Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Worsening of the cpap-therapy
#1
Question 
In 2014 I was diagnosed with a mild OSA in a sleep laboratory. 
At the second visit to the sleep laboratory, they tested the use of a cpap-device with success on me.
My therapy is routinely checked from a "sleepcenter", including checking the device and getting new supplies.

After 2.5 years of steady cpap use, the symptoms of day fatigues intensify, alternate words in sentence when speaking, to be upset, etc.
Noticed also that the humidifier needs more water.

I went to the sleepcenter, the checked the graphs from resscan with 4 eyes! and did a device pressure test.
They said: All data from resscan looks flawless, I should do a visit to my general practitioner.
(Got also a new mask, no improvement.)


I certainly think, he can't help me with this topic.


Could someone do a advice from the sleepyhead-printscreen?

Printscreen from my last sleep:
   

I did a 6 month statistic with the average pressure from sleepyhead. I see a slight increased pressure:
   
Post Reply Post Reply
#2
That's the purpose of the Autoset. Your numbers look great.

Can you be specific on how you feel and when? Let's see what can be done with your comfort.
Post Reply Post Reply
#3
Welcome to the forum. Your AHI is excellent. It appears your min pressure is too low and should probably be increased to about 6 but wait for some more feedback from other members before making a change. I see nothing in your data that would explain the fatigue. Others with more expertise may have some advice. I do suggest that you organize your sleepyhead charts as shown in the link below and repost. It will provide more useful data.

Post Reply Post Reply


#4
Generel I feel the same signs of fatigue symptoms before I startet with CPAP.
After get up, I need a couple of hours "to wake up". (I was never a morning person, but I feel now, that it takes more time.)
During the whole day, I feel sleepy, but I never fall asleep.
Post Reply Post Reply
#5
A possibility just occurred to me. I also noticed increased fatigue a little over a year ago and was diagnosed with a hypoyhyroid condition. You may want to have your thyroid stimulating hormone levels checked. I'm now taking synthetic thyroxin and my symptoms have improved greatly. The condition is very common, especially as we age. I have learned that several of my friends and relatives and even my Dr. have it.

Post Reply Post Reply
#6
6.5 hrs of sleep?
no wonder you're tired and fatigued.


go to bed earlier. Get more sleep.
Post Reply Post Reply


#7
The machine is obviously flittering about, reacting to some precursor breathing, maybe flow limitations. If this we mine, since my median pressure is 6.8, and max is 9 (and I hit 9 several times for a short period), I would set my minimum at 6.5 or 7, maybe raise the maximum to 9.5 or 10.

Hope you start feeling more rested.

QAL
Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply
#8
(05-03-2017, 11:57 AM)zelda Wrote: In 2014 I was diagnosed with a mild OSA in a sleep laboratory. 
At the second visit to the sleep laboratory, they tested the use of a cpap-device with success on me.
My therapy is routinely checked from a "sleepcenter", including checking the device and getting new supplies.

After 2.5 years of steady cpap use, the symptoms of day fatigues intensify, alternate words in sentence when speaking, to be upset, etc.
Noticed also that the humidifier needs more water.

I went to the sleepcenter, the checked the graphs from resscan with 4 eyes! and did a device pressure test.
They said: All data from resscan looks flawless, I should do a visit to my general practitioner.
(Got also a new mask, no improvement.)


I certainly think, he can't help me with this topic.


Could someone do a advice from the sleepyhead-printscreen?

Printscreen from my last sleep:


I did a 6 month statistic with the average pressure from sleepyhead. I see a slight increased pressure:

many things can make you tired
not just apnea

like sherlock holmes said
when you have ruled out everything else then whatever is left is the answer no matter how improbable

if the numbers are good and the machine is working
then look for something else that is the cause
Post Reply Post Reply
#9
I think your minimum pressure is not doing you any favors here. it's clear that your pressure remains near 7.0, most of the night, and that is what I'd recommend as a minimum. The variation in pressure can be disruptive, even if you're not aware of it. Keeping pressure in a narrower range will help a lot.

Leaks are significant and those also add to disruptive sleep. These are all leaks of pressure through your mouth, so you have options of chinstraps, soft cervical collar or switching to a mask that also covers the mouth. Finally, I agree you should try to get 7-i
8 hours of sleep.

I am certain that implementing any or all of these three suggestions will make a noticeable difference.
Post Reply Post Reply


#10
Thanks for all the replys!

One observation with the nearly empty water tank from humidifier is still a mistery for me. 
Normally, there is at least 1/3 to 1/2 water left after usage.


Conclusion:
First: More sleeptime, try a chin strap, checking the thyroid.

If no positiv change:
Increase the pressure from 4/9 to 6/10 or 7/10.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [CPAP] ResMed AirSense 10 – therapy partial data, cellular transmission Roger Oscar Lima 9 227 8 hours ago
Last Post: Walla Walla
  Returning To Therapy with Startling Results OldMarineOceanside 95 3,109 10-06-2017, 05:02 PM
Last Post: OldMarineOceanside
  My Experience So Far (and thoughts on changes to therapy) Esq. 30 776 10-05-2017, 01:22 PM
Last Post: Esq.
  First 3 weeks of therapy tjwoody 5 227 09-18-2017, 08:31 AM
Last Post: tjwoody
  When is sleep therapy no longer needed? rafimf 19 549 09-11-2017, 08:53 PM
Last Post: tmoody
  New to Apnea Therapy Esq. 19 2,040 08-18-2017, 05:08 AM
Last Post: Esq.
  [split] Take charge of your therapy - Heated tube Kathy123 8 462 08-13-2017, 08:30 PM
Last Post: Walla Walla

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.