Is a sleep study with titration for me?

SmallCityDave · Post by **SmallCityDave** » Sun Sep 01, 2019 9:51 am

I know it's a very open ended question and I know none of you have a crystal ball.

I'm 49 years old 6ft3, 190lbs, I was diagnosed with sleep apnea about 10 years ago, 5 years ago my cpap started failing so I started chasing better results with changing all the setting and buying new machines unfortunately I forgot what my setting were. I didn't know how to go back to review the previous settings and results till I found this forum last week. In May I bought an IntelliPAP Auto without a SD card so I will never know what crazy settings I tried.

My AHI was anywhere between 3.5-11.5 with my apap and I was trying different settings a few times a week. Now with the help of Pugsy, this forum and using OSCAR I feel that I'm on the right track again.

All of that to ask, should I have a realistic expectation of the sleep study to make a big difference that I can't get from this software and this forum? Perhaps I'm oversimplifying the issue and the solution but after the test they will make a recommendation to my physician about the minimum and maximum pressure on my auto cpap.

One bit of background information I don't have insurance, I did have an in home sleep study (that took 2-3 months to get) that recommended an in lab sleep study with titration that will cost about $900. I have no problem paying for it but I'm skeptical at the benefit, am I wrong?

SmallCityDave · Post by **SmallCityDave** » Sun Sep 01, 2019 9:53 am

More screen shots

SmallCityDave · Post by **SmallCityDave** » Sun Sep 01, 2019 9:55 am

Two more.

raisedfist · Post by **raisedfist** » Sun Sep 01, 2019 9:56 am

I don't see the point of spending a night in the lab for titration. Using the charts allows you to see when more min pressure is needed.

Miss Emerita · Post by **Miss Emerita** » Sun Sep 01, 2019 10:12 am

Hello, Dave. You’ve asked good questions and come to a good place for answers. It will help the experts if you stack your graphs this way:

Events
Flow rate
Pressure
Leaks
Snores.

SmallCityDave · Post by **SmallCityDave** » Sun Sep 01, 2019 4:08 pm

Thank you both, I'll change the format so it's easier to read.

SmallCityDave · Post by **SmallCityDave** » Sun Sep 01, 2019 4:11 pm

Repost.

SmallCityDave · Post by **SmallCityDave** » Sun Sep 01, 2019 4:12 pm

Repost

palerider · Post by **palerider** » Mon Sep 02, 2019 1:05 am

Set your min pressure to 8, and max to 20

SmallCityDave · Post by **SmallCityDave** » Mon Sep 02, 2019 7:48 am

I'll do it, my wife did mention that she noticed I was sleeping on my back last night.

raisedfist · Post by **raisedfist** » Mon Sep 02, 2019 8:20 am

Hypopnea, Obstructive, Flow Limitations, Snores, all point to more min pressure. But you are not far from victory.

SmallCityDave · Post by **SmallCityDave** » Mon Sep 02, 2019 8:56 pm

raisedfist wrote: ↑
Mon Sep 02, 2019 8:20 am
Hypopnea, Obstructive, Flow Limitations, Snores, all point to more min pressure. But you are not far from victory.

I'm ready for a victory

SmallCityDave · Post by **SmallCityDave** » Tue Sep 03, 2019 7:45 am

Another good night, maybe best night yet? I forgot to put the sd card in until this morning and for some reason the flow rate doesn't show up?

Pugsy · Post by **Pugsy** » Tue Sep 03, 2019 7:49 am

The flow rate graph is written directly to the SD card during the night so when the SD card isn't in the machine when you use it you won't get a flow rate graph. The other stuff is stored in the machine's internal memory but the flow rate graph files are huge and not stored on the machine.

SmallCityDave · Post by **SmallCityDave** » Tue Sep 03, 2019 7:59 am

Pugsy wrote: ↑
Tue Sep 03, 2019 7:49 am
The flow rate graph is written directly to the SD card during the night so when the SD card isn't in the machine when you use it you won't get a flow rate graph. The other stuff is stored in the machine's internal memory but the flow rate graph files are huge and not stored on the machine.

I thought that might be the issue, thanks!

To this untrained eye it appears that my event flags look a lot better.

Is a sleep study with titration for me?

Is a sleep study with titration for me?

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