pressure change; airsense 10

hi, i have the new airsense 10 and i would like to change the pressure to lower setting. Its set at 9-16 now and i would like to max out with 14 or 15. When it gets up into 15 and 16 it wakes me up because my mask starts to blow out.
can someone help me with this. DME says i need a script from my doc and i cant get into my doc for two weeks.
ill be home this evening. at work now.
A super duper thanks to anyone who can help.
Tango

Go here and request the clinical manual for your machine.
Then read up on how to go into the clinical setup menu and reduce the maximum apap pressure
http://www.apneaboard.com/adjust-cpap-p ... tup-manual
It's easy to do.

To get into clinical menu to change pressure push and hold both the round button and the home button simultaneously for three seconds, you'll see the home screen change and now you can go into settings and adjust your pressures.

You say the pressure is hitting the max and waking you up. The only reason it is hitting the max is because it is trying to stop an apnea from occuring, If you lower the max...your AHI may increase because you will have more AI or HI.

Are you monitoring your numbers? On screen or via something like SleepyHead?

Best to know what your results are before you make any changes.

It was very easy to change and I had my lowest numbers since I started a few months ago. 1.5 ahi
Usually I am around 3.5
I got an appointment with my doc today. Should I tell him I changed or change it back.
My DME said I can't change the doctors orders. I told her I already did and it was easy.
I doubt they will say anything because then they would lose money. And it's all about them getting paid.
Also, if they did I could return my cpap to them.mand get another script , then find a new supplier?
I mean , they can't make me use a certain company. I could say thanks for the new machine , here it is you can have it back. I am going to one of the other numerous suppliers on my insurance program. .?
Doubt I will need to do this though.

Reading pressure.
When I read my "pressure" the morning after am I reading the average pressure, last pressure registered , or max pressure used?
I set my pressure for 14.4and went to bed. But, due to different things , I couldn't fall asleep. But the pressure went up high. So, when I got up I changed it down to 14. Then slept.
This morning I noticed the pressure said 14.4. .???
So, did it go to 14.4 while I was awake? Why would it ramp up like that while awake? And it was maxed out at 14 for most of the over all sleeping time. So, how did I get a 14.4 pressure reading.
I had my sleep study done years ago and since then I have lost weight and changed my diet so I am no longer congested the way while on all that cow milk. I am going to the doc to ask for another sleep study. It's been well over 5 years.
Anything new out there I should ask for?

Tango wrote: I got an appointment with my doc today. Should I tell him I changed or change it back.

I don't see any purpose in lying to the doctor about it, they got it wrong, you changed things, you feel better, they should know so they can factor that in.

if they refuse to work with you, then, like you said, find another doctor.

Tango wrote:So, did it go to 14.4 while I was awake? Why would it ramp up like that while awake? And it was maxed out at 14 for most of the over all sleeping time. So, how did I get a 14.4 pressure reading.

check it with sleephead, the 95% numbers on the display don't have answers to your questions, and nobody here can do anything but guess without any data.

I brought in my "before and after" setting changes charts to my appointment. I proved to my sleep doctor that by my changing the settings, it improved my AHI AND more importantly my sleep quality.

Once I had presented my case, my doctor was in full agreement with the changes that I made.

I told my doc and he didn't care as I had proof my ahi went down . Granted for one night. We see how it goes.
Interestingly, I've lost almost 50 pounds since my last sleep study. One would think it would get better but it appears mine has gotten worse.
Years ago my pressure average was around 9.5 now it's 13.8. Needless to say he was scratching his head.
I have a sleep study scheduled for early next week.
Can't wait to see the results.
Ps. My climate line hose has lots of holes. Tried a cheaply hose. Doesn't work. So I ordered another but in the meantime I put duck tape around the climate line hose. Is this ok?

Tango wrote:Interestingly, I've lost almost 50 pounds since my last sleep study. One would think it would get better but it appears mine has gotten worse.

only those that adhere to the disproved myth that fat=apnea.

too many people have come on the forum and said exactly what you just did. (as many, or more, than have said they lost weight and had less apnea, I believe)

Tango wrote:...My climate line hose has lots of holes. Tried a cheaply hose. Doesn't work. So I ordered another but in the meantime I put duck tape around the climate line hose. Is this ok?

That's a little disturbing. How old is the hose? I would like to think that it would take years for it to develop holes.

I would just get a new hose. And insurance might pay for it, assuming the hose is old enough.

If you use SleepyHead it could tell you how effective the duct tape might be, because it will tell you how much the system is leaking. It assumes it is a mask leak, but a leak is a leak, and if there are holes in the tube, then it should show as a leak. If it doesn't, then it means your actual pressure is probably slightly lower than the machine pressure, depending on how leaky we are talking about. It also means the duct tape is working, as much as I would suggest against that approach.

As for who can change pressure, You don't have to have a license to do it. A prudent doc or DME tech will tell you not to, because if they say its OK and then you do it and you have some sort of Joan Rivers incident, they have made themselves open to litigation. So it is a CYA game for them, and no one can really blame them for playing the CYA card.

My DME was informed by me today that I changed my own pressure (they had an order from the Dr to do so). They had no issue. All I got was an immediate "OK"; no hesitation, no discussion, no disclaimer such as "you should really let our tech do that for you" or anything of the sort. I was a little surprised by that; if I were running the company I would at least want my people to go on record with any patient changing their own pressure to the tune of it at least being not recommended and offering to send someone to do it for them. Not these guys, apparently.

We also did not discuss what I changed it TO. The Dr prescribed a change from 5-20 to 8-16. I wake up at anything over 12, so I set it to 8-12, and I am carefully monitoring AHI and events related to flow and pressure. AHI has gone down from ~5 to ~3 since I did this. I might change it some more to see if I can get it even lower once I switch to the Airfit P10, but it seems that if you know what you are doing and carefully monitor, there is little danger in doing this.

palerider wrote:

Tango wrote:Interestingly, I've lost almost 50 pounds since my last sleep study. One would think it would get better but it appears mine has gotten worse.

only those that adhere to the disproved myth that fat=apnea.

too many people have come on the forum and said exactly what you just did. (as many, or more, than have said they lost weight and had less apnea, I believe)

I prefer to think of it as the "I've never been this old before, this could be normal..." mentality. It's how I talk myself out of seeing doctors til I'm almost on my deathbed.

Tatooed Lady wrote:

palerider wrote:

Tango wrote:Interestingly, I've lost almost 50 pounds since my last sleep study. One would think it would get better but it appears mine has gotten worse.

only those that adhere to the disproved myth that fat=apnea.
too many people have come on the forum and said exactly what you just did. (as many, or more, than have said they lost weight and had less apnea, I believe)

I prefer to think of it as the "I've never been this old before, this could be normal..." mentality. It's how I talk myself out of seeing doctors til I'm almost on my deathbed.

said in a creepy little boy voice: "I see doctor people"