Snoring Again?

[paultn]

Hello,

I am new to CPAP, started March 5th.
My wife was thrilled that I stopped snoring when I started CPAP.

I have gone through multiple masks and settled on the F&P Vitera as its the most comfortable FFM I tried. Problem is she says with this mask I am snoring a lot again (I was not snoring with other masks). When I look at OSCAR my AHI is still low (1 or less) and I am not seeing any massive leaks or problems.

Should I be concerned about the snoring?


PS I do have a Resmed P10 on the way as well so I can try a lower profile mask (Pillows). Not sure if this would change anything snoring related.

[D.H.]

Oscar will tell you how much snoring you did. Hopefully, it will agree with what your wife is reporting.

Snoring should not occur with proper treatment, so yes, try to address it.

[LSAT]

Hello,

I am new to CPAP, started March 5th.
My wife was thrilled that I stopped snoring when I started CPAP.

I have gone through multiple masks and settled on the F&P Vitera as its the most comfortable FFM I tried. Problem is she says with this mask I am snoring a lot again (I was not snoring with other masks). When I look at OSCAR my AHI is still low (1 or less) and I am not seeing any massive leaks or problems.

Should I be concerned about the snoring?


PS I do have a Resmed P10 on the way as well so I can try a lower profile mask (Pillows). Not sure if this would change anything snoring related.

If it's disturbing your wife, you should be concerned. Without seeing some Oscar data it's hard to diagnose. but I would try slightly increasing your pressure

[joeljjk11]

Your pressure is too low. I would try increasing the minimum pressure slowly. The same thing happens to me with full face masks when the pressure is too low.

Joel

[Pugsy]

Snores are usually very easily reduced with just a small increase in the minimum or baseline pressure.
If wife is hearing them and she is for sure you are doing the snoring....the airway is still trying to collapse a little bit..it isn't fully collapsing to the point of earning an OA or hyponea flag but it is trying to.
Usually about 0.5 cm to 1.0 cm more minimum pressure will clear up the snores.

[paultn]

Raised my pressure from 14.6 to 15 and my AHI seemed to drp slightly but snoring is still present. Should I go to 15.6?
First image is at 14.6 and the second is last night at 15.

[LSAT]

Why are you using Fixed Pressure? I suggest Auto setting with Min 14..Max 20. Also reduce EPR from 3 to 2.

[paultn]

Why are you using Fixed Pressure? I suggest Auto setting with Min 14..Max 20. Also reduce EPR from 3 to 2.

I just finished my trial and the script was 2 weeks Auto and then fixed at the 95 percentile. I have a Titration study in august. I would like to be on auto but I am worried doing so would cause issues with the ADP funding for the machine which I am told won't go through until after the august sleep study.

I will try lowering the EPR to 2.

[Pugsy]

ADP won't care which mode you use and changing anything won't affect funding.

Your snores are likely related to position...probably you were on your back briefly. At any rate if you change over to auto mode the machine can deliver the more pressure needed to deal with the snores only when needed instead of you having to use higher pressures all night.

Your choice though. We don't sleep the same each night so pressure needs can change during the night. In auto mode the machine will auto adjust as needed. When using a fixed pressure you have to use the worst case scenario pressure all night long. Doable I suppose but sometimes not very comfortable especially at pressures in the mid to upper teens.

[paultn]

ADP won't care which mode you use and changing anything won't affect funding.

Your snores are likely related to position...probably you were on your back briefly. At any rate if you change over to auto mode the machine can deliver the more pressure needed to deal with the snores only when needed instead of you having to use higher pressures all night.

Your choice though. We don't sleep the same each night so pressure needs can change during the night. In auto mode the machine will auto adjust as needed. When using a fixed pressure you have to use the worst case scenario pressure all night long. Doable I suppose but sometimes not very comfortable especially at pressures in the mid to upper teens.

I do want to be on auto as I think that is the best option. My worry was the Dr would not sign the ADP funding form if i go messing about too much.
Honestly don't really know the guy as I went to a private sleep lab to get treatment ASAP.

[Dog Slobber]

ADP won't care which mode you use and changing anything won't affect funding.

Your snores are likely related to position...probably you were on your back briefly. At any rate if you change over to auto mode the machine can deliver the more pressure needed to deal with the snores only when needed instead of you having to use higher pressures all night.

Your choice though. We don't sleep the same each night so pressure needs can change during the night. In auto mode the machine will auto adjust as needed. When using a fixed pressure you have to use the worst case scenario pressure all night long. Doable I suppose but sometimes not very comfortable especially at pressures in the mid to upper teens.

