"It showed an average AHI=13.4 (mild) supine AHI=23 and REM AHI=36.7 with O2 below 90% 10% of the night and lowest at 78%."
MILD simply refers to the number of time you stopped breathing (you can google the diagnoses). People with "mild" OSA can still be at risk of serious medical problems if left untreated. You oxygen saturation was at an unhealthy number 10% of the time you were sleeping, and at a dangerous level of 78% at one point. From the averages, it looks like you spent a good part of the night on your side, and not in REM. Sleeping on your back and/or dreaming puts your AHI up considerably - any given night spent more on your back could really lower your oxygen rates, and at 78% those increased apneas would not be good.
Someone with "severe" OSA but who has shorter apnea events and less reduction in oxygen levels could be at a lower risk of permanent damage.
Cpaps don't cure sleep apnea -they eliminate the symptoms by opening your airway. It doesn't slowly decrease events, but attempts to eliminate them immediately with use. Sometimes you will see a gradual reduction reported by someone, but that is almost always because the prescribed pressure may be too low to splint the airway, and when pressures are adjusted and AHI continues to decrease.
Your treatment seems to be working well for you. Stopping it because your AHI is below 5 would be like someone with diabetes stopping their meds because their blood sugar levels are normal while taking the drugs.
In a word, yes. Treatment is not like allergy shots, if the machine is adjusted right, it works completely, if it adjusted close it mostly works and if not adjusted, it may work sometimes.
The big problem is, can you sleep with the mask in your face. Its a problem forever because it's as much about gravity as an illness. And gravity never goes away.
I started out with a less problem than you and I am still trying to sleep. The good news that it is getting better every week.
If you are sleeping well, don't stop what what you are doing.
Best of luck.
(07-13-2016, 03:12 PM)insomniac999 Wrote: Hello, I'm new here,
I will do it if it helps my insomnia but I am not totally confident in the private sector firm which tested me in the first place and who are somewhat linked to the CPAP machine supplier.
Ask for a copy of your sleep study that was signed by a physician and seek a second opinion from another sleep specialist if you still have doubts. The second doctor should be able to look at the study and access the raw data if necessary. This should bring you greater peace of mind.
As for the relationship between the physician and the DME, most physicians offer referrals. Kickbacks in some form are not unknown, but outright fraud is relatively rare. If in doubt, consult your insurance company and seek their advice.
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
WELCOME! to the forum.!
I know CPAP therapy can take some getting used to, but just stick with it, it does get better over time.
Good luck to you on your CPAP journey.