My Sleep Study Results

[Morbius]

6.) I am often restless at night and find myself waking up frequently then most of the time falling back to sleep.


8.) I have a diagnosis of Bipolar II, have been off of all pharmaceutical medications for it for about 13 years, and follow a 4:1 ketogenic diet therapy prescribed by my doctor. This seems to reduce my symptoms by about 90 percent. Some people with this diagnosis who are symptomatic, have sleeping problems with hypomania and depression, but this does not typically occur for me.

by 4638675696 » Thu Dec 05, 2019 8:43 am

I usually fall asleep between 11PM and midnight and wake up at least once to urinate, typically around 3AM. Sometimes I am unable to fall back to sleep.
-I wake up fairly tired, am often tired during the day, and frequently have the desire to nap (and sometimes do) in the early to mid-afternoon.


by Morbius » Mon Dec 16, 2019 6:54 am
IMO, REM was being suppressed by something.

Your point is not clear. Do you mean he has DSPS with sleep deprivation which causes the rebound?

Don't ask me, I'm an ASPS.

[Morbius]

OK that's a little strong...

But only a little.

As in "passenger liner" instead of "freight train".

[Morbius]

The sleep report states "The patient should be instructed on... sufficient sleep time" but do a study that lasts only 6.1 hours.

[Morbius]

As previously noted, they woke you up during a period of SWS but the MFAHs have the nerve to report Wake After Sleep (Offset) as 0.0.

Ya think!?

[jimbud]

Your point is not clear. Do you mean he has DSPS with sleep deprivation which causes the rebound?

Don't ask me, I'm an ASPS.

I am saying nothing.
This is way over my pay grade.
Just condensing what I read.

I am sitting quietly at the feet of the master.

JPB

I don't even know what ASPS means.

[Morbius]

asps.jpg (36.46 KiB) Viewed 716 times

[jimbud]

asps.jpg

Thank you.
Avatar understood.

Have read/enjoyed many of your older posts.
Very educational.
Sense of humour outstanding.

I hope you are going to be around much more often now.
My understanding is that since Pugsy became our monitor. thing are much better now than in the past.

JPB

[4638675696]

Some people with this diagnosis ... have sleeping problems ... this does not typically occur for me.

Your sleep architecture can best be described as "train wreck".

OK that's a little strong, but I love that expression.

Start filling out this log:

http://yoursleep.aasmnet.org/pdf/sleepdiary.pdf

Can you get your sleep study from the lab with "reader software"?

Do you wake up with an alarm clock? Do you sleep-in on the weekends?

Some of the sleep data the log you linked to (thanks for sharing it btw) asks for is available in the Our Ring results I had posted. Do you have any thoughts on these results and how they compare to my sleep study? (in the context that they don't have the accuracy of an in-lab study)
https://imgur.com/a/SiVHnLw

I appreciate the frank response; no worries on it being strong.

Re: the log, I drink no alcohol or caffeine.

I will try to get the results files and reader software.

I use an alarm, yes, as well as a dawn/dusk simulator that controls my bedside lamp (standard soft white incadescent bulb, not a full-spectrum one). I use orange blue light filtering glasses at night (Uvex) in addition to f.lux and avoid any other potential blue light exposure. In the morning I spend about 30-45min in front of a 10,000 lux lightbox (Carex).

Yes, I do sleep in on the weekends sometimes, other times I wake up around the same as weekdays. I generally fall asleep at around midnight and have my alarm set for about 8:30AM.

Do you think I should still get a CPAP and do a trial with it? Insurance covers me at 90%.

[palerider]

asps.jpg

Thank you.
Avatar understood.

Have read/enjoyed many of your older posts.
Very educational.
Sense of humour outstanding.

I hope you are going to be around much more often now.
My understanding is that since Pugsy became our monitor. thing are much better now than in the past.

JPB

You have a knack for understatement, my good sir.

And, I likewise hope that Morbius posts more, I missed him, his knowledge, and his acerbic wit. (I mean, you gotta love someone that tells a moron that the best thing to do would be to repeatedly and robustly apply a 2 pound ball peen hammer to their head).

[Morbius]

Avatar understood.

Finally!

Someone who gets it!

For the benefit of others, could you share your thoughts on that?

