Help reading data please. cpap noob here.

I had low ahi when I did my sleep studies but now i'm getting very higher ahi at home with my resmed a10 airsense apap.

I'm having issues keeping it on all night but I do feel better in the morning like I want to get up. however several hours later I feel like going back to bed.

Also the events are almost all Central and even tho i'm getting higher ahi I feel alot better.

Does that mean I just didn't get to deep enough sleep during my studies?

Does this mean I have central sleep apnea?

Is it normal for me to feel better for a few hours and wan to go back to sleep? Cause my body is just getting use to the treatment?

Can anyone look at my data with Resscan and sleepyhead and giving me feed back? maybe suggestion on options to change?

since I have Central apnea will I need to get a vpap or bipap now?

https://www.dropbox.com/s/pgm4o1rmiubq6 ... 5.zip?dl=0

Thank You,

Corey

corey,

I've downloaded your SD card's zip file and I'm looking at in in SleepyHead. It would help me if I knew what time zone you are in. I want to make sure that SH is not splitting the night in an awkward way. Given that you are using a Resmed machine, I don't think this is a problem, but I'd like to be sure.

You write:

easleycorey wrote:I had low ahi when I did my sleep studies but now i'm getting very higher ahi at home with my resmed a10 airsense apap.

...

Also the events are almost all Central and even tho i'm getting higher ahi I feel alot better.

Does that mean I just didn't get to deep enough sleep during my studies?

Does this mean I have central sleep apnea?

Your machine is indeed registering a fair number of centrals. But that does not necessarily mean that you have central sleep apnea or complex sleep apnea. The centrals may not be "real"---if you are not sleeping very soundly. Or, even if they are pressure related, they may resolve themselves (i.e. go away on their own) as you and your body get used to using the PAP. Or they may indeed be a potential issue. The thing to do right now is not get overly worried about them: It's worth keeping an eye on them and if they're still around in 2-3 weeks, at that point it's definitely worth asking some questions about them to your sleep doctor.

I'm having issues keeping it on all night but I do feel better in the morning like I want to get up. however several hours later I feel like going back to bed.

...

Is it normal for me to feel better for a few hours and wan to go back to sleep? Cause my body is just getting use to the treatment?

It takes a while to learn how to sleep with this contraption on your nose. And some of us take longer than average to learn how to sleep well with the machine. But until you are sleeping well---i.e. your sleep is not fragmented and you don't have any serious problems with leaks---it's hard to say how much better you'll feel during the daytime and how long you'll feel decent.

And even once you are sleeping well with the machine, it's possible for your body to start craving sleep, now that it's getting real sleep instead of apnea/hypopnea filled sleep all night.

But of course, your data is currently showing a lot of CAs being scored. So the first big set of questions for you are these:

How soundly do you think you are sleeping with the machine? Are you dozing a lot of the time you have the mask on your nose? Do you find yourself waking up a lot during the night to fiddle with the mask?

Can anyone look at my data with Resscan and sleepyhead and giving me feed back? maybe suggestion on options to change?

The things that jump out at me in your data are:

1) The large number of CAs, but you already know that. Whether they're clinically significant remains to be seen and that will only be determined with some time. (It is worth looking at the report for titration study to see if there was any mention of pressure induced centrals on that study.)

2) There is evidence of fragmented sleep: On the night where you obviously had the mask on for the full night, there are a lot of places where you turned the machine OFF and back ON. On other nights there are long gaps in the wave flow. So either my copy of SH needs accurate information about what time zone you are in OR you took the mask off for several hours on these nights. You need to focus making sure you don't take the mask off and return to sleep. At the same time, you need to think about what kinds of things are causing the sleep fragmentation and work on fixing them. If the fragmented sleep is "CPAP discomfort" you need to figure out what about CPAP therapy is causing the discomfort. Once you can tell us how the CPAP therapy is uncomfortable and disruptive of your sleep, we'll be able to give you lots of useful ideas on what to try to address those problems.

3) There are some Large Leaks that are being flagged. While the total time in Large Leak territory is "acceptable" from Resmed's Green Smiley/Red Frowny icons, the question is whether leaks are causing you comfort problems and/or waking you up. If you are dealing with dry mouth problems or chipmunk cheeks, then chances are the leaks are a big enough comfort problem for you to need to work on them. If you wake up aware of the leaks, you need to work on fixing the leaks. But if you are sleeping soundly through the leaks, you just need to keep an eye on them and make sure that the time you are in Large Leak territory remains under 10-15%.

since I have Central apnea will I need to get a vpap or bipap now?

Until a doctor diagnoses you with central or complex sleep apnea, your insurance company is not going to pay for a VPAP or a BiPAP. If you genuinely have central or complex sleep apnea, a VPAP or BiPAP may not actually work much better than the APAP you have now. (But then again, a VPAP just might do the trick.) Most insurance companies insist that CPAP/APAP must be shown to not be effective OR be intolerable over several weeks before they'll authorize a switch to a VPAP/BiPAP. The insurance companies will again insist that the VPAP/BiPAP trial last several weeks (or even several months) before they'll pay for a VPAP/BiPAP S/T or an ASV machine. For people with real central sleep apnea issues, the usual machine winds up being an ASV machine. But since ASV machines are much more difficult to learn to sleep with, most of the time there's a real effort made to see whether centrals that emerge after starting PAP will resolve by themselves as the body gets used to therapy.

Central Time Zone (Kansas)

Mask: air fit N10

You are reading that correctly I do take my mask off during the night because my nose goes numb and I can't get back to sleep so I take it off and if I wake back up ill put in back on and go right back to sleep.

I don't regain consciousness very often maybe once or twice a night. Most of the time to use the restroom and ill put the mask back on and if I can't go right back to sleep because the mask feels weird after my nose area goes numb than I take it off and pass right back out.

The last 3 days I have been traveling and last night I didn't use the machine at all but i'm back home now.
Also one of the nights I didn't have the sd card in so it only got the summary of that night.

Since I didn't use the machine last night I feel horrible today. So I know the apap is helping some what but I need to optimize it now.

My pressure seems to be mostly set to 10 point something during the night so wouldn't I want to move it up to like min 7 max 12 and see if it helps or does it not work that way?

Could it be my positioning causing the events?

I live with other people is there anything than can due my checking on me and recording how i sleep?

I want to optimize as soon as possible so I can feel great.

Please give me any advice you have it we be greatly appreciated!

Thank You,

Corey

Your nose should NOT go numb. Sounds like you either have it screwed down way too tight or it is just the wrong mask for you. If you don't have the heated hose, get one.

SleepDisturbed wrote:Your nose should NOT go numb. Sounds like you either have it screwed down way too tight or it is just the wrong mask for you. If you don't have the heated hose, get one.

Alright i'm going to try out the p10 for $99

and

ClimateLineAir for $40

anybody else have better prices that you know of?

I have to pay for everything out of pocket.

Thank You,

Corey

Please add your equipment to your profile like I have mine when you have time.
It will help us help you better and faster when we know at a glance what you are using.
wiki/index.php/Registering_Equipment_in_User_Profile

ResMed pretty much price fixes their products so it is unlikely that you will find a lower price on ResMed items online from places like cpap.com if the businesses are honoring their contracts.

Cpap.com offers the P10 with free return insurance so you can return it within 30 days of their shipping it and get your money back.