Received test results have to decide what to do now

[sleepyheadct]

I received my test results from rpmhst.com and they don't look as bad as I thought they might be, says moderate. Are the dental devices worth trying?

AHI 19.5 ODI 13.2

Here's what it says for my treatment options
Consider treatment with nasal continuous positive airway pressure (CPAP). If the patient chooses CPAP therapy, a
nocturnal PSG with CPAP titration is recommended. As an alternative, an Auto PAP with pressure range 4-20 cm
H2O, PAP interface (mask) fitted for patient comfort, tubing, heated humidification & PAP compliance monitoring
(1 month, 2 months, 3 months & 12 months after PAP initiation).
Consider Mandibular advancement device for mild to moderate sleep apnea.
ENT referral to look for site specific obstruction and possible palliative procedures is an alternative

[Okie bipap]

Few people have been able to adequately treat their apnea through the use of a mandibular device. The best option is an auto adjusting machine such as the Resmed Air Sense 10 auto for her. This is probably the most highly recommended machine here on the forum.

[Jas_williams]

Few people have been able to adequately treat their apnea through the use of a mandibular device. The best option is an auto adjusting machine such as the Resmed Air Sense 10 auto for her. This is probably the most highly recommended machine here on the forum.

I second that suggestion get a resmed autoset for her

[Bookit]

Don't waste money on the mandibular device. The odds are not in your favor on that one.

Go with the resmed autoset for her. It has worked great for me.

Wishing you refreshing sleep!

[kteague]

Some people experience severe symptoms even with mild sleep apnea. I was one of those (although it is now moderate to severe). The thought of living with untreated moderate sleep apnea makes me shudder. What symptoms did your moderate sleep apnea cause that led your doctor to order a test? Keep in mind the AHI of 19 is an hourly average. In an 8 hour night that would be 152 events to potentially disrupt the continuity of your sleep stages, stress your heart, affect your oxygen levels, and/or flood your body with stress hormones. Don't let the word moderate give you a false sense of insignificance.

The thing I like about CPAP (besides it being noninvasive) is its effectiveness can be measured nightly and over time with the machine data. With a mandibular device or surgery, except for maybe a followup exam, if the problem comes back or worsens over time it won't be known until the symptoms come back. Whether to get titrated on a machine in the sleep lab or use an auto adjusting machine and do it at home is probably a matter of preference and your comfort level. There are people here who can walk you through dialing in your settings to optimize treatment. 4 to 20 is just a starting point. Or you can let the sleep lab give you a more targeted starting point.

Best wishes in making the decision that is best for you. Keep in mind this is a CPAP forum, so you won't find anyone here for whom surgery or a dental device has resolved their sleep apnea. Those who found such efforts effective aren't hanging out here.

[Jcastellaw]

I as the same way around Christmas. My AHI was 17. Finally got an Auto CPAP and getting it tuned in can be a chore but there’s a couple good people on here that will help.
I feel like a new person. My Cpap is not dialed in and I’m cautious about asking question with a smartass on here but my advice is get an auto CPAP. Get a nasal pillow mask and you will be glad you did. Let me know if you have questions about my experience.

[bwexler]

My SleepDancing Video link

How did you get that video. I can't tell if it was me or my little sister. But it is in a strange bed. And,where is our PAP?