HELP please - have to go to DME shortly

This is from last night. Everything except my obstructive apneas seem better. New face mask was wonderful. No problem with the oxygen. But now I need help in deciding what numbers might work better for the apneas. We were set at auto EPAP 9 1PAP 22. Below are my charts. You will see a large gap but that is when I had to get up and take my mask off around 3pm. I have to leave here in about 30 minutes to go see the DME. Should I stay at these numbers a few more nights or should I change my bottom number? top number?

RemStar BiPAP Auto with Bi-Flex
Mode: Bi-Level
EPAP: 9.0 IPAP: 22.0 cmH2O
PS: 13.0
Date Sleep Wake Hours
2/21/2012 00:37 07:09 06:31:26
AHIApnea / Hypopnea Index 28.20
HypopneaHypopnea 3.53
ObstructiveObstructive Apnea 22.07
Clear AirwayClear Airway Apnea 2.61
RERAResp. Effort Related Arousal 0.00
Flow LimitFlow Limitation 0.77
VSnoreVibratory Snore 0.00
PB/CSRPeriodic Breathing 0.75%

Event Breakdown
Machine Settings
Pr. ReliefPressure Relief Bi-Flex x3
HumidifierHumidifier Setting x5

Generally on BiPap...we look at EPAP for obstructive apneas and IPAP for hyponeas (and your IPAP range obviously covers that well)....so I would suspect that EPAP needs to be increased.

Given the number of obstructive events..I would suspect at least a 2 cm increase in EPAP and very likely more but it may be easier for you to adjust to if you go up in 1 cm increments.

Thanks Pugsy. I have to leave in just a few minutes. I guess because I had such high numbers before that thee lower numbers are nothing. Last night no probem with the mask, and no problem with the pressures, so raising my EPAP up a couple shouldn't bother me. I love the new face mask - no sore nose this a.m., no headache, best I've felt waking up in a long time physically (from mask problems).Now to solve the major problems

Pugsy wrote:Generally on BiPap...we look at EPAP for obstructive apneas and IPAP for hyponeas (and your IPAP range obviously covers that well)....so I would suspect that EPAP needs to be increased.

Given the number of obstructive events..I would suspect at least a 2 cm increase in EPAP and very likely more but it may be easier for you to adjust to if you go up in 1 cm increments.

Keep us posted on what you change and your progress, please. We learn all the time from these posts.