I do want to be on auto as I think that is the best option. My worry was the Dr would not sign the ADP funding form if i go messing about too much.
Honestly don't really know the guy as I went to a private sleep lab to get treatment ASAP.

Have you got your machine yet and has it been paid?

If you have then why are you worried.

The process for me, and for a lot of Ontarians is to send people home with a loaner APAP machine for titration, and then using the data from the titration set your machine on fixed pressure according to the pressure by the titration.

They likely will not set you up in APAP mode because your prescription is for CPAP, that's what you're eligible for and you got an APAP because of an existing loophole.

When I had my loaner and after the titration period was over my DME set the machine to fixed pressure. Coincidentally, at about the same time the wheels started to fall off because of deviated septum I didn't know I had.

I set my machine back to APAP.
The next day the DME connected to my machine saw my machine was back in APAP mode, thought she had neglected to set it properly and set it back to CPAP.
We then played CPAP setting tug o'war for the next few days until I got a rather terse email from my them.

I left the configuration alone, until I got my permanent machine.

At my next Sleep Doctor appointment, I told the my doctor I had been adjusting my machine. She told me, "She had heard" and laughed.

We discussed my APAP range, Sleepy Head charts and she has been supportive of my self-management. After my Septoplasty and T. Reduction, at our last meeting, my AHI was well under 1, she asked me "What my secret was?", and told me "Keep at it and set up an appointment should I have any problems."

[paultn]

ADP won't care which mode you use and changing anything won't affect funding.

Your snores are likely related to position...probably you were on your back briefly. At any rate if you change over to auto mode the machine can deliver the more pressure needed to deal with the snores only when needed instead of you having to use higher pressures all night.

Your choice though. We don't sleep the same each night so pressure needs can change during the night. In auto mode the machine will auto adjust as needed. When using a fixed pressure you have to use the worst case scenario pressure all night long. Doable I suppose but sometimes not very comfortable especially at pressures in the mid to upper teens.

I do want to be on auto as I think that is the best option. My worry was the Dr would not sign the ADP funding form if i go messing about too much.
Honestly don't really know the guy as I went to a private sleep lab to get treatment ASAP.

Have you got your machine yet and has it been paid?

If you have then why are you worried.

The process for me, and for a lot of Ontarians is to send people home with a loaner APAP machine for titration, and then using the data from the titration set your machine on fixed pressure according to the pressure by the titration.

They likely will not set you up in APAP mode because your prescription is for CPAP, that's what you're eligible for and you got an APAP because of an existing loophole.

When I had my loaner and after the titration period was over my DME set the machine to fixed pressure. Coincidentally, at about the same time the wheels started to fall off because of deviated septum I didn't know I had.

I set my machine back to APAP.
The next day the DME connected to my machine saw my machine was back in APAP mode, thought she had neglected to set it properly and set it back to CPAP.
We then played CPAP setting tug o'war for the next few days until I got a rather terse email from my them.

I left the configuration alone, until I got my permanent machine.

At my next Sleep Doctor appointment, I told the my doctor I had been adjusting my machine. She told me, "She had heard" and laughed.

We discussed my APAP range, Sleepy Head charts and she has been supportive of my self-management. After my Septoplasty and T. Reduction, at our last meeting, my AHI was well under 1, she asked me "What my secret was?", and told me "Keep at it and set up an appointment should I have any problems."

Well I do have my machine and I paid the ADP rate of $215. However i was told at that time that if I didn't attend the august sleep study my ADP may be denied and I would be responsible for the rest of the cost. I don't know if there is any truth to this but I am worried about setting it to auto causing the ADP to be denied. Either by the Dr not signing or something else. Ideally I really want auto though

[Dog Slobber]

Well I do have my machine and I paid the ADP rate of $215. However i was told at that time that if I didn't attend the august sleep study my ADP may be denied and I would be responsible for the rest of the cost. I don't know if there is any truth to this but I am worried about setting it to auto causing the ADP to be denied. Either by the Dr not signing or something else. Ideally I really want auto though

I don't think you have anything to worry about.

[paultn]

So I set the machine to Auto and did 14.6 (Prescribed pressure) to 20 and EPR to 2. I think it helped as the snoring seemed better.
Does anyone else see anything I should be concerned about or does this look like a good way to keep to keep things?
I would honestly like the EPR at 3 as its a bit more comfortable but I can live with 2 if its best for treatment.

[Pugsy]

Looks good.

Use EPR at 3 and see what happens. I don't think it is going to hurt anything enough to even matter.
I think your 14.6 minimum is more than enough to compensate for that little bit of extra drop during exhale.