Just a thought, but with your other complications you might be able to get them to just go right to the ASV machine, it is the gold standard for dealing with mixed apneas like you have
With the greatest of respect to your sleep therapist, I think she may be too quick to dismiss the significance of those central apneas. By definition an apnea is a cessation of breathing for 10 seconds or more - not something you can safely ignore. You are experiencing about 20 such cessations an hour and half of them are centrals. 5 - 15 events per hour is defined as "mild" apnea and 15 - 30 is "moderate". You're squarely in the middle of the moderate band. Given your other health complications I think it would be prudent to try and eliminate all those apneas.
While centrals can sometimes resolve with the use of an ordinary cpap, this is not the normal situation, as far as I am aware. In fact, it can make central apnea worse in susceptible patients. Further there is not a lot of evidence that sleeping your side can reduce the occurrence of central apnea (I've only been able to find one study with that conclusion). Sleeping on your side can certainly help obstructive apneas in many patients.
It may be that "the system" requires you to try cpap first before graduating to ASV. If that's the case, give it a go. But stack the odds in your favour by insisting on a fully data-capable auto-titrating machine such as the Resmed Airsense Autoset (or "Autosense for her") or a Philips Respironics Dreamstation Auto. I always suggest these brands as they have the biggest share of the market and there is a lot more support for them. In any case, I really do think you should try the therapy and see if it helps improve your other symptoms as well.
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Hi tracey. Welcome to the Apnea Board. DeepBreathing has pretty well summarised the mixed apnea situation for you. I also agree that you should pursue treatment of your mixed/complex apnea. It will take some time to get an ASV machine if your Doctor needs to rule out traditional CPAP therapy as being effective. Maybe you could ask for a titration on an ASV machine that starts out with CPAP and then is switched to ASV to find the optimal therapy for you. As DeepBreathing suggested it might eliminate a step in the usual course in dealing with insurance. Stay in touch. We can offer lots of help along the way to successful treatment. And, if ASV therapy doesn't work at least you will know.
Welcome to the forum tracey! I hope you get this all sorted out in a timely fashion for your health's sake! Do keep us updated!
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