Tips to lower AHI? Sleepyhead screenshot.

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
arthuref
Posts: 59
Joined: Thu Jun 01, 2017 7:08 pm

Tips to lower AHI? Sleepyhead screenshot.

Post by arthuref » Fri Aug 24, 2018 12:05 pm

Been averaging about 4 for AHI. I know under 5 is good, but wondering if anyone can tell anything by looking at my Sleepyhead chart; any suggestions for lowering AHI. 8cm pressure recommended by doc, though for a awhile I used 7 as max setting due to side effects (stomach pain, extreme dry mouth).

Let me know if I can supply more info and/or screenshots. Thanks!
Screen Shot 2018-08-24 at 11.00.10 AM.png
Screen Shot 2018-08-24 at 11.00.10 AM.png (554.32 KiB) Viewed 555 times

User avatar
palerider
Posts: 32299
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Tips to lower AHI? Sleepyhead screenshot.

Post by palerider » Fri Aug 24, 2018 12:57 pm

arthuref wrote:
Fri Aug 24, 2018 12:05 pm
Been averaging about 4 for AHI. I know under 5 is good,
Under 5 is *NOT* good, it's "good enough" for doctors, but 5 is still like being poked with a sharp stick every 12 minutes, all night long.

Under 2 is good.
arthuref wrote:
Fri Aug 24, 2018 12:05 pm
but wondering if anyone can tell anything by looking at my Sleepyhead chart; any suggestions for lowering AHI. 8cm pressure recommended by doc, though for a awhile I used 7 as max setting due to side effects (stomach pain, extreme dry mouth).

Let me know if I can supply more info and/or screenshots. Thanks!

Screen Shot 2018-08-24 at 11.00.10 AM.png
Your *min* pressure needs to be more like 7.6, and max needs to be higher to bring your ahi down. Maybe not a lot higher, because raising the min will help a lot.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Last edited by palerider on Fri Jan 17, 2020 10:52 am, edited 1 time in total.
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

arthuref
Posts: 59
Joined: Thu Jun 01, 2017 7:08 pm

Re: Tips to lower AHI? Sleepyhead screenshot.

Post by arthuref » Fri Aug 24, 2018 3:02 pm

I'll try that and report back, thanks.

User avatar
jamesbond007
Posts: 72
Joined: Tue Jun 19, 2018 4:47 pm
Location: Valley on the west.

Re: Tips to lower AHI? Sleepyhead screenshot.

Post by jamesbond007 » Fri Aug 24, 2018 3:26 pm

Disclaimer: This comment may not help you with your AHI.

It looks like your EPR is turned on full time but it is set at 0. It is a comfort feature that lets you exhale (close to) normally. Have tried it and turned it off? If you turn it back on, then add that much amount of pressure to your both min and max pressure. Just FYI.

_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: AirFit™ N20 Nasal CPAP Mask with Headgear
Additional Comments: 8cm - 12cm H2O on auto ramp starting 4cm H2O. Changed to 10cm - 14cm H20. EPR 2cm H20.

User avatar
palerider
Posts: 32299
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Tips to lower AHI? Sleepyhead screenshot.

Post by palerider » Fri Aug 24, 2018 3:28 pm

arthuref wrote:
Fri Aug 24, 2018 3:02 pm
I'll try that and report back, thanks.
If you've had bloating, then go easy on the max increases... You need more, but go slow

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

arthuref
Posts: 59
Joined: Thu Jun 01, 2017 7:08 pm

Re: Tips to lower AHI? Sleepyhead screenshot.

Post by arthuref » Mon Aug 27, 2018 3:32 pm

If you've had bloating, then go easy on the max increases... You need more, but go slow
Thanks for the replies folks. I've been gradually dialing up the min and max pressure, which seems to be working: AHI is lowering (last night: min: 6, max: 8, AHI: 1.49).

But last night I did get pretty bad bloating/stomach pain. If I increase pressure more gradually, is it possible my body will get acclimated to it and bloating can be avoided? Any other tips to avoid that?

User avatar
Pugsy
Posts: 65112
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Tips to lower AHI? Sleepyhead screenshot.

Post by Pugsy » Mon Aug 27, 2018 3:50 pm

Sometimes people reach a point with the bloating/aerophagia that they just can't go higher without a lot of discomfort.
Maybe later they could try revisiting more pressure and see if anything has changed. Sometimes a person can use more pressure 6 months from now without a problem than they can use right now.

There's no urgent need to increase your pressure any more. Back up just a little or add a little EPR in the mix (if you can) to lessen the aerophagia symptoms. Not much else you can do and there's no urgent need to do more anyway.
AHI less than 2.0....quite acceptable.
You don't want to trade one problem which is a maybe tiny problem for a bigger more annoying problem like the aerophagia.
Sometimes the cure is worse than the disease.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.