Major weight loss and high pressure issues

[Soonerdude11]

Last night was good. I am thinking of holding off on my sleep study a few more months until my weight loss levels off since I can only get one per year and I have been feeling a lot better as we have lowered my pressures. I'm thinking I have to be getting close to possibly not needing the cpap but that isn't necessarily a goal. This was one of my best nights in overall quality of sleep.

[Pugsy]

You can always reschedule the sleep study for a later date.
I would postpone if it were me and see how much more weight comes off.
Especially if you are sleeping decently and feeling good.

[Soonerdude11]

You can always reschedule the sleep study for a later date.
I would postpone if it were me and see how much more weight comes off.
Especially if you are sleeping decently and feeling good.

Thank you so much for all your advice. You have really helped me get to a point where I feel so much better.

[Soonerdude11]

I had my appointment today with my doctor. She thought it would be good to wait on the sleep study too. So I guess I committed to that at least for now. Any advice on pressures from what you see? I can't pin down a starting pressure that fits. I didn't stay at 8 for more than one night...not sure if that even matters. That was the 19th. Pressure 7-12 was September 20-28. 6-12 was September 29-October 4. Do you see any trends or concern? Leave it at 6 or go back to 7? Thanks! You have been a huge help for me. I just need this as stable as possible since I'm probably going to be living it for the next few months. Am I overanalyzing it and is it fine where it is? I do have OCD so that makes commitment unnerving if I'm not treating my apneas "optimally". Thank you for humoring me.

[Pugsy]

Physically....your OSA is more than being well treated.

Lower minimum and the AHI is still low and you aren't complaining of any unwanted symptoms about worrying about the pressure settings.
That means things are okay.

Now whether or not you want to experiment with lower pressures or not.....that's entirely up to you. You have plenty of time to decide.

I see no reason to increase the pressure at this time back up to higher minimums unless for some reason you aren't comfortable (physically) with the lower pressures.

[Miss Emerita]

To echo Pugsy, you’re at the point where your comfort and your ability to clock some good sleep time are paramount. Don’t worry about the occasional blip. For you, at this point it’s the overall trends that are more important.

[Soonerdude11]

Physically....your OSA is more than being well treated.

Lower minimum and the AHI is still low and you aren't complaining of any unwanted symptoms about worrying about the pressure settings.
That means things are okay.

Now whether or not you want to experiment with lower pressures or not.....that's entirely up to you. You have plenty of time to decide.

I see no reason to increase the pressure at this time back up to higher minimums unless for some reason you aren't comfortable (physically) with the lower pressures.

Yeah I think so.....I just wasn’t sure where I felt better. I’m assuming if I had a titration study they would most likely put it at six for the minimum? I have had a slight headache the last few days but not very much. I notice some days I wake up with a little anxiety but that goes away pretty quickly and might be unrelated to the apnea. Anything I should be looking for with my median 95% pressures? I could have posted all my 7-12 and 6-12 days but I don’t know if that would show you anything helpful.

[Pugsy]

I pretty much ignore 95% pressures.

If minimum of 6 shows good numbers then why would I want to see minimum of 7 numbers?

Go by how you feel when/if you are worrying about "numbers". If going by just the numbers I am laying odd on a minimum of 4 will give you good "numbers". Now will you feel so good...I don't know the answer to that question.

All I have to go on is what we see on the software reports. That's all anyone has to go on on my end here. You are the one who has to factor in how you are feeling and sleeping.....we can't see that on the software reports.

Numbers all by themselves mean absolutely nothing if you don't feel them.

[Soonerdude11]

I pretty much ignore 95% pressures.

If minimum of 6 shows good numbers then why would I want to see minimum of 7 numbers?

Go by how you feel when/if you are worrying about "numbers". If going by just the numbers I am laying odd on a minimum of 4 will give you good "numbers". Now will you feel so good...I don't know the answer to that question.

All I have to go on is what we see on the software reports. That's all anyone has to go on on my end here. You are the one who has to factor in how you are feeling and sleeping.....we can't see that on the software reports.

Numbers all by themselves mean absolutely nothing if you don't feel them.

Ok. Thank you for the advice. I’ll leave it at six and try not to fret about it. If I feel like I’m really having issues, I’ll move it back up to 7 but try to leave it where it is. I do think all these lower pressures probably just feel strange to me because I’ve had a minimum of 11 for the last six years. I think the worry is in my head.

[Soonerdude11]

Any idea why weird stuff like this happens if I try to go back to sleep in the morning and get a little more shuteye?

[Pugsy]

Remember the machine doesn't measure sleep....it measures air flow. It doesn't have a clue if you are awake or asleep.
Awake breathing is very irregular when compared to asleep breathing but the machine doesn't know and it still responds the same no matter if you are awake or asleep. I see this happen often. In fact last night I had a similar report. Woke up around dawn and wasn't ready to get up but I got up to go pee but went back to bed. Had a bit of trouble getting back to sleep but finally managed to get it done for another couple of hours.
I had some false positives. I shrug my shoulders and move on.

If we aren't asleep they don't matter but to the machine....they do matter and it will respond whether we are asleep or not.
We can't do anything about that.