can cpap be a detriment

Crest · Post by **Crest** » Tue Jul 22, 2008 7:50 pm

hello,

Is there any harm in using a cpap machine (set at 10cm) if your apnea has disappeared ? The reason I ask is now that I'm 15 pounds lighter and at normal weight, I still use the machine but am not getting a little tired in the middle of the day.

Can the machine be hindering my sleep ?

Marty

Wulfman · Post by **Wulfman** » Tue Jul 22, 2008 8:02 pm

Crest wrote:hello,

Is there any harm in using a cpap machine (set at 10cm) if your apnea has disappeared ? The reason I ask is now that I'm 15 pounds lighter and at normal weight, I still use the machine but am not getting a little tired in the middle of the day.

Can the machine be hindering my sleep ?

Marty

I'm more than a little puzzled by your post. I hardly think that your sleep apnea has "disappeared". If you're not getting tired, that would probably indicate that your therapy is working........that's the purpose of CPAP therapy.
Do you WANT to be tired in the afternoon?

Do you have a card reader and the software to monitor your therapy? Are you getting any data from your LCD display in the mornings?

Hindering your sleep? Shouldn't be.

Den

WearyOne · Post by **WearyOne** » Tue Jul 22, 2008 8:10 pm

You could lower the pressure 1 cm and see what that does to your data for a week or so. If that looks good, you could lower another 1 cm for a while and check again. But The only real way to know if you do or do not still have OSA is to have another sleep study. The data from your machine can help make that determination, but that doesn't give you any oxygen information, or how much, if any, breathing difficulties you may have in your sleep without the machine.

If you truly don't have OSA anymore (which is still unknown for you), I don't know if continuing to use the machine would hurt or not.

Pam

EDITED: Please do not assume you don't have OSA anymore just because you've lost weight. Although I believe it's possible for some people to eliminate OSA by losing weight, it's not something that happens very often. More often than not I believe what happens is your pressure needs may change by losing weight. Remember, thin people have OSA, too.

JeffH · Post by **JeffH** » Tue Jul 22, 2008 8:13 pm

If yours disappeared it would be the first time that has happened.

jules · Post by **jules** » Tue Jul 22, 2008 8:14 pm

weight loss down to "normal" weight is not a guarantee you don't still have OSA - likely you still do and will continue to need the CPAP for life as many of us do

as WearyOne indicates, the only way to really know is to do another sleep study.

Goofproof · Post by **Goofproof** » Tue Jul 22, 2008 8:16 pm

If you don't have the software, i'd call it a case of deNile, plain and simple.
The sure way to tell put ot in your will, you want your heart checked for fittness. Jim

sharon1965 · Post by **sharon1965** » Tue Jul 22, 2008 8:23 pm

Crest wrote:hello,
Is there any harm in using a cpap machine (set at 10cm) if your apnea has disappeared ? The reason I ask is now that I'm 15 pounds lighter and at normal weight, I still use the machine but am not getting a little tired in the middle of the day.
Can the machine be hindering my sleep

i'm wondering if this is a typo...did marty mean to say he/she is NOW getting a little tired in the afternoon?

but anyway, yeah, what the others said

Crest · Post by **Crest** » Tue Jul 22, 2008 8:32 pm

I did say that I'm getting a little tired and that was the crux of my inquiry, could the use of a CPAP machine when not required cause thas ?

Thanks Sharron 1965 for reading it correctly..

Marty

Wulfman · Post by **Wulfman** » Tue Jul 22, 2008 8:56 pm

Crest wrote:hello,

Is there any harm in using a cpap machine (set at 10cm) if your apnea has disappeared ? The reason I ask is now that I'm 15 pounds lighter and at normal weight, I still use the machine but am not getting a little tired in the middle of the day.

Can the machine be hindering my sleep ?

Marty

Crest wrote:I did say that I'm getting a little tired and that was the crux of my inquiry, could the use of a CPAP machine when not required cause thas ?

Thanks Sharron 1965 for reading it correctly..

Marty

As far as the use of the CPAP causing this......NO. It's more likely that your pressure is not correct and/or you're leaking air out of your mouth at night.

My guess is your therapy isn't working properly.

Den

Gonefishingx · Post by **Gonefishingx** » Tue Jul 22, 2008 10:17 pm

Hello

After I was diagnosed about three yearas ago I lost 30 kilos (down to a BMI of 21) and got, moderately, fit. I then ditched the CPAP machine. After three days I apologised to it for my lack of faith and we been an item ever since.

The three days without it were straight back to feeling like I had been hit by a truck.

Every now and then, because I'm an optimist, I lower the pressure from 9 to 6 and watch the AHI jump from <1 to 20.

ozij · Post by **ozij** » Tue Jul 22, 2008 10:29 pm

Marty,
A change in weigh may change your pressure needs, so that what worked in the past no longer works as well.

It would make more sense to assume that now your pressure needs may be lower, and that too much pressure is disrupting your sleep, than to assume you no longer have sleep apnea.

O.

split_city · Post by **split_city** » Tue Jul 22, 2008 10:57 pm

JeffH wrote:If yours disappeared it would be the first time that has happened.

I would beg to differ. I have spoken to several OSA patients who now do not have OSA after losing weight.

BUT, as stated, weight loss does not work for everyone

Too high a pressure can (not always) lead to central sleep apnea.

Goofproof · Post by **Goofproof** » Tue Jul 22, 2008 11:26 pm

split_city wrote:
JeffH wrote:If yours disappeared it would be the first time that has happened.
I would beg to differ. I have spoken to several OSA patients who now do not have OSA after losing weight.

BUT, as stated, weight loss does not work for everyone

Too high a pressure can (not always) lead to central sleep apnea.

More than likely they are mistaken and go untreated. Jim

They only cheat themselves.

split_city · Post by **split_city** » Tue Jul 22, 2008 11:38 pm

Goofproof wrote:
split_city wrote:
JeffH wrote:If yours disappeared it would be the first time that has happened.
I would beg to differ. I have spoken to several OSA patients who now do not have OSA after losing weight.

BUT, as stated, weight loss does not work for everyone

Too high a pressure can (not always) lead to central sleep apnea.
More than likely they are mistaken and go untreated. Jim

They only cheat themselves.

OSA was cleared following a subsequent sleep study.

WearyOne · Post by **WearyOne** » Wed Jul 23, 2008 12:28 am

We're so concerned (and rightly so) with the wrong thinking some people have that only those who are overweight can have OSA, and therefore losing weight can eliminate it, that some of us have swung too much in the other direction, thinking that weight is never the reason for OSA.

I know one person for whom weight was the cause, and after weight loss, it was confirmed through TWO sleep studies that she no longer needed the machine.

If you've lost weight, DON'T stop using the machine. Get a sleep study to see if there have been any changes. That's the only safe environment to sleep without your machine to see what's going on since the weight loss. It could be you just need a change in pressure. Weight can be the reason, but it's certainly not the only one.

Pam

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