Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

twinsen123 - Therapy Thread
#1
twinsen123 - Therapy Thread
I've been lurking for some time.  

I'm trying to achieve 3 things:  more efficient sleeping duration and better recovery (more deep sleep) given I don't have rest days, keep my oxygen levels up, and try to keep my pulse above 40.

I only started therapy this month although I've used apps to record my sleeping for a good 10 years now.  I did my first sleep study in February.  Overall AHI 12.2.  NREM AHI 7.8.  REM AHI 43.5.  Only 1.5% of my sleep was in N3 sleep and 12.5% in REM.  I did get a reading of 45 bpm and a low of SpO2 90% during the study.

I played around with oximeters and smart watches before my follow up and realised my pulse can dip all the way down to 31 bpm and my SpO2 varies from 82 to 91 so it agrees with the sleep study.  I work out every day and on top of that I walk 50km-60km a week.  I have a family history of obstructive sleep apnea and heart disease/failure so some of these numbers I've seen in family members before.

The attached was my second good night since I started.  I use my mouth to puff and exhale (for reasons beyond me) and my jaw slackens a bit when I sleep so I used 7 nights to figure out a combination of chin strap and tape to be able to tolerate nasal pillows for 8 hours.  I also tend to cough or even sneeze without waking up.  This has been minimised with the therapy but not entirely eliminated.

Looking for some advice on device settings because everything for me was set to auto.


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#2
RE: twinsen123 - Therapy Thread
Welcome

Your chart looks decent IMO except for some CA's and some spikes in your flow limitations chart (even though 0.00 95th percentile flow limitations in OSCAR.  

You have EPR set to 3.  This is a balancing act.  At 3, your flow limitations should decrease (they are at 0.00).  But the higher the EPR, the more CA's a person can have.  

On top of that, the CA's could very well be treatment emergent (since you are breathing better and flushing out more CO2, you might now breathe as much).  

I would suggest keep trying these settings as it can takes weeks for a person to adapt to the treatment emergent CA's.  If after some time you still have a lot of CA's, you can reduce your EPR.  Watch your flow limitations though, because reducing EPR may increase your flow limitations.
Download OSCAR
OSCAR Chart Organization
Attaching Files


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.  
Post Reply Post Reply
#3
RE: twinsen123 - Therapy Thread
Thank you for the input.  I'm glad I got some things right.  

I only got 1 central apnea during my sleep study but I'll stick with the current settings and see if it improves.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [CPAP] hyphicti's Therapy Thread hyphicti 8 230 Today, 09:18 AM
Last Post: hyphicti
  Pokey49 - Therapy Thread Pokey49 958 31,780 Today, 09:16 AM
Last Post: Pokey49
  gaffer therapy thread gsaffer 26 780 Today, 08:07 AM
Last Post: Sleeprider
  super7pilot - Therapy Thread super7pilot 220 10,870 Yesterday, 02:52 PM
Last Post: super7pilot
  [Treatment] MoreBobaPlease's Therapy Thread MoreBobaPlease 4 132 Yesterday, 12:10 PM
Last Post: Jay51
  [Diagnosis] T818 - Therapy Thread T818 183 5,640 07-13-2025, 08:33 AM
Last Post: T818
  [CPAP] Will81 - Therapy Thread Will81 0 100 07-13-2025, 07:41 AM
Last Post: Will81


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.