How common is titration?

[jazzmynn]

I had a sleep study two weeks ago. I was told that I didn't sleep long during the two parts, but went from 142 osa to 7 on the cpap machine. I am feeling kinda lightheaded and tired, but less sleepy.
Is it reasonable to ask my doctor to order a sleep titration study?

Let me know.

[nobody]

If you've already had the cpap during your first sleep study a titration study is not necessary.

[Georgio]

You said you had "two parts". The second one might have been your titration study. Get copies for your information and records.

Georgio

[builta]

Hi,

Welcome.

Do you know it your first study was a "Split night" study? If it was, then in the first half they "diagnosed" your apnea and the second half was spent hooked up to a machine and they "Titrated" your pressure to prevent the issues.

It sounds like you are now using a CPAP machine? This would suggest that your Sleep Doctor prescribed a therapy for you (at least that is how it goes in USA) and you got a mask and machine from some DME or maybe the Doctor. For this to have occurred it is very likely that you have been "titrated" so that the prescription could be issued.

You can always go back and ask for a second night of titration (if your insurance will cover it--its not cheap).

If you are using a machine please provide some details for better assistance from the great people here at the forum.

[Bluebonnet_Gal]

went from 142 osa to 7 on the cpap machine.

You say you went from 142 osa to 7 - I assume 142 AHI to 7 AHI? If so, while that is a HUGE improvement, your AHI should be 5 or below to be considered "acceptable" and even at 4 or 5, many people still feel many of the side effects of sleep apnea. It wouldn't hurt to try to improve on those numbers, but a titration study in a sleep lab is not necessarily needed.

As builta mentioned, we need more info.

[Slinky]

The majority of in-lab PSGs (sleep tests) are one full night of sleep evaluation and a second full night in-lab titration (use of mask and CPAP to determine your pressure need).

In your case your sleep disordered breathing was so severe they did what is called a "split-night" study wherein they woke you up and put a mask on your and then "titrated" your pressure needs the balance of the night. It does sound like there wasn't enough time to determine the ideal pressure for you.

BUT - instead of yet another night sleeping in-lab for further titration, the sleep doctor could have ordered a loaner autoPAP to more precisely titrate your pressure needs. When are you scheduled to see the doctor again or bring your xPAP or data card to the DME supplier or the doctor?

Look at the xPAP you have, the brand and model should be printed on the top of it. Or if you were given a Users Manual the cover of the Users Manual should say what brand and model you are using.

Ask your local DME supplier for a copy of the equipment order (script) for your equipment. It will tell you what pressure setting(s) were ordered for the xPAP you are using.

[jazzmynn]

I had a split night study in which the first half was to determine if I needed cpap, which I did. The second half was to put me on a cpap and see what pressure reduced events.
I did not sleep long enough on the second half to titrate the setting from 10 to any higher.

That is why I'm wondering if I should ask for a titration study.

Also, should I make an appt. with the sleep study dr. to talk about this? I've been seeing my fam dr. regarding my results, etc.

Thanks

[Julie]

It would really help to know what machine you use, because if it's an Apap (automatic adjustment to your pressure needs while asleep) vs a Cpap, which is set at one pressure (i.e. your rather low 7), then the machine will titrate itself to you, and if you were to have a machine with a smart card, designated card reader and software program that allows you to check your progress (numbers, pressure, leaks, etc.) then you could see what your 'ideal' pressure might be, or at least whether 7 is high enough to deal with your needs. So if you could fill in your profile on your member page with the complete and exact wording off the top of your machine, then it will show up automatically whenever you post and we can know what's what more readily to help you.