Is an AHI of 2 a more realistic target to actually get rest

[palerider]

Just wanted to confirm, what does it typically take setting wise to go from AHI 5ish down to 2.5 down to <2, are we talking setting higher pressure (fixed, or upper limit for variable range)?

The only *correct* answer to that is "it depends". (generally though, "upper limit" is a bad idea).

[cyberdreamer]

no for the reasons stated above. i regularly hit 0 and it's mostly a good thing. but it's also a weird thing. i once slept at our nieces' house. strange bed, too hot and like that. i don't remember getting ANY sleep that night. yet the next day, oscar showed an ahi of 0!

mainly, if i can stay below an ahi of 1 consistently, i FEEL better the next morning. or i should say that i feel better than i do if i get an ahi of 1 or above. and like palerider stated, i check how i feel before i look at ahi.

Zonker, I also consistently have that experience when sleeping in different places such as hotels.

My hypothesis is that because our sleep isn't as deep as back home (a researched fact), our airway muscles don't relax as much and, consequently, don't collapse as much. Thus, we have a better AHI and lower pressure stats on APAP.

[zonker]

no for the reasons stated above. i regularly hit 0 and it's mostly a good thing. but it's also a weird thing. i once slept at our nieces' house. strange bed, too hot and like that. i don't remember getting ANY sleep that night. yet the next day, oscar showed an ahi of 0!

mainly, if i can stay below an ahi of 1 consistently, i FEEL better the next morning. or i should say that i feel better than i do if i get an ahi of 1 or above. and like palerider stated, i check how i feel before i look at ahi.

Zonker, I also consistently have that experience when sleeping in different places such as hotels.

My hypothesis is that because our sleep isn't as deep as back home (a researched fact), our airway muscles don't relax as much and, consequently, don't collapse as much. Thus, we have a better AHI and lower pressure stats on APAP.

ah-HA! then we (and we alone) have stumbled upon the secret of getting the perfect ahi!

of course, we'll die from lack of sleep, but still...

[cyberdreamer]

no for the reasons stated above. i regularly hit 0 and it's mostly a good thing. but it's also a weird thing. i once slept at our nieces' house. strange bed, too hot and like that. i don't remember getting ANY sleep that night. yet the next day, oscar showed an ahi of 0!

mainly, if i can stay below an ahi of 1 consistently, i FEEL better the next morning. or i should say that i feel better than i do if i get an ahi of 1 or above. and like palerider stated, i check how i feel before i look at ahi.

Zonker, I also consistently have that experience when sleeping in different places such as hotels.

My hypothesis is that because our sleep isn't as deep as back home (a researched fact), our airway muscles don't relax as much and, consequently, don't collapse as much. Thus, we have a better AHI and lower pressure stats on APAP.

ah-HA! then we (and we alone) have stumbled upon the secret of getting the perfect ahi!

of course, we'll die from lack of sleep, but still...

Yes! It seems not sleeping is the secret to AHI 0!

[palerider]

ah-HA! then we (and we alone) have stumbled upon the secret of getting the perfect ahi!

of course, we'll die from lack of sleep, but still...

Yes! It seems not sleeping is the secret to AHI 0!
[/quote]
Well, you're still likely to get a number of apneas and hypopneas recorded, because awake breathing is notoriously irregular

[SleepyCPAP]

I agree with the above that it is more quality of sleep, rather than chasing a number. I say this even though (or indeed because) I chase zeros, and have been under 1 AHI for a majority of the 11 years I’ve been on PAP, and I’ve complained to my doctor when my CPAP therapy wasn’t cutting it anymore and I was out of that range.

I can tell when I’ve had a 2.5 AHI night. But I can also tell when I’ve had a bad night of waking to thunderstorms, or my bladder, or a mask or lip leak, or my wife having a bad night. I like nights without disturbances. CPAP (now BiLevel) PAP controls disturbances from my breathing issues, and I’ve added an AlaxoStent and cervical collar to control some more. My machine screen says my monthly stats are 0.0 AHI (OSCAR goes one decimal place further and says 0.01 AHI). My SpO2 is good. Yet my body knows when I still didn’t get enough sleep for other reasons.

- SleepyCPAP

[lazarus]

It has been said (well, by me, anyway) that the idea of AHI trending data from home machines is to get the numbers as low as possible, but no lower.

You try one tweak at a time, only for a reason, and see if overall data for a few weeks gets better or worse or stays the same. If it gets better, great; if it gets worse or stays the same, you undo the tweak.

You feel satisfaction in getting obstruction treatment optimized, not striving for the goal of a certain number.