Optimising Treatment (inc. pics)

[Dansworth]

Cheers Pugsy. I'll report back tomorrow.

I was on CPAP for about 3 months (4>11) and only just last week I bought my Auto CPAP. In all honesty, I haven't seen a huge impact on my tiredness yet, maybe slightly. I'm hoping once I get my settings as good as you think is feasible, I'll then give it a few months to see how I react.

It has been a learning curve too, it's only been a couple of times where I've slept the whole night. Often I'll wake up at least once or twice, which obviously doesn't help.

[Pugsy]

Well it's painfully obvious that your prior settings of 11 were no where near optimal.
The machine needed to be able to go higher and couldn't.

We are essentially starting over with you but we will move a lot faster...get you dialed in and then give it some time.

Oh...this thing about never waking during the night. That's really a myth...we wake often as a normal part of the sleep cycle...like it's normal to awaken after completion of a REM cycle and we typically have several during the night if we are sleeping decently.
Only thing is most of the time the awakening is so brief we don't form a memory of it.
Sometimes we do remember awakenings and it's more important what we do with those awakenings than the fact we had them.
Like do we go right back to sleep or lay awake stewing over it and the insomnia monster comes for a visit.
One or two remembered awakenings....not usually a big deal as long as we just roll over and go right back to sleep.
Now a dozen remembered awakenings...we start looking at other stuff because if you remember a dozen I am betting you had some that you don't remember.

Right now with what we see on these reports...prime candidate for crappy sleep in general and there's not much chance of feeling better with this going on. Let's clean things up a bit and then give it some time.

[Dansworth]

Here's last night's data (attached)

Lower AHI, which is lovely, but still some snores. I don't know what's a 'good' number - similar to AHI? Seems like they're happening at lower pressure/ramp feature (although I may be reading it wrong!).

I do feel a little better today actually. Not groundbreaking, but definitely better. A continuation of this would be great.

[Jas_williams]

Here's last night's data (attached)

Lower AHI, which is lovely, but still some snores. I don't know what's a 'good' number - similar to AHI? Seems like they're happening at lower pressure/ramp feature (although I may be reading it wrong!).

I do feel a little better today actually. Not groundbreaking, but definitely better. A continuation of this would be great.

A 1 Cm more of minimum pressure upto 14 will remove the last few snores but the figures are now looking much better glad your sleep is better any AHI less than 2 we consider good here. I would now raise your min ramp pressure from 4 to a more realistic 8 or stop using ramp altogether if you can that way yu get up to your treatment pressure quicker

[Pugsy]

Read this about the snores. Pay special attention to the VS2 snore stuff.
You may not make much headway against the VS2 snores by using more pressure. They don't seem to respond to more pressure like the other snores and to be honest we don't really understand just how critical it is that the VS2 snores get killed off.

viewtopic.php?f=1&t=155478&p=1182872#p1182872

[Dansworth]

Hi again.

I've just bought a humidifier, as the air hitting my mouth was quite cold and I was getting a dry throat/coughs etc, it has always made treatment a lot quieter, barely even feel the air now. Generally, I feel like I'm getting better, deeper sleep, with quite a lot of vivid dreams - not uncommon I hear. However, my fatigue/low energy levels are still here. Some days worse than others, today being pretty bad, so I'm back here again looking for advice/reassurance! My optimised setting have been present for about a month, but I was hoping to see a lot more progress by now.

Now my settings have been at 14/20 for a month, I was just checking in to see if there are any tweaks people would make. I've included the last 7 days of data. Generally my AHI hovers around 1.5>2.5. Not sure if I should be aiming for lower than that?

[Dansworth]

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