say look at the trends, not each night. You are looking for your normal ranges.

Since you are just starting out, you might want to consider keeping a sleep journal. I can be as simple or as complicated as you want.

Before sleep, not how each day went. Good day, bad day, high stress, fun day, bad day at work, baseball game, beer with friends.
Note anything 'noteworthy' about that day. Tried a new food, might be catching a cold, getting over a cold, headache, etc.

In the morning, note how you slept. Like a rock, woke up a lot, dreamed but can't remember, do remember.

Then when you sit down and look at the data, you can compare the numbers to the sleep journal, maybe even noting the AHI in it. Then you can see how stuff works. Or doesn't! Beer with friends got you a higher AHI than the cold medicine? High stress days really mess up your sleep?

Then, if you are so inclined, you can take steps to make your sleep better. Like, drink cold medicine instead of beer. Just kidding!!! Oh-jeezLaugh-a-lot

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
03-06-2014 12:48 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
c0reDump Offline

Preferred Members-2

Posts: 157
Joined: Jan 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: H5i (distilled)
CPAP Pressure: APAP 9-17cmH2O
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: TX

Post: #8
RE: Why do your numbers change?
Peter: did you reconfigure your machine for the new mask type? I know that S9s (at least) need to know if you are using FFM or nasal.

Marnid2014: I concur with the others, your numbers are looking good!
03-06-2014 12:53 PM
Find all posts by this user Post Reply Quote this message in a reply
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #9
RE: Why do your numbers change?
(03-06-2014 12:53 PM)c0reDump Wrote:  Peter: did you reconfigure your machine for the new mask type? I know that S9s (at least) need to know if you are using FFM or nasal.

Yuppers - am aware, and with my machine, can't use auto-start with the high leak alarm - so I make all sorts of changes if I swap masks.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
03-06-2014 01:31 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
ImaSurvivor Offline

Preferred Members-2

Posts: 322
Joined: Nov 2013

Machine: ResMed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i Heated Humidifier, ClimateLine Tubing
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: Moderate Sleep Apnea, Began using CPAP 11/27/2013

Sex: Female
Location: New York State

Post: #10
RE: Why do your numbers change?
What Paula O2 said. I am an advocate of the journal. It has helped me a lot to follow my trends. My AHI fluctuates within the normal range quite a bit. My leak rates stay pretty steady.

Not long ago my comfort with my mask began to decline and AHI began to climb. I was suddenly having to fidget a lot with the mask trying to get it to feel better and my nose began getting sore. I discovered I needed to change my nasal pillows. When I put new ones on everything went back to "Normal Paping" for me. Saying "Normal" is a stretch if you have to be on CPAP but a life saver and very necessary.

Keeping track of those instances in a journal, dates when I have replaced my pillows, filters on my machine, etc. is very helpful.
(This post was last modified: 03-06-2014 01:48 PM by ImaSurvivor.)
03-06-2014 01:48 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  [Pressure] Change Pressure on AirCurve 10 VAuto info 31 4,971 12-08-2016 09:34 AM
Last Post: _cy_
  [Pressure] How to change pressure - Respironics Solo slgoltz 5 20,037 11-30-2016 06:32 PM
Last Post: randx2
Question Change Humidity Level Seasonally txpap 9 531 11-21-2016 06:58 PM
Last Post: Sleepster
  numbers scottb908 2 233 10-30-2016 10:59 PM
Last Post: trish6hundred
  pressure change cwvincent 2 357 10-16-2016 04:22 PM
Last Post: trish6hundred
  [CPAP] ANOTHER CPAP PRESSURE CHANGE!!! jennie54 3 428 10-11-2016 04:44 PM
Last Post: SaldusMiegas
  Change Name in Resmed S9 Autoset Waldo 10 569 10-06-2016 07:36 AM
Last Post: Waldo

Forum Jump:

Who's Online (Complete List)