CPAP - Low AHI, still cannot sleep. Trouble determining beneficial pressure

[frustratedsleeper]

There is nothing in your software reports that is standing up screaming "fix me and you will sleep better".
Sorry, I wish there was because it would give you something tangible to work on but it's just not there.
You look really, really good on paper anyway.
Unfortunately there are a lot of culprits that can and will mess with sleep quality that have absolutely nothing to do with sleep apnea and the best cpap therapy in the world can't fix a problem that isn't related to sleep apnea.....no matter how much we want it to.

I have an overbite. lol I know that sometimes has to do with poor sleep and snoring, does that provide anything new to the discussion or same conclusion?

[DreamDiver]

I have an overbite. lol I know that sometimes has to do with poor sleep and snoring, does that provide anything new to the discussion or same conclusion?

...
It looks like you're beginning sleeping at different times. On the 12th, you started at 3am and ended at 7am. On the 13th, you started at 7 and ended at 11:30am. Getting sleep when you can is important, but changing when you sleep may be counter-productive. Do you have a job that is second shift or floating shift? Are you sleeping for any periods without the mask? Are you finding yourself taking the mask off at some point and continuing sleeping without?

Sleep hygiene is important. ...

Is there anything in the data that stands out. For the most part my sleep hygiene is really good. I check a lot of the boxes you say, but the Corona stuff messed up my sleep schedule

What Pugsy said.

I am still curious though about why you're masking up at 3am on one day, and 7am on the next day. Knowing your background story might allow others with similar situations to give you more insights.

Chris

[Pugsy]

There is nothing in your software reports that is standing up screaming "fix me and you will sleep better".
Sorry, I wish there was because it would give you something tangible to work on but it's just not there.
You look really, really good on paper anyway.
Unfortunately there are a lot of culprits that can and will mess with sleep quality that have absolutely nothing to do with sleep apnea and the best cpap therapy in the world can't fix a problem that isn't related to sleep apnea.....no matter how much we want it to.

I have an overbite. lol I know that sometimes has to do with poor sleep and snoring, does that provide anything new to the discussion or same conclusion?

Same conclusion to me anyway. If the overbite is any sort of factor...the machine is doing a good job dealing with it.
There's nothing in your reports that points to something needing to be tweaked so you can improve sleep quality.

Often people expect to find a hidden something in the software detailed data that is the miracle answer to their problem and sometimes it's there but I just don't see it in your reports.
You've got something else going on messing with your sleep quality that the cpap machine isn't designed to fix so it can't fix it.

[frustratedsleeper]

I have an overbite. lol I know that sometimes has to do with poor sleep and snoring, does that provide anything new to the discussion or same conclusion?

...
It looks like you're beginning sleeping at different times. On the 12th, you started at 3am and ended at 7am. On the 13th, you started at 7 and ended at 11:30am. Getting sleep when you can is important, but changing when you sleep may be counter-productive. Do you have a job that is second shift or floating shift? Are you sleeping for any periods without the mask? Are you finding yourself taking the mask off at some point and continuing sleeping without?

Sleep hygiene is important. ...

Is there anything in the data that stands out. For the most part my sleep hygiene is really good. I check a lot of the boxes you say, but the Corona stuff messed up my sleep schedule

What Pugsy said.

I am still curious though about why you're masking up at 3am on one day, and 7am on the next day. Knowing your background story might allow others with similar situations to give you more insights.

Chris

Sleep schedule is a bit wonky due to the Corona Virus and a lack of discipline lol

[Pugsy]

Good sleep hygiene is important in the insomnia war we fight. Regular bedtime is one thing that always makes the good hygiene list.

[Miss Emerita]

The only thought I can come up with is that you seem to be doing some wake-ups during your initial ramp period. Try shortening your ramp time or turning ramp off. If you just shorten it, try setting a higher starting pressure for the ramp. This is completely hypothetical, but I wonder whether you are subconsciously waiting for the ramp period to end, or sensing that it has ended, with the result that you're not able to maintain sleep.

[frustratedsleeper]

Hello, I hope its not obnoxious to keep posting new OSCAR information on here. These are two of my previous days data:

[zonker]

Hello, I hope its not obnoxious to keep posting new OSCAR information on here. These are two of my previous days data:

not at all. that's the point of having your own therapy thread, so folks can see what's going on.

just make sure to tell us how you are feeling along with the charts. and of course, ask any questions.

[frustratedsleeper]

Hello, I hope its not obnoxious to keep posting new OSCAR information on here. These are two of my previous days data:

My feelings are still the same as my initial post, still waking up early and feeling tired. Am still waking up early feeling unrested.

