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ahi < 5 is the goal correct
#1
resmed autoset h5i s9 series
positive airway pressure device
with humidifier
nasal mask
pressure changed 12 to 16 (doctor prescribed 14), i set at 13.8
sometimes air pushes mouth open so i use chin strap
overweight 236 (was 262 dieting) age 63.5


Isnt the goal to get apneas to 5 or below (normal)

Am i missing something

I understand you still can work on other things
such as increasing sleep time, and helping with leaks

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#2
An AHI OF 5 or less is considered clinically treated, but has little to do with how you really feel or if your pressure is set correctly for you to receive optimal treatment.

Congrats on your weight loss. That's not easy to accomplish!

Are you using Sleepyhead software? If not, now is a good time to start. Link at top of page.

I have read your other threads and posts, and you talk a lot about mask leaks. With SleepyHead, you will be able to see if you are having mask or mouth breathing going on and what effect this has on your therapy.

If you are mouth breathing and your leak rate is high, you can't count on the Apap to do its job, and your AHI readings may not be correct.

OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
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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.




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#3
darn darn darn
i thought i had nailed it. i will keep trying

honestly i do not feel a lot better. now i understand ahi and leak rate
and how you feel have to be combined

I am going to get down to 200lbs in 2017 (i guess i should lower pressure)
then

is there some rule of weight. pressure in hospital 12 when i was at
262

I felt like i was being waterboarded and increased to 16 then 13.8
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#4
Everyone is different, but the goal is to feel better in the mornings when you wake (and the rest of the day with out all the coffee). < 5 is a start, but for some it takes a while for the body top become accustomed to the change. If you maintain 5.0 or less, then I would focus on assuring you have good sleep habits and give it time to take affect. Don't get locked into a race to 0.0, for many that never happens and it leads to a lot of unnecessary frustration.
I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
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#5
As far as I kinow, pressure is not set according to your weight. Although weight loss is a good thing, there are many folk out there that lose weight and still have sleep apnea, but may be able to use a lower pressure than they did at their higher weight.

Even though I've read through your prior posts, I don't recall seeing an AHI number, nor have you told us what your 90% pressure readings are. What's even more important is the breakdown of your apneas, like Obsteuctives, hypopneas, clear airways, etc.

Again, use SleepyHead software and give us some more information to go on. Once you do that, we can guide you on how to send us a screenshot of your data.
Then we may be able to advise you on pressure settings and see how that lines up with your doctor's advice.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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.




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#6
I started out thinking the same thing. Low AHI is the prize. For the first 5 months my number was headed in the right direction. In fact, statistically speaking, I was going to reach zero in month 6. Almost got there too, even had a few zeros. Month 6 has arrived and my numbers have gone up. Now they range between 1 and 3.

What happened????

Good news....... I started sleeping for the first time in over a year. More energy and all the good things that come with sleep. I still have events but I now sleep through them. It's a difficult journey and every month brings new challenges.

But, every month is better.
Dont-know  I am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
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#7
Do you wake up often at night? That will leave you feeling unrested in the morning. You could also have PLM that disturbs your sleep. I know that I feel better if my AHI is around 2 or less than at 3 or higher. And AHI does not measure flow limitations or snoring which can also affect your sleep.

Sleep-well
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#8
(08-18-2016, 05:49 PM)Rcgop Wrote: Good news....... I started sleeping for the first time in over a year. More energy and all the good things that come with sleep. I still have events but I now sleep through them. It's a difficult journey and every month brings new challenges.

But, every month is better.

That is Great News, I too have improved lots. And Frank I have been able to reduce the coffee later in the day, but I sure do want it. Coffee
For more information explore and read the wiki or just start with the link below.
http://www.apneaboard.com/wiki/index.php...re_success

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
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