complex sleep apena question

hello i was diagnosed with complex sleep apnea back in 2011 I am using my resmed aircurve 10 ASV auto my machine will determine the best pressure to keep my airway openI have posted a picture of my data below my goal is to get down to 195-200 LBS I am 257 now how likely is it that I will get off my bipap machine if I were 200 LBS I know that i have a combination of obstructive and Central apneas can someone on here explain to me what complex sleep apnea is and if I wold get off my Bi-pap machine just by losing weight I mean losing weight would certainty help me in a lot of ways health wise but I seem to think that i will need bi-pap for the rest of my life. how true is this. I will be seeing my bipap specialist in another month. I have been on bi-pap now for 6 years now. I remember when i was 229 I still had sleep Apnea. and my sleep study found that I had complex sleep apnea when i had it done in 2011 I have no heart problems, lung problems ect ect

Have you seen this video?
https://www.youtube.com/watch?v=CU-XTcf ... e=youtu.be

Could you maybe get off bipap/cpap/whatever pap if you lost enough weight? It wouldn't be totally impossible but there are a lot of things that would have to happen first to even have a chance.

First of all the centrals...did you have them when not even on cpap/bipap? If you did then it's unlikely that they are caused by the pressure if you were having them without then something else was the cause and even if you lost enough weight to get off the cpap the centrals would in all probability remain and require treatment.

Now if the centrals are solely caused by the cpap/bipap pressure used to treat the OSA itself...then if you could get the OSA resolved to a point where cpap isn't needed than with no pressure the pressure induced centrals wouldn't have a trigger.

And not everyone who loses a lot of weight will see their OSA go away with the weight. Not to mention the problem with most large weight losses....it tends to come back.
Weight isn't the only cause for OSA. Lots of skinny people have really bad OSA. While weight can be a factor...it isn't the only factor and simply losing weight doesn't guarantee you lose the OSA in the process.

So in your situation while it wouldn't be totally impossible I think you can see that there are a lot of things that would have to come into play.
Your centrals would need to be caused by cpap pressure and any other cause would likely remain despite losing weight.
Your OSA would need to be solely related to your weight and that isn't always the case.
And your OSA would need to go away with the weight and to top it all off you would have to keep the weight off if you got lucky and the weight was the sole cause of the OSA.

Not impossible but the odds are likely against you.
And if your central apnea is present even without cpap being used...no way that I can think of where weight loss would affect central apnea caused by anything other than cpap itself. Cpap is not the only cause of centrals.

You probably really need to be discussing all this with your doctor who should be aware of your entire history and the status of centrals without cpap being used...that's a big unknown that needs to be known.

xxyzx wrote:

springman946 wrote:hello i was diagnosed with complex sleep apnea back in 2011 my goal is to get down to 195-200 LBS I am 257 now how likely is it that I will get off my bipap machine if I were 200 LBS I know that i have a combination of obstructive and Central apneas can someone on here explain to me what complex sleep apnea is and if I wold get off my Bi-pap machine just by losing weight I mean losing weight would certainty help me in a lot of ways health wise but I seem to think that i will need bi-pap for the rest of my life. how true is this. I will be seeing my bipap specialist in another month. I have been on bi-pap now for 6 years now. I remember when i was 229 I still had sleep Apnea.

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if you have complex sleep apnea you need an ASV

Springman946 IS using an ASV. He starts his post with this statement:

Springman946 wrote:hello i was diagnosed with complex sleep apnea back in 2011 I am using my resmed aircurve 10 ASV auto

And if you look at the posted SleepyHead data, you will see that his machine is in ASVAuto mode.

xxyzx wrote:what does your data say
more importantly how do you feel
are you sleepy in the day time

Look at the data Springman posted and you can tell what it says. The ASV data shows his AHI = 0.33, his leaks are under control, and his usage is decent. His complex apnea is well treated by his ASVAuto machine.

xxyzx wrote:bipap makes central apnea worse if the pressure is too high
if you were not misdiagnosed then your machine is not helping and could be hurting you

Springman is using an ASVAuto machine in ASVAuto mode because he has complex sleep apnea. He's got the right machine for the job.

xxyzx wrote:indeed

we need to see the first study and how they determined COMPSAS

and we need to see your current data

Springman posted current data from his ASV machine in his original post. His data is good.

xxxyzx wrote:no matter what the odds of getting off your bipap are very small
because you need an ASV

Springman HAS an ASV machine.

xxxyzx wrote:but that is just a fancier bipap with back up rate
so you dont really get off it

What are you talking about? Springman's machine is a Resmed ASVAuto.

xxxyzx wrote:but you will feel a lot better if you really have primary centrals
now if you have a heart problem they cant use an ASV and you have to see what the plain bipap can do
transitional centrals are not an issue and are normal
if you use opiods then you will need the ASV
and one other case of centrals where you need the ASV

NONE of this is relevant to Springman, given the medical history that he posted at the start of the thread.

xxxyzx wrote:you really need a good sleep test to see if you really have primary central to justify COMPSAS
but if you do the only FDA approved treatment is an ASV

Springman already HAS and is USING an ASV machine.

Waste of time trying to be rational with him.

robysue wrote:

xxyzx wrote:

springman946 wrote:hello i was diagnosed with complex sleep apnea back in 2011 my goal is to get down to 195-200 LBS I am 257 now how likely is it that I will get off my bipap machine if I were 200 LBS I know that i have a combination of obstructive and Central apneas can someone on here explain to me what complex sleep apnea is and if I wold get off my Bi-pap machine just by losing weight I mean losing weight would certainty help me in a lot of ways health wise but I seem to think that i will need bi-pap for the rest of my life. how true is this. I will be seeing my bipap specialist in another month. I have been on bi-pap now for 6 years now. I remember when i was 229 I still had sleep Apnea.

=========

if you have complex sleep apnea you need an ASV

Springman946 IS using an ASV. He starts his post with this statement:

Springman946 wrote:hello i was diagnosed with complex sleep apnea back in 2011 I am using my resmed aircurve 10 ASV auto

alphaboy ain't got no time to READ!!!! he's got pontificating to do!