Latetest SleepyHead report.

[Noctuary]

The last time you used your ResMed AutoSet...
was last night (on Saturday, May 09, 2015)
You had an AHI of 1.33, which is considered reasonably good
You machine was on for 6 hours, 45 minutes and 5 seconds.
You had a small but acceptable amount of major mask leakage.
Your pressure was under 13cmH2O for 95% of the time.

I thought I slept more that that! Maybe its time to wean off of Temazepam. I think I slept on my back all night too. I woke up with my headphones on.

[robysue]

The last time you used your ResMed AutoSet...
was last night (on Saturday, May 09, 2015)
You had an AHI of 1.33, which is considered reasonably good
You machine was on for 6 hours, 45 minutes and 5 seconds.
You had a small but acceptable amount of major mask leakage.
Your pressure was under 13cmH2O for 95% of the time.

I thought I slept more that that! Maybe its time to wean off of Temazepam. I think I slept on my back all night too. I woke up with my headphones on.

Meaning???

You feel like you slept soundly the whole night and you are surprised that the whole night is just under 7 hours?

The critical question is: How do you feel today? More rested than usual? About the same? Worse than usual?

If you feel better than usual, then your next task is to consolidate your current success for the next several days. I'd say make NO changes at all to your sleep schedule, your CPAP settings, and your sleep medication until you have a week of nights that both look and feel decent in terms of how well you sleep. If you change things too rapidly, it's easy to lose the progress you've made in the last few days.

And by the way, the data looks excellent, even though you are maxing out at 13cm for a while during the night. When you are at 13cm, there's no evidence that a lot of events are getting through AND you seem to be saying that you sleep better with the pressure limited to 13 than you were sleeping when the pressure was allowed to increase up to the 15-16cm range.

[Noctuary]

The last time you used your ResMed AutoSet...
was last night (on Saturday, May 09, 2015)
You had an AHI of 1.33, which is considered reasonably good
You machine was on for 6 hours, 45 minutes and 5 seconds.
You had a small but acceptable amount of major mask leakage.
Your pressure was under 13cmH2O for 95% of the time.

I thought I slept more that that! Maybe its time to wean off of Temazepam. I think I slept on my back all night too. I woke up with my headphones on.

Meaning???

You feel like you slept soundly the whole night and you are surprised that the whole night is just under 7 hours?

The critical question is: How do you feel today? More rested than usual? About the same? Worse than usual?

If you feel better than usual, then your next task is to consolidate your current success for the next several days. I'd say make NO changes at all to your sleep schedule, your CPAP settings, and your sleep medication until you have a week of nights that both look and feel decent in terms of how well you sleep. If you change things too rapidly, it's easy to lose the progress you've made in the last few days.

And by the way, the data looks excellent, even though you are maxing out at 13cm for a while during the night. When you are at 13cm, there's no evidence that a lot of events are getting through AND you seem to be saying that you sleep better with the pressure limited to 13 than you were sleeping when the pressure was allowed to increase up to the 15-16cm range.

I still feel tired, like I didn't get enough sleep. However, I do feel somewhat refreshed (I know that sounds contradictory).

I'm also losing weight now, so that may factor in some ways.

[Krelvin]

I still feel tired, like I didn't get enough sleep. However, I do feel somewhat refreshed (I know that sounds contradictory).

You got less than 7 hours. So, have you tried to just go back to sleep? I would try to get some more sleep.

[Noctuary]

I still feel tired, like I didn't get enough sleep. However, I do feel somewhat refreshed (I know that sounds contradictory).

You got less than 7 hours. So, have you tried to just go back to sleep? I would try to get some more sleep.

Its one of those things where you aren't sure how tired you are until some time passes. Too late now!

[Krelvin]

I would suggest you start a diary or journal, note when you are going to bed, when you wake up. When you get up, you should have an idea of how much sleep you got if you noted when you went to bed.

You might also note how you feel, perhaps keep track of what you ate the day before and other issues related to your health. Then you can go back and look at when you felt better, what might have helped you etc..

You can do this in SleepyHead under notes for each day, but if you are not looking at the data until later in the day, you will forget and missing things you might have otherwise noted.

Using Sleepyhead for notes

[Noctuary]

The last time you used your ResMed AutoSet...
was last night (on Sunday, May 10, 2015)
You had an AHI of 0.90, which is considered pretty darn good
You machine was on for 8 hours, 55 minutes and 1 seconds.
You had no major mask leaks (maximum was 8.40 L/min).
Your pressure was under 12.98cmH2O for 95% of the time.

