I need some Sleepyhead professionals here!!

I was wondering if my APAP is responding quickly enough based on the data? I think the lag time between the apneas and the surge in pressure is too high.
http://postimg.org/image/o6xn7rvbt/

chefmate wrote:I was wondering if my APAP is responding quickly enough based on the data? I think the lag time between the apneas and the surge in pressure is too high.
http://postimg.org/image/o6xn7rvbt/

Just so you realize that your machine does not respond to CAs.......

LSAT wrote:

chefmate wrote:I was wondering if my APAP is responding quickly enough based on the data? I think the lag time between the apneas and the surge in pressure is too high.
http://postimg.org/image/o6xn7rvbt/

Just so you realize that your machine does not respond to CAs.......

Do you think I have central sleep apnea? I was diagnosed with OSA with 51 AHI.

chefmate wrote:

LSAT wrote:

chefmate wrote:I was wondering if my APAP is responding quickly enough based on the data? I think the lag time between the apneas and the surge in pressure is too high.
http://postimg.org/image/o6xn7rvbt/

Just so you realize that your machine does not respond to CAs.......

Do you think I have central sleep apnea? I was diagnosed with OSA with 51 AHI.

NO

Based on the SH calendar, you've only been on CPAP for 3 days. The CA's are probably pressure induced since your body hasn't had time to become use to the air pressure of you CPAP. You need to more time before doing anything. . . Hang in there!

chefmate

For the night in the chart, your AHI was 2.1. What are your expectations?

For future reference when posting charts, it is most helpful to see Events/Flow Rate/Pressure/Leak Line. "Mask Pressure" is of no help.

SGearhart wrote:The CA's are probably pressure induced since your body hasn't had time to become use to the air pressure of you CPAP.

More than likely they are not centrals and not even true apneas. My guess is that most of them are caused by reflexive holding breath while moving or some other activity in bed.

Cereal Killer wrote:

chefmate

For the night in the chart, your AHI was 2.1. What are your expectations?

For future reference when posting charts, it is most helpful to see Events/Flow Rate/Pressure/Leak Line. "Mask Pressure" is of no help.

My expectations are an AHI below 5 and improvement in daytime symptoms of sleepiness and brain fog. AHI is where I want it to be but still no improvement in daytime symptoms.

PS: i have only been on the APAP for 3 nights.

It's really too soon to expect much improvement no matter how much we wish we were like those people who had the miracle in a single night. I never had that miracle but I sure wished for it.

Not enough centrals for a diagnosis of central sleep apnea even if they were all "real" which I doubt they were all real.

While you are trying to be patient it never hurts to look at other possible contributing factors.
Hours of sleep...do you normally sleep for this amount of time? 12 hours is a bit excessive...makes me wonder why.
Are those hours of sleep fragmented with multiple wake ups and if so, any idea why?
Do you take any meds of any kind? If so, what? Often meds have side effects that either mess with sleep quality or how we feel during the day so we look at meds.

Also, you are using apap with changing pressures and for some people the pressures changing around all night can affect sleep quality so sometimes a much tighter range and/or even cpap mode might be something to consider to try to improve on sleep quality if it is not seemingly being restorative as we would expect or want. While a lot of people can sleep through some rather big changes in pressure and not have it bother their sleep there are people who will have their sleep quality trashed just from rather small changes in pressure.

And there is a lot of truth to the "give it time" thing. We didn't get in this shape overnight and it's really a bit unrealistic to expect things to be fixed over night....no matter how much we read about others having the overnight miracle because most cpap users don't get lucky and get that overnight miracle.

Hi Pugsy,

I had multiple wake ups during the night for no apparent reason other then maybe dry mouth. I was wondering if dry mouth could be an indication that I need a full face mask rather than a nasal mask i am currently on?

PS: I took melatonin last night so that explains my 12 hour nap

Dry mouth usually means some mouth breathing is going on but it can also be related to various meds or other health conditions.
Plus some people just get dry mouth easier than others. I get it with just a tiny bit of mouth breathing.
As to needing a full face mask...in terms of rehydrating the mouth with moisturized air that may or may not fix the dry mouth because it seems like the humidifier doesn't always have the ability to put out enough moisture to rehydrate the mouth.
This forum is full of full face mask users complaining of dry mouth.

Now if your mouth breathing is excessive then you may need a full face mask to at least prevent loss of therapy pressure just be aware there is no guarantee it will fix the dry mouth issue.

I suggest that you evaluate the leak graph to see if the mouth breathing is excessive to the point of negatively impacting your therapy very much. Not all mouth breathing means that the whole night of therapy is in the toilet and sometimes doesn't mean any of it is in the toilet. I get some dry mouth occasionally and yeah, I see leaks that are probably mouth breathing leaks on my leak graphs but they rarely hit large leak territory and if they do they don't stay there long so I don't worry about it.

I couldn't see the leak graph on the report you posted above so I don't know how big or prolonged it might have been last night.

Melatonin will/can make a person feel lethargic and sleepy the next day...as evidenced by your 12 hour sleep session.

chefmate wrote: PS: I took melatonin last night so that explains my 12 hour nap

How old are you? How much melatonin do you take?

ChicagoGranny wrote:

chefmate wrote: PS: I took melatonin last night so that explains my 12 hour nap

How old are you? How much melatonin do you take?

I am 26. I took 5 mg . Last night was the first and last time I am ever taking melatonin. I still feel groggy and sleepy from it.

chefmate wrote:I am 26. I took 5 mg . Last night was the first and last time I am ever taking melatonin. I still feel groggy and sleepy from it.

There is one good thread about melatonin in here somewhere. It includes in part this information,

1. Supplemental melatonin, on a temporary basis, can sometimes be helpful for shift work changes and jet lag.

2. As people age, their bodies may produce insufficient melatonin and supplemental melatonin is sometimes appropriate. Generally this starts to happen around ages 50 to 60. And there are ways to deal with this besides supplemental melatonin. Some ideas are sufficient sunshine during the day, light therapy, blue blocker glasses in the evening and strict sleep hygiene.

3. The appropriate daily dosage for melatonin supplementation is 0.5 mg and as high as 1.0 mg, but no more, in some people.

So in addition to being too young for melatonin supplementation, you dosed with 5 to 10 times the appropriate dosage.

Live and learn.