Getting tired again after 3 months

[iglehart]

So about 3 or 4 months ago I was diagnosed and got a machine and mask. Felt great for 2-3 months now I am using the mask everynight and starting to feel tied again.
I have a resmed machine that allows me to download detailed data to my laptop and my number has never been above 4.7 (AHI).

Any clue whats going on? I do have only the nose mask and my mouth is sometime dry in the morning, so I am guessing maybe breathing through my mouth?
Can this cause tiredness? Anyway I have an appointment Thursday to get a full face mask to see if this solves the problem.
I wanted to go in with some thoughts to as what might be the problem.

Todd

[iglehart]

Any help is appreciated.

Thanks in advance.

[Pugsy]

If you have the software what do your leak line graphs look like? Do you spend much time over 24 L/min? That's where ResMed says that leaks can start impacting therapy effectiveness.

Also how many hours of sleep are you averaging? Are those hours fragmented (wake up often)?
Any change in meds?

[Julie]

If your mouth's open, all the Cpap air can go out that way before going down into your airway... so you're doing a smart thing next week.

[kteague]

It's not uncommon to feel an improvement for a while because things are at least better once on CPAP, but if the therapy is not optimized, better is just not good enough over the long term. Once you give a little more detail you will get some targeted suggestions. Using data to assure your treatment is therapeutic is generally the first step in troubleshooting. A few common issues can be ruled out pretty quickly, and if a problem remains, it's a process of elimination, but well worth the effort. Good luck.

[iglehart]

So no change in meds as I do not take any.
Sleep pattern most night is a full 7-8 hours. Once to twice a week I get woken up by kids, but not regularly.
One this is I am under alot of stress right now and I know stress has a big effect on you, so that is another variable.

I will check my data tonight after the kids are in bed.

[iglehart]

So beside leakage what else should I look at?

My ahi is always low, if I am breathing through the mouth will the cpap pick up leakage or increaes AHI?

[iglehart]

So for pressure I have a machine that allows for range. I was prescipbed 7-9.
In my sleep study pressures of 4-9 were effective, above 9 was too high.