I've been searching threads on this board for the past few days and finally joined so I can get some advice.
I've been using CPAP since 2013, I used to use Sleepyhead once in a blue moon, and just downloaded OSCAR.
When I had my sleep study I was 70+AHI
After starting therapy looking at OSCAR I was under 3AHI for years.
The past few years it's crept up. Most nights 10+AHI, some 5, some 20ahi....
I just sort of learned to deal with it.
I go in yearly to see my sleep DR and he would never say the numbers look bad. I'm in a tough spot because if I tell him therapy is not working and I'm sleepy then I can not get a letter to send to the FAA (since I'm a pilot). So I need to say everything is good, and I ask theoretical questions about my therapy but he's never ordered a new sleep study from my one in 2013.
So since I've been tired at night, fall asleep watching TV, wanting to take a nap in the afternoon. I decided to make some changes.
I purchased a New Phillips Dreamstation APAP and it arrived last Friday.
When I woke up Saturday I felt like a actually wasn't tired. For the past four nights I don't fall asleep watching TV on the couch at night.
But my AHI is still around 5ish and I see people here talking about less than five so i've been playing with the settings.
First night APAP 4-20 ( I didn't know how to change the settings yet) - AHI 5.29 pressure med 7.3 max 9.3
11/7 = APAP 4-20 -AHI 7.05 - pressure med 5.9 max 8.80
11/8 = APAP 6-15 (I looked and my script was for 6 on the CPAP) =AHI 5.74 pressure Med 6.00 Max 7,00 (so I think the pressure settings are good. EPAP was set for Auto Flex 2)
After reading the board I changed to nonauto and Flex1 for last night)
11/9 = APAP 6-12 = AHI 9.59 Pressure Med=6.3 MAx 7 So the only major change was the EPAP last night and my AHI almost doubled (I still feel rested though) My Periodic breathing went to 6.7% vs 1% with the previous flex setting.
What did change with the EPAP change also was Clear airway events went from 10 previously to 4 with the flex1 setting.
But my Hypopneas went to 60 events for the eveing.
Tonight I'm going back to Auto EPAP and level2 and see what happens.
For the longest time (years I've been living with being tired during the day, but after not being tired during the day I want to get this dialed in so I can live my days to the fullest!
Thanks for any help.
G.
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