[frustratedsleeper]

Here is my most latest sleep data. This was after a day outside playing basketball, for the first time ever lol, which left me exhausted. Still woke up feeling really bad and poorly rested, plus sore from the basketball game.

Along with the data, here is a summary of my first sleep study:

- something interesting that happened was that I had 5 leg movements that I guess woke me up, is this something significant? It is the only standout thing I can pinpoint as a potential problem now that my CPAP is working.

That is just a hypothesis, but I would like other opinions on that. If you would give feedback thank you. The poor quality of my sleep is really starting to effect me now, so anything helps.

[frustratedsleeper]

Anyone?

[DreamDiver]

You are managing this part of your sleep therapy well.
The next step is determining what else you can do besides data that will give you peace enough to rest and sleep.

Revisiting good pressure management can only bring you so far. If you had bad large leaks or a terrible AHI or RDI, we might be able to help. But your are doing well on these fronts. It may mean that you simply have to have patience as your sleep debt is paid over time. Many of us have found this to be the case. Sometimes it just takes time. It took me months.

Please consider re-reading some of the previous responses from Pugsy and others. Where sleep apnea is concerned, you are managing well. Sleep hygiene is the next consideration we can help with. Beyond that, you may need to speak with a neurologist who is a sleep specialist or another sleep doc who specializes in sleep-related issues broader than just sleep apnea.

Chris

[frustratedsleeper]

You are managing this part of your sleep therapy well.
The next step is determining what else you can do besides data that will give you peace enough to rest and sleep.

Revisiting good pressure management can only bring you so far. If you had bad large leaks or a terrible AHI or RDI, we might be able to help. But your are doing well on these fronts. It may mean that you simply have to have patience as your sleep debt is paid over time. Many of us have found this to be the case. Sometimes it just takes time. It took me months.

Please consider re-reading some of the previous responses from Pugsy and others. Where sleep apnea is concerned, you are managing well. Sleep hygiene is the next consideration we can help with. Beyond that, you may need to speak with a neurologist who is a sleep specialist or another sleep doc who specializes in sleep-related issues broader than just sleep apnea.

Chris

Hello,

I understand that my Cpap is managing my AHI well so I think my apnea’s are solved. I mentioned my leg movements in the post to get feedback of whether that seems like a plausible cause of my problems now. Any thoughts?

[Pugsy]

I do not think those are enough leg movements to be a likely factor but leg movements or PLMD isn't an area I am particularly well versed in.

Normally I wouldn't suggest a new thread/top but in this situation I do and maybe put this as the topic with a link back to this thread for additional history.

Topic title.....How many leg movements are needed to maybe impact sleep quality.
Then again include that part of your sleep report and a link back to this thread.
We have a forum member Kteague...Kathy...who is our resident PLMD go to person. She's much more up on this sort of stuff.
I was thinking at leg movements need to be at least 15 per hour average....but again I could be thinking wrong.

Kathy probably isn't following this thread but if you do a new topic and mention leg movements she's likely to spot it and respond.

[frustratedsleeper]

Hi frustratedsleeper. Thanks for PM'ing me to let me know of Julie's suggestion. My expertise is pretty much limited to experience, but I've had a heck of a lot of that.

About the few limb movements noted on your study. While they are too few to be of clinical significance in their own right, they could be a red flag. If, and that's a big if, you were to happen to have an issue with periodic limb movements, it is not uncommon when experienced in conjunction with obstructive sleep apnea for either or both conditions to be underappreciated in a study as they can mask each other. Whichever is the strongest on any particular night will get the higher count, and we don't sleep the same night to night. Sometimes people see only a few limb movements in the lab, but once they resolve their sleep apnea with effective CPAP therapy and are sleeping better, the limb movements have the opportunity to more fully manifest. The question for you is if your legs are disrupting your sleep or not. If possible, video recording your legs (uncovered) while sleeping is one way to find out if there is significant movement. Is that something you are able to do?

Hopefully with the guidance of the machine and data gurus here you can make sure your treatment is optimized. Some of them can look at things like flow limitation graphs in the machine data and tell a lot. (Definitely not me.) I wouldn't worry too much about recording your legs until your OSA treatment is going pretty good and you have passed through the adjustment phase with all the new sensations. So many things can disrupt sleep. It's a process of elimination. Good luck with things.

Hello again,

Quick question; would medication for Restless leg syndrome also help with PLMD. To be specific I was given Ropinirole tablet 1mg each. My legs are not restless during the day, but apparently I have movements at night, to me that sounds like Periodic Limb Movement, but my doctor gave me this for Restless leg syndrome. If I do actually have PLMD, will this medication be pointless?