Leakage and Pressure Level adjustment

tbolto02 · Post by **tbolto02** » Mon Apr 15, 2024 2:15 pm

New to the group. Have been a cpap user for years. Changed over from an dream station 1 to a 2 to now a Airsense 10. Trying to get my air leakage down. Had a P10 mask with medium nose cushion and went to large which don't think it had a dramatic change for me. Changed over to a P30i mask with large nose cushion and I like that mask as better but feel my leakage is still on the higher side. I mouth tape but have facial hair which I keep trimmed low. I do toss and turn often in bed so I am thinking this is not helping me.

Second question is when do you know when to adjust your pressure up or down while looking at your Oscar graphs? I was on APAP but went to CPAP which I think is working better for me. Below is my latest sleep report. Any suggestions would be greatly appreciated.

https://sleephq.com/public/b4517cce-ca7 ... 63195b63e9

ChicagoGranny · Post by **ChicagoGranny** » Mon Apr 15, 2024 3:51 pm

tbolto02 wrote: ↑
Mon Apr 15, 2024 2:15 pm
feel my leakage is still on the higher side

On the chart you posted, your mask leak (95% - 15.6) is low. The machines adjust for mask leak up to 35 lpm (manufacturers say 24 lpm). If the leak is not waking you up or causing dry eyes, I wouldn't worry about it.

Why did you only post 8 minutes of the graphs? We might could tell you more if we see the whole night.

tbolto02 wrote: ↑
Mon Apr 15, 2024 2:15 pm
I was on APAP but went to CPAP which I think is working better for me.

Which settings were you using with APAP?

tbolto02 · Post by **tbolto02** » Mon Apr 15, 2024 7:26 pm

Sorry I thought I had posted the whole day worth of data. Here is is hopefully.

https://sleephq.com/public/51be8eba-098 ... 3a807b9c78

Also to be honest not sure if the leaks is causing arousals. I suspect they are.

Below is my settings for APAP. Could not go back past 30 days with SleepHQ

https://drive.google.com/file/d/1L4oFGB ... drive_link

ChicagoGranny · Post by **ChicagoGranny** » Tue Apr 16, 2024 11:06 am

How do you feel near bedtime? Fatigued but not stressed? Energetic during the day? Any excess sleepiness during the day?

ChicagoGranny · Post by **ChicagoGranny** » Tue Apr 16, 2024 11:45 am

BTW,

tbolto02 wrote: ↑
Mon Apr 15, 2024 7:26 pm
Below is my settings for APAP. Could not go back past 30 days with SleepHQ

https://drive.google.com/file/d/1L4oFGB ... drive_link

Access Denied

tbolto02 · Post by **tbolto02** » Tue Apr 16, 2024 12:41 pm

Some days I feel bad while others lately I have been feeling decent. Its very sporadic. I feel like I should be sleeping thru the night but instead I am waking up but I feel like its not from leakage. I have recently retired so my stress levels are much lower. I am 53 so still feel energetic during the day most times. I do wonder if my pressure settings should be adjusted to help alleviate some of the flagged events.

I will work on getting access to my google drive for you.

vandownbytheriver · Post by **vandownbytheriver** » Tue Apr 16, 2024 1:21 pm

tbolto02 wrote: ↑
Tue Apr 16, 2024 12:41 pm
I will work on getting access to my google drive for you.

