So, now I am looking for help to decide where to next.
My goal is to
a) have AHI of less than 2 or even less than 1.
b) minimise leaks: (pretty much taken care of)
c) avoid recurrence of the side effects in my previous post: (avoid EPR of 2 or less and avoid undertreatment with too low pressures.)
d) achieve restful restorative sleep: still need to get there.
My "numbers" are generally very good but I still feel there is some way to go.
I am still waking up during the night for no reason that I can see: not related to leaks/events.
I am still concerned about my flow limitations. I suspect these are my limiting factor, certainly associated with sudden spikes in FL or when my pressures Max out.
I am not feeling as refreshed as I used to when I started PAP therapy. Perhaps I am sleeping deeper and therapy needs changing. Certainly in the last few weeks I have been nodding off during the day, or in the evening while watching DVDs.
When I choose to not use the Nonin Oximeter I tend to sleep deeper (less disruption with the Oximeter lead getting tangled).
So I have now moved back to FFM and have settled on F30i Small Wide or Dreamwear Large.
I have largely chosen the For Her setting because this responds sooner, if a little gentler, and holds the pressures for longer. It lowers the 95% FLs somewhat, but there are still high max FLs and I am keen to tackle both of these.
I have gotten used to MinPress 9.4, initially this gave me aerophagia, but am adapting to this, and anyway I would rather have that than my other symptoms.
Still need to find that perfect pillow.....
My thoughts going forward are:
1. Back to APAP/Autoset, but with different settings, or try Soft Mode.
2. Dare I even try CPAP, say 10 with EPR3. I hesitate to do this because of this limits max pressure which caused my grief in the first place, prevents machine responding to FLs, maxes out the pressure and leads to HA and RERA.
3. Increase Min Pressure even more?
4. Find a way to increase PS?
Any ideas and input would be appreciated.
Here are my charts from the last few nights, generally representative of the last month.
Dec 24
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Dec 25
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Dec 26 (initial daytime sessions removed: I was trialling an F&P Simplus while awake)
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