Can Someone Please Review My Sleep Data?

[ms_sleepapnea]

Hi everyone!

I am 41 nights into CPAP. Received a diagnosis of severe REM-based obstructive sleep apnea 43 days ago after experiencing unexplained and debilitating brain fog for years prior.

The CPAP has helped lift some of the heaviness on my mind, and I’ve had some days where I almost feel like my old self, but others I lack energy and feel quite depressed.

It feels like I am on a rollercoaster. I put on my mask faithfully each night, not knowing what kind of day I’m going to have tomorrow.

I’m on APAP 9-12, and am in the process of increasing that to 10-12.

I have additional resources I could throw at this - like hiring a dedicated somnographer like LankyLefty or others to review my SD card data, or I could pay for a follow up sleep study with my CPAP on to see if I have residual issues.

My clinician keeps repeating that I’m fine since my AHI is low, and that it takes 6-12 months to heal from years of poor sleep.

I’m just not sure if I just need to give this all more time or if there is something wrong here. I do have good days, and feel like I am trending up, but when I get low energy days I feel like something is wrong here.

Would appreciate any insight, guidance or support. Thank you

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[ChicagoGranny]

Most things (AHI, leak level, stable machine pressure, hours used) look as good as it gets. Your FLs are a bit troublesome. You might increase your EPR to 2 or 3 to see if that cleans them up. I would increase it to 3. You might want to increase it to 2, keeping in mind that you could increase it to 3 if the desired improvement is not there at 2.

Everyone can use some effort to a good diet, moderate exercise, stress reduction and good sleep hygiene.

[Pugsy]

Are you experiencing any nasal congestion at night?

[musculus]

I see REM sleep UARS too:
look at the flow limitation starting from 1:42:15 as an example, airway collapsed and 15 seconds later the breathing went back to normal, which cannot happen without a microarousal that restore airway patency and disrupt your deep sleep at the same time. And notice 1:43:59 the airway collapsed again (because your sleep got deeper and airway muscle got relaxed), and went back to normal flow pattern soon after.

Increasing pressure is the right move,, and pls train yourself to identify RERAs in your data.

[musculus]

and the good days/bad days might be explained by how much time you slept on your back each day.