[robysue]

You machine was on for 8 hours, 55 minutes and 1 seconds.

And how much of this time do you think you were asleep? And how much do you think you were awake?

The rest of the data looks excellent. The question is (as always): How do you feel? Tired, but somewhat rested? Or like you didn't sleep a wink last night? Any idea if you were really restless between 3:00 and 4:30?

In other words, do you think you are subjectively having fewer problems staying asleep and getting back to sleep with the pressure capped at 13cm?

[Noctuary]

You machine was on for 8 hours, 55 minutes and 1 seconds.

And how much of this time do you think you were asleep? And how much do you think you were awake?

The rest of the data looks excellent. The question is (as always): How do you feel? Tired, but somewhat rested? Or like you didn't sleep a wink last night? Any idea if you were really restless between 3:00 and 4:30?

In other words, do you think you are subjectively having fewer problems staying asleep and getting back to sleep with the pressure capped at 13cm?

I fell asleep rather quickly, IIRC. Today I feel tired but rested. It seems I'm staying asleep better.

I take Temazepam every night, 30 mg. I feel groggy today, like a pill groggy.

[Noctuary]

So what do I do now? I got a data capable machine. I use SleepyHead. My numbers look good, but I still feel so tired.

Is this as good as it gets? Its been a year now. I've used my CPAP every night for a year.

[robysue]

So what do I do now? I got a data capable machine. I use SleepyHead. My numbers look good, but I still feel so tired.

Is this as good as it gets? Its been a year now. I've used my CPAP every night for a year.

How much of that year did you spend waking up in the middle of the night unable to get back to sleep?

You have to understand: CPAP fixes OSA, but it doesn't automatically fix bad sleep because bad sleep can be caused by a whole bunch of different causes. You've said that you've been having real problems with waking up and finding yourself unable to get back to sleep. In looking at the data, I came up with a hypothesis for why you are/were having problems: When the pressure is allowed to increase past 13, you seem to get restless, wake up, and have trouble getting back to sleep. You have been testing that hypothesis for only a few days by capping your max pressure at 13cm. Given how long you've been having problems with waking up in the middle of the night and not being able to get back to sleep, you are probably pretty sleep deprived by now. And it takes some time to recover from the long standing sleep deprivation---once you are actually sleeping more continuously.

So even though you don't want to hear it, you may need to give the new settings a few weeks to see if you continue to get more continuous sleep at the new settings. And as the number of nights where you get better sleep increases in frequency, your energy levels should (slowly) start to increase.

[Noctuary]

How much of that year did you spend waking up in the middle of the night unable to get back to sleep?

Very little that I know of.

You've said that you've been having real problems with waking up and finding yourself unable to get back to sleep.

That's been a recent thing. I usually either sleep strait through or if I awaken I go back to sleep soon. Lately the problems has been here and there not getting enough hours.

I'm going back to the doctor and try to get a better stimulant. Provigil doesn't do anything.

[Noctuary]

Tuesday:

Not as good number wise as yesterday. However it makes no difference whether my AHI is 0.9 or 3.3; I can count on feeling fatigued everyday. One year now.

The last time you used your ResMed AutoSet...
was last night (on Monday, May 11, 2015)
You had an AHI of 3.31, which is considered technically "treated"
You machine was on for 9 hours, 3 minutes and 14 seconds.
You had no major mask leaks (maximum was 12.00 L/min).
Your pressure was under 13cmH2O for 95% of the time.

[Noctuary]

Last night, I wanted to try to sleep without Temazepam; I took 1.5 mg. of melatonin which put me in a light sleep, but I woke up a little later. I eventually took 15 mg. of Temazepam. Its clear from the graphs that I had trouble early.

Today I feel somewhat unrested; tired, a little sleepy. Yesterday when I had slept more deeply, with a lower AHI and few disturbances in my graph, I felt refreshed, yet a deep body fatigue which got worse as my day went on.

EDIT: Its like when I get good, deep sleep with few disturbances, I wind up with a deep body fatigue. I can't figure this out.

[Krelvin]

Last night, I wanted to try to sleep without Temazepam;

You sound like you have been taking this for longer than normally recommended and are now addicted to it. Stopping cold turkey most likey would cause you problems.

For most, Temazepam should be used for only a short time to treat insomnia, not as an ongoing treatment.

Talk to your Dr. OSA is not the only thing that can cause issues with sleep.