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[Treatment] New to CPAP – Requesting Some Guidance
New to CPAP – Requesting Some Guidance
Hey Apnea Board members! I'm hoping to get some guidance from you to improve my treatment with CPAP.

I am a 30 year old male with a normal BMI that has been extremely tired for over a decade. I had a sleep study back in 2016, and though the doctor didn’t mention it, the report shows a potential UARS diagnosis (RDI > 5).

As I kept getting more tired with each passing year, I decided to try another sleep study using a WatchPAT ONE in 2023. My diagnosis came back as mild OSA based on a pRDI of 9.4 and O2 nadir of 91%. My overall AHI was 3.4. Both of these are a little bit higher than my sleep study in 2016.

I was prescribed CPAP therapy and received a ResMed AirSense 11 Autoset a little while back. It arrived with a minimum pressure of 4 cmH20, maximum of 20 cmH20, and EPR of 1. It is hard for me to see much of a difference yet, though I see some encouraging signs starting to emerge (like not feeling terrible following a nap after work).

I recently put an SD card in my CPAP machine and was hoping to get some recommendations based on my OSCAR data. I’ve been reading a lot of threads on this forum, and am not really sure which category I fall into (mild OSA, UARS, something else) and what adjustments I should make to improve my fatigue.

I attached my chart output over from OSCAR below from a recent night in addition to a zoomed in view that seemed to be a calmer time and one where a clear airway was detected. This seems to be one of the “smoother” looking nights. It has been normal over the past year for me to get up a couple of times per night (and it started prior to CPAP therapy), though I didn’t always wake up quite as much during the night.

Are there any setting adjustments you might recommend going forward? The only adjustment I have made thus far is adjusting the EPR to 3 a couple of nights ago. I can’t tell whether that made much of a difference yet.

Thank you!

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