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Help with improving AHI
#1
Help with improving AHI
I've been using my CPAP for around 9 months now and still getting AHI of mostly around 3. Although I'm falling asleep less during the day, I still feel quite groggy when waking up.

My pressure has been raised to 9.4 and I'm wondering if it should go up or down. When I first started my scores on the myair app were always 90+ but now I struggle to get that consistently

I've used a few different masks, with the under nose ones slightly more comfortable, as I still struggle with leaks.

I've downloaded oscar and imported my data onto it. Would posting my data here help and how would I do this?
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#2
RE: Help with improving AHI
(02-04-2025, 10:44 AM)Swahmad Wrote: I've downloaded oscar and imported my data onto it. Would posting my data here help and how would I do this?

We'll need to see a Screenshot of the daily page in OSCAR.  

Please use the links below in my signature line to guide you in setting up a chart.  Use the Attachment Feature to post your chart here.
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.
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#3
RE: Help with improving AHI
hope this has everything that's needed!


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#4
RE: Help with improving AHI
You're somewhat limited as your CPAP is an Elite. I'm sure this is single pressure, but there should also be Exhale Pressure Relief (EPR) which will reduce your pressure between 1 - 3 cmH20, giving you a small range.

First I think you need to address the leaking. It's high moderate range is too high to accept. It's likely affecting the accuracy of therapy. It may also be a source of sleep disturbance. I don't know what mask you're using, but it appears to be mouth leaks. Again the leak rate is high enough to require attention.

On settings, you could turn on EPR full time, trying level 1, 2, or 3. This may help comfort and therapy. It's also possible you need higher pressure, but right now focus on fixing leaks. This alone may fix a lot of the inefficient therapy you have.
Mask Primer

Positional Apnea

Attach OSCAR, etc.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: Help with improving AHI
Another advantage to using EPR is that it might help with your very heavy snoring. The snoring may prevent you from getting truly restful sleep.

Also, what is your sleep position? Back/sides/stomach/some of each?

Finally, you might consider turning off your ramp, unless that makes it hard for you to fall asleep.
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