This is my first time ever on the forum. Attached is the screenshot of my OSCAR data. I've been putting this off for a long time but sleep has been horrific the past several months (primarily early morning awakenings with energy followed by bad daytime fatigue and drowsiness)
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[CPAP] Input needed
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09-04-2023, 08:35 PM
Input needed
Hello guys,
This is my first time ever on the forum. Attached is the screenshot of my OSCAR data. I've been putting this off for a long time but sleep has been horrific the past several months (primarily early morning awakenings with energy followed by bad daytime fatigue and drowsiness)
09-05-2023, 01:34 PM
RE: Input needed
Hello eugyyoo2,
Welcome to Apnea Board! I can easily see why you would have bad daytime fatigue. This chart shows only 2 hours use. Do you have other nights you can post showing longer sleep time? Based on the 2 hours, the only thing might be that you're having some issues with your mask fit or you are mouth breathing. Your overall leak rate is low, but continuous. http://www.apneaboard.com/wiki/index.php...ask_Primer
OpalRose
Apnea Board Administrator www.apneaboard.com _______________________ OSCAR Chart Organization How to Attach Images and Files. OSCAR - The Guide Soft Cervical Collar Optimizing therapy OSCAR supported machines Mask Primer 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.
09-05-2023, 01:52 PM
RE: Input needed
Your numbers look good. Your min pressure is only 5. I need at LEAST 9 or I can not sleep - just not enough air going through the machine. Remember that if you have a good seal of your mask, what is coming through your mask is all the air you get and 5 I would be air starved.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
09-05-2023, 06:05 PM
RE: Input needed
The past couple to few weeks, I have been sleeping 2-3 hours a night, so this would likely be the most indicative data as of recent.
09-06-2023, 02:44 AM
RE: Input needed
If you share some more information, we can try to narrow in on a solution. I think the obvious target here is getting you more sleep. I don't think anyone on the planet can sleep 2 hours per night and function, so you just need to be sleeping longer to start with. What happens when you wake up and try to fall back asleep? Do you use sleeping aids/medications? Is there any information that you think could help us?
09-06-2023, 05:50 AM
RE: Input needed
Also, try to think of your environment. Is your bedroom comfortable, too hot, too cold? Mattress worn or uncomfortable?
Sleep Hygiene is important. Do you see anything here that might apply to you, that you can work on. https://www.apneaboard.com/wiki/index.ph...Sleep_tips 1. Stick to a sleep schedule (going to sleep and getting up). If you are a shift worker, this can be difficult and you may need to ensure an even more fastidious about sleep hygiene. 2. Don't exercise too late in the day (minimum 2hr before bed). Exercise too close to bed elevates blood pressure and many other bodily mechanisms counter productive to sleep. 3. Do exercise. The recommendation is to exercise three times for 30 minutes each week. It can be strength based, aerobic or even just walking. But do something. 4. Avoid caffeine. If you must have caffeine, not after lunch time. Caffeine has a half life of 6 hours. Don't think that decaffeinated coffee is much better as it can still have up to 30% of the caffeine content. Caffeine blocks the body building up a sleep drive. 5. Avoid/limit alcohol before bed. Alcohol can help you get to sleep but it is shown to impact the quality of your sleep. 6. Avoid large meals and beverages late at night. The processing of the food and liquids may cause sleep challenges. 7. Avoid medicines that delay or disrupt sleep. Some medicines will allow you to sleep, but the quality will be poor, effectively negating the time spent in bed. Know what your medicines do. 8. Supplements may help. Whilst Melatonin is regularly recommended to help with sleep, other remedies such as Gingko Biloba, Glycine, Valerian Root, Magnesium, L-Theanine and Lavender are available. Each have their own claims of how they help. Talk with your doctor and usually don't take more than one type at a time. Again, talk with your doctor. 9. Don't take naps after 3pm. If you must nap, take it early afternoon for 30 minutes maximum. Too many naps = lowered sleep drive for the main sleeping period at night. 10. Relax before bed (no electronics). Whilst the blue light is an issue, the stimulation from the electronics also may hamper sleep. Reading a book is good, as is cleaning and other mundane chores. 11. Take a hot bath/shower before bed. This will aid raising your body temperature a little. When you then get into the cooler bed your body will associate it as sleep time. 12. Dark cool gadget free bedroom. A room between 60 and 75f (18 or 19c) is cited as ideal for sleep. 13. Have correct sunlight exposure. When you wake up, try to get morning sunshine on your skin and into your eyes. For an hour before bed try to limit exposure to blue light. 14. Don't lie in bed awake. If you wake in the middle of the night and can't get back to sleep, get up until you feel tired again. This will most likely line up with your 90 minute cycles in your circadian rhythm. 