Cannot solve daytime sleepyness

[jwerley]

Can anyone see any reason from looking at my printout why I still am falling asleep during the day? Thank you in advance for any help!

Janice

[2 B Sleeping Soundly]

Janice,

I will let the experts weigh in as I am not proficient at reading graphs yet, but if memory serves me, haven't you only been back on PAP therapy for only a short time? Your signature says you started back again in 2012, so you may still be in that phase where your body is doing its ongoing adjustment to the therapy. I will be 7 months on the hose tomorrow and I have had my overall PAP adjustment go very well, but it has only been the last 1 - 1 1/2 months that I have hit a amazing 'sweet spot' of extremely low AHI, usually between 0.3 - 0.7 and sleeping like a rock with almost no wake-ups. Maybe it will take a little more time for you to get it all dialed in to where you won't feel the day time sleepiness, or at least have it less often.

John

[jwerley]

John....I have been a Papper for 7 years, never missed a night!! I just have not been able to get a goods nights sleep.....I get up twice to pee every night.....my urologist says that is under treated sleep apnea. I also have to sleep in one position (on my back) in a reclining position, as I cannot sleep on my sides as fibromyalgia make my hips too sore. I have an electric bed that is very comfortable....so no pillow adjustments, etc......I just don't know what is wrong......every once in a while maybe once every 2-3 months I will sleep through the night.........

[2 B Sleeping Soundly]

Janice,

Wow, I understand your frustrations now! Sorry for my confusion . Hopefully someone can come up with some help as it sounds like you are doing everything right, but the results are not even close to satisfactory. Could there be other issues besides PAP therapy that could be disrupting your sleep through awakenings or the depth of sleep you get, do you get to Rem only a little or not at all? Perhaps the fibromyalgia is causing issues with pain/discomfort? I really feel for you and hope the wonderful minds here can come up with something to help you out. Keep hanging in there and keep faith that a solution will be found, hopefully quickly too

John

[jwerley]

Rem sleep is a problem.......I don't think I ever get there...I didn't in my sleep studies.....I never have a dream!

[user from Singapore]

Janice,

Sorry to read all this. I agree with John. From your data the AHI is quite well under control so it seems you can rule out the apnea as source of your problems. Now where to search, that is the main question. I am not a doctor but did a quick Google search and found that Excessive Daytime Sleepiness can be caused by different things, such as narcolepsy, sleep apnea, hypersomnia or restless legs syndrome. They also mention genetic predisposition.
Could you possibly be affected by narcolepsy? Please read http://en.wikipedia.org/wiki/Narcolepsy

I sincerely hope that helps.

[2 B Sleeping Soundly]

jwerley wrote: Rem sleep is a problem.......I don't think I ever get there...I didn't in my sleep tests.....I never have a dream!

Janice,

Well, that could be where to start, for those much wiser than I with all things PAP/sleep related. Have you ever had your AHI be consistently lower than the number reflected on your posted chart? I would think that over the last 7+ years you have had some good numbered nights, right? If not the question is why, and the solution is yet to be determined, but the pieces of the puzzle could start showing themselves

John

[Guest]

Can anyone see any reason from looking at my printout why I still am falling asleep during the day? Thank you in advance for any help!

Janice

Rem sleep is a problem.......I don't think I ever get there...I didn't in my sleep tests.....I never have a dream!

Yep! It's as plain as the nose on your avatar......and is evident in your reports.


.

[2 B Sleeping Soundly]

u f Singapore,

Thanks for jumping in and giving some more ideas to be looked at . Hopefully, in time, there will be enough ideas thrown around that some of them will 'stick' and be the start of the solution for Janice. She sure deserves some improvement with her sleep and consistency with her therapy

John

[jwerley]

My average AHI is always 5.31 or right in that range......

[user from Singapore]

My average AHI is always 5.31 or right in that range......

That is not bad... Again I suggest you look for other causes.

[Johnny1959]

Video tape yourself. It may reveal your problem.

[Pugsy]

I see 2 breaks in the pressure line...so for sure 2 awakenings...were there others that you remember?
Fragmented sleep for any reason will sure mess with how we feel. Do you have trouble falling asleep? Staying asleep? When you do wake during the night is it hard to get back to sleep? What causes the awakenings? Is it the full bladder or something else? Do you take any meds? Anything...even OTC stuff?
The little cluster of clear airway events (centrals)....are those possibly awake events? Both are pretty close to time that the machine was turned on. Is the bulk of your AHI always centrals like these little clusters?

[fredmertz]

Could waking up twice a night to urinate be the problem? My dad had been a frequent pee-er hesitate to take medicine for it for years, but we finally convinced him to start and it has been a godsend for both sleeping through the night and for getting to our car-driving destinations on time! I think he takes Detrol, but you should def look into that.

[jwerley]

Thank you all for your comments and suggestions......I have taped myself sleeping...It does not show anything...I lay very still all night never moving....and do the same in my sleep studies....the tech said: "You did not move all night!" Pugsy...as far as the centrals go.... I think I am asleep.....but don't know for sure . I am going to have to take this data in to the doc and see what he says..........