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feeling dizzy from cpap
#21
(01-06-2018, 09:36 PM)mattm1 Wrote: where im at i can get my ahi down below 5 consistently.  but im still baffled as to why ive felt so fatigued since i started therapy about 2months ago.

i wake up very tired, coffee doesnt do much about it.  my hobby is writing, i typically write at least 300 words a day.  that has slowed to almost nonexistent.  im low energy, i often feel tired in the early evening so ill try to go to bed early.  but i put the machine on and after about 1.5 hours its like the machine wakes me up again.  then im up late until i eventually fall asleep.

is there something im missing?  i started supplementing with vitamin d.  i have an oximeter that says my heart rate and saturation is ok.  but i feel like i havent had a decent nights sleep since i got the machine.

my doctor thinks it could be hormonal.  before the machine i had no trouble falling asleep at night.  im also generally a very passionate person about my hobbies like writing and creative endeavours.  but i feel like my fires been sucked away.  it sounds a bit dramatic, but its true!

Wat is your machine saying, is there anything showing high numbers on the machine.
A sleepyhead data chart would help a lot.  If you have a data card.  Yes, you have an Airsense10 if I remember rightly.

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#22
these are the readouts from past few nights. i wore a cervical collar one night, but it was hurting my neck i couldnt' find a good position. i seem to always wake up same time early in the morning. maybe i have mouth leaks? I'm dimly aware of mild ones sometimes.

https://imgur.com/Dry2m1r

https://imgur.com/zay3tLb

https://imgur.com/gU9LnVH

https://imgur.com/yOZUxAA
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#23
[Image: Dry2m1r.png]
[Image: zay3tLb.png]

[Image: gU9LnVH.png]

[Image: yOZUxAA.png]
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#24
Impressions from the above graphs are, you have a variable time that you decide to go to bed. If the times are accurate, your sleep hygiene is at least partially responsible for your fatigue. You are using relatively high pressures and no exhale pressure relief (EPR). EPR, might make the therapy more comfortable. I don't know if it would improve, or make worse your current AHI, so if you decide to add EPR, go easy. Your pressures are consistently high enough that, in combination with your complaints of fatigue, you could probably quality for bilevel.

This may be a disappointment, but there is nothing remarkable about these charts that stands out to me to suggest changing pressure. Event rates are higher than ideal, but are mostly dispersed through the night, and evenly distributed between OA and CA. I wish I had more, but I'm not seeing much here that points to a direction to take with therapy.
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#25
(01-07-2018, 09:48 PM)Sleeprider Wrote: Impressions from the above graphs are, you have a variable time that you decide to go to bed.  If the times are accurate, your sleep hygiene is at least partially responsible for your fatigue. You are using relatively high pressures and no exhale pressure relief (EPR).  EPR, might make the therapy more comfortable.  I don't know if it would improve, or make worse your current AHI, so if you decide to add EPR, go easy.  Your pressures are consistently high enough that, in combination with your complaints of fatigue, you could probably quality for bilevel.

This may be a disappointment, but there is nothing remarkable about these charts that stands out to me to suggest changing pressure.  Event rates are higher than ideal, but are mostly dispersed through the night, and evenly distributed between OA and CA.  I wish I had more, but I'm not seeing much here that points to a direction to take with therapy.

yah thats what i figured.  the epr on my machine goes up to 3.  whats the difference between a bilevel machine and simple setting epr?

i know that bilevel means you can set different inhale and exhale pressure, but what is the purpose of this?  is it because people find higher epap levels to difficult to tolerate?
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#26
EPR and bilevel are very similar except for the range. Give it a try and see what shakes out.
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#27
(01-06-2018, 09:36 PM)mattm1 Wrote: where im at i can get my ahi down below 5 consistently.  but im still baffled as to why ive felt so fatigued since i started therapy about 2months ago.

i wake up very tired, coffee doesnt do much about it.  my hobby is writing, i typically write at least 300 words a day.  that has slowed to almost nonexistent.  im low energy, i often feel tired in the early evening so ill try to go to bed early.  but i put the machine on and after about 1.5 hours its like the machine wakes me up again.  then im up late until i eventually fall asleep.

is there something im missing?  i started supplementing with vitamin d.  i have an oximeter that says my heart rate and saturation is ok.  but i feel like i havent had a decent nights sleep since i got the machine.

my doctor thinks it could be hormonal.  before the machine i had no trouble falling asleep at night.  im also generally a very passionate person about my hobbies like writing and creative endeavours.  but i feel like my fires been sucked away.  it sounds a bit dramatic, but its true!

(01-07-2018, 10:28 PM)Sleeprider Wrote: EPR and bilevel are very similar except for the range.  Give it a try and see what shakes out.

ill give that a try.  the place that did my sleep study never did a titration on me, thats not scheduled until may.  i think im gonna find a new place, im getting crazy mood swings too, its a mess.  of course they had no problem selling me a machine without a titration.
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#28
The number of men on the forum that find a need to supplement testosterone seems relatively high, and it may be a comorbidity of sleep apnea, and is certainly related to weight. If you have not done a test on free testosterone, it is a very easy screening and might reveal a cause for your feelings of fatigue, lack of energy and brain fog.
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#29
(01-08-2018, 09:16 AM)Sleeprider Wrote: The number of men on the forum that find a need to supplement testosterone seems relatively high, and it may be a comorbidity of sleep apnea, and is certainly related to weight.  If you have not done a test on free testosterone, it is a very easy screening and might reveal a cause for your feelings of fatigue, lack of energy and brain fog.

getting some blood work tests for hormone levels is a good idea, thanks for suggestion.  im going to do that.  i have gained weight a fair bit, heaviest ive been.  fatigue/weight gain are kind of a vicious cycle.  i havent had any energy to even workout.
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#30
Good luck! I personally inject T-cypionate. It was a real shock to learn how low my levels were in 2014 when I started hormone replacement. I don't know if it was the heavy antibiotics from Lyme's, weight or other health issue, but it does make things easier.
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