15. Use orange glasses to block blue light. Inexpensive orange cycling or safety glasses will block the blue light that is thought to interfere with sleep drive. Wear them for the hour before sleep. 16. Only use your bedroom for sleep and sexual activities. The theory is that you will then not associate the room with other activities such as watching movies, playing games... 17. Don't watch the clock. If possible, don't have a visible clock next to your bed. By seeing it every time you awake, you may trigger anxiety about returning to sleep. If you need an alarm clock, turn it away from you. 18. Use blockout blinds. To help your body maximize and leverage sleep drive, use blockout blinds during sleep so that sleep isn't interrupted. Even if eyes are closed, light can come through and trigger an arousal. If blockout blinds aren't an option, try sleeping with an eye mask. 19. Make it a calming environment. Remove any items that may trigger strong feelings or thoughts. An example could be books such as Thrillers or Horror. 20. Control the noise. If possible, have a quiet room. If this isn't possible earplugs may help. Other people find using a white noise generator helpful to assist sleep. 21. Sleep when sleepy. Going to bed wide awake is not going to help you sleep. Where possible line up your sleep time with when you are typically sleepy. This can be difficult when your partner has a different circadian rhythm. 22. Use a sleep diary. By recording how your sleep went you can see what worked and didn't. It will also be an invaluable resource when you next see your GP. Note: Some sleep analysis applications, such as Oscar, have the ability to let you record your sleep reflections each day. 23. Don't sleep in on the weekend. If you attempt to sleep in to catch up on lost sleep you will make your sleep worse. Your body thrives on routine and a 'sleep in' will confuse your circadian rhythm causing future sleeps to be problematic. 24. Write down worries. Some people struggle to go to or stay asleep because of worries or things they have to do. If this is you, write them down before bed so that they don't cause your subconscious to keep worrying about and trying to remember them. The same applies if you wake up with more thoughts. Write them down and go back to sleep. 25. Limit allergy sources. Most people have some form of allergy such as to pets or dust. Methods could include: Removing carpets, using washable microfiber quilt, mattress and pillow covers, not allowing pets to sleep in or near the bed. 26. Pick one tip at a time. Trying one thing at a time enables you to determine clearly what helps. 27. Seek help. Sleep is a critical part of life and if you are struggling, seek help. The stereotype of the old fat man being the only one with sleep issues is not accurate. Reach out early and be proactive with your own health. 28. Seek more help. Whilst your GP may be an excellent practitioner, they may not be the best person to help sort your sleep challenges. If you don't think your GP is equipped to help, ask for a referral to a specialist to get it treated. As stated above, go ahead and share your data here, even if it's only a few hours. Each night is different and we might see something that needs adjusting.
OpalRose
Apnea Board Administrator www.apneaboard.com _______________________ OSCAR Chart Organization How to Attach Images and Files. OSCAR - The Guide Soft Cervical Collar Optimizing therapy OSCAR supported machines Mask Primer 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.
09-06-2023, 11:06 AM
RE: Input needed
I usually wake up feeling fairly alert and just begin studying for several hours. Last night, I raised the min pressure to 9 and turning off EFR and ramp time and ended up sleeping 5-6 hours. Granted, I did wake up feeling more tired but that could be due to several weeks of abysmal sleep followed by a relatively good night of sleep. At the moment, I'm on 60 mg Nardil and 300 mg Lyrica.
09-06-2023, 02:35 PM
RE: Input needed
I’m glad you raised the minimum. I’m sure you will sleep better that way. But we still need to see data on your better nights sleep. Please include the flow linits chart.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
09-07-2023, 03:07 AM
RE: Input needed
Please provide us with way more information so that we can save time on finding you a solution, provided you're ok with that. When did you get diagnosed? What were the results of your sleep study? How long have you only been sleeping 2 hours? Have you tried sleeping pills? What have you tried to improve your sleep? Also, post your new data each night so that we can put together your case.
09-07-2023, 12:21 PM
RE: Input needed
Here is the most recent data from 9/5/23. I will attach the results of my two sleep studies in a separate comment. I've been sleeping 2-3 hrs a night for the past few weeks. Some changes the past couple months have been being put on Levothyroxine to address my Hypothyroidism. I have used sleeping pills like Orexin Antagonists, Trazodone, Hydroxyzine, Remeron, etc to no avail. At the moment, I am using 60 mg Nardil and 300 mg Lyrica to address my prior history of extreme mental illness.
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