A week of APAP and some SLeepyhead DATA. Suggestions?

[Blackhilt]

So a week in and I'm sleeping like a baby with the new machine. The first few days were stressful but now its all good. I've raised the starting pressure and have felt fine. I do wake up when the machine goes up really high (feels like its leaking all over the place) but then I fall back to sleep. I have collected some data on sleepy head, made the leak adjustment for the Phillips machine (thanks Pugsy) and took a few screenshots. Please, if you guys can take a look and send me your thoughts on what you see I would be grateful.
I know, I went with the HUGE thumbnail, I just felt the large was just too small. My apologies if this is too big.

[Bill44133]

Your AHI is still to high. You are supposed to be below 5. If it was me I would raise the minimum pressure to 10, and set the max to 20 for a few days.
See how high the pressure goes.

Your leak rate for the most part is acceptable... With more pressure that should clean up the snoring.
I see your pressure jumping up and down, and I would think that would disturb your sleep.

I wish you well..

[Blackhilt]

Thanks, I will try to go higher on the MIN.

[TedVPAP]

As stated above, you need more pressure. Set max to 20.
Properly setting the minimum is very important. Start with 10 for a few days. Then work your way up. I found a minimum pressure 2cm below my 95% pressure works best for me (same machine as yours). YMMV

[Pugsy]

Sometimes with a more optimal minimum pressure the maximum pressure will come down as well as the 90/95% pressure numbers.
For that reason I am not so quick to jump on using the 90/95% numbers as a guideline when it is obvious that the minimum pressure needs to be increased.
I tend to first look at the median pressure as a guideline for that minimum pressure setting.
A lot of times it depends on if the machine is spending a lot of time up higher or just part of the time like in your case.

I would try 8 cm minimum for a few days and then try 9 cm minimum and see what happens. I don't think that 8 will be enough but stranger things have happened and going from 7 to 8 is a bit easier than going from 7 to 9.
Up to you...you might be just fine with going from 7 to 9. It's all about your comfort and being able to fall asleep with the new starting pressure. We gotta get the sleep first.

Sleeping position also plays a part in pressure needs...you may find that when you are on your back that you need more pressure. Quite common. You may also find that when in REM stage sleep you may need more pressure and this is also quite common.

[Blackhilt]

BINGO!

Set the min at 10, took a nap after work to test it out and it was fine as far as pressure. Last night I got a 2 AHI! You guys are amazing, thanks for sharing your expertise.

[TedVPAP]

BINGO!

Set the min at 10, took a nap after work to test it out and it was fine as far as pressure. Last night I got a 2 AHI! You guys are amazing, thanks for sharing your expertise.

Good news.
After 5 days or so, please come back and add some fresh charts.

[Bill44133]

Give it a week and see how it goes. You may still need some tweaking just to make sure your therapy is optimized. If you are going through all the trouble of wearing the mask and sleeping with the machine
you want your therapy to be the best it can be.

Glad it is at least below 5.


I wish you well.