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Looking for some advice
#1
Smile 
Looking for some advice
Hi all, 

About 2 years I got diagnosed with sleep apnea (~10 AHI). At first I started with a positional trainer but the results were lacking. Since August I am making use of a CPAP (constant pressure of 5) but I find the results still lacking. I feel like throughout the day I have less energy dips but my blood pressure is still high, I suffer from a lot of brain fog and overall energy is still quite low.

Figured I would give this forum a try. I have read all the instructions on how to display the graphs in a proper way but I may have missed a thing or two. Please let me know if more information is needed. I attached the past three days. 

Thanks a lot!


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#2
RE: Looking for some advice
Hi Neil,

Your numbers look good, but your pressure seems pretty low. 5 is below the recommended threshold for adults. I also noticed that you are on CPAP mode vs APAP, any reason why you have it set up that way?

My guess is that you could probably use some more pressure, as I can't imagine 5 is very therapeutic for an adult, despite your good numbers.
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#3
RE: Looking for some advice
(10-24-2024, 02:30 PM)REMChaser Wrote: Hi Neil,

Your numbers look good, but your pressure seems pretty low. 5 is below the recommended threshold for adults. I also noticed that you are on CPAP mode vs APAP, any reason why you have it set up that way?

My guess is that you could probably use some more pressure, as I can't imagine 5 is very therapeutic for an adult, despite your good numbers.

It was setup like that by my doctor. He measured my neck circumference and concluded that 5 should be sufficient. Not sure why the CPAP vs APAP decision to be honest.
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#4
RE: Looking for some advice
Neck circumference to determine pressure? That is a new one to me. It would be interesting to hear the explanation of what he is thinking.

Your description of how you feel leads me to think your pressure is too low. You have a bit of flow limitations going on as seen in the left hand table and also in the inverted inhale/exhale ratio. A bit more pressure should help with both.

I suggest giving this a go to see where it lands.

Mode APAP
Min pressure 7
Max pressure 12
EPR 2 full-time
No ramp

That should clear up the flow limitations, but it may cause other issues. Give it a go for a few nights and let’s see where it lands. We can adjust further from there.
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#5
RE: Looking for some advice
(10-24-2024, 07:51 PM)PeaceLoveAndPizza Wrote: Neck circumference to determine pressure? That is a new one to me. It would be interesting to hear the explanation of what he is thinking.

Your description of how you feel leads me to think your pressure is too low. You have a bit of flow limitations going on as seen in the left hand table and also in the inverted inhale/exhale ratio. A bit more pressure should help with both.

I suggest giving this a go to see where it lands.

Mode APAP
Min pressure 7
Max pressure 12
EPR 2 full-time
No ramp

That should clear up the flow limitations, but it may cause other issues. Give it a go for a few nights and let’s see where it lands. We can adjust further from there.

Thank you! Will give it a shot and report back Smile
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#6
RE: Looking for some advice
It took a bit before I got to trying things out but I managed to do it in the past week. 
 
I was thinking of adjusting the max pressure to around 8.5 and bump the lower one a bit to 7.3. Based of the average and 95% statistics. What do you think?


What I also have been reading is that the flowrate graph is supposed to consist of nice arches. Currently it flattens out quite a bit on the way up. Is this any problem? Attached a screenshot where I zoom in on the flow rate as an example.


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