[Morbius]

... Our Ring results... Do you have any thoughts on these results and how they compare to my sleep study? (in the context that they don't have the accuracy of an in-lab study)

Well that's kind of funny because the in-lab study cut off almost 50% of your sleep! A sleep study analyzes sleep and should analyze your normal (usual) sleep period. They did an OSA confirmation (or tried to)(and if, in fact, there is such a thing).

The log will be more helpful because (1) problem areas will become more apparent; and (2) you will confirm the accuracy (or least perception) of what happens during sleep (specifically, do you think that sleep times of 3:35, 4:15, 4:55, 5:41 and 6:18 are accurate? Are those wake-ups at 0435, 0551 and 0618 correct)?

Do you think I should still get a CPAP and do a trial with it?

Right now you don't have a choice. If you want to see a real sleep specialist (preferably one with CBT-I credentials), and you have a document that says you have significant OSA, he can't (or won't) be able to use many tools until the OSA is "under control".

And for that matter, untreated bipolar will similarly restrict therapy (with that significant sleep disruption, sleep maintenance insomnia and probable DSPS ya gotta think the bipolar is doing a lot more than you think).

[jimbud]

Avatar understood.

Finally!

Someone who gets it!

For the benefit of others, could you share your thoughts on that?

Excuse me.
I maybe understand a tiny bit of what your Avatar means.

JPB

[Morbius]

I maybe understand a tiny bit of what your Avatar means.

That's OK, no prob.

I guess it's a little obscure, and anyway the resulting jack might not be very fruitful.

Entertaining, yes.

Fruitful, no.

[Dog Slobber]

Avatar understood.

Finally!

Someone who gets it!

For the benefit of others, could you share your thoughts on that?

I think I get it. But, I'm a little concerned sharing my thoughts about it, at least on this planet, might be forbidden.

[4638675696]

... Our Ring results... Do you have any thoughts on these results and how they compare to my sleep study? (in the context that they don't have the accuracy of an in-lab study)

Well that's kind of funny because the in-lab study cut off almost 50% of your sleep! A sleep study analyzes sleep and should analyze your normal (usual) sleep period. They did an OSA confirmation (or tried to)(and if, in fact, there is such a thing).

The log will be more helpful because (1) problem areas will become more apparent; and (2) you will confirm the accuracy (or least perception) of what happens during sleep (specifically, do you think that sleep times of 3:35, 4:15, 4:55, 5:41 and 6:18 are accurate? Are those wake-ups at 0435, 0551 and 0618 correct)?

Yes, 0435, 0551 and 0618 wake up times are correct.

Right now you don't have a choice. If you want to see a real sleep specialist (preferably one with CBT-I credentials), and you have a document that says you have significant OSA, he can't (or won't) be able to use many tools until the OSA is "under control"

Ok, I am fine to try one. Do you recommend I try the ResMed Autosense 10 For Her? Any recommended distributor for me to call first who's likely to be in-network with United Healthcare?

And for that matter, untreated bipolar will similarly restrict therapy (with that significant sleep disruption, sleep maintenance insomnia and probable DSPS ya gotta think the bipolar is doing a lot more than you think).

Understandable and possible that there still may be something going on here with irregular brain activity related to my bipolar diagnosis. However, I would like to emphasize that I am actively being treated for bipolar. I am under the care of two specialist MDs, my primary care MD, and an RD who've all collaborated together to form my treatment protocol. I've had far more successful symptom management on this protocol than when I used to be on medication and have experienced stability with it for more than two years now. My insomnia has increased for about the past two months.

Consulting Specialist:
https://www.chrispalmermd.com/ketogenic ... affective/

Primary Specialist:
http://www.mensahmedical.com/our-physicians/

I have been prescribed this protocol:
https://charliefoundation.org/classic-keto/

The vitamin and mineral supplementation from Mensah Medical is more to restore potential deficiency due to a 4:1 keto diet being so unconventional. While this keto protocol has published and peer-reviewed efficacy, I don't necessarily buy that the vitamin and mineral supplements are contributing much to my mood stability.

All this to say:
It is possible that I could have an electrolyte, nutrient, or other imbalance as a result of this unconventional diet and all of the supplements they have me on. These certainly could contribute to sleep challenges.
My latest full panel of labwork came back from my primary care doctor a few weeks ago and I was within normal ranges.
Based on my sleep study and Oura Ring results, is there anything further in this category which you recommend I investigate specifically, with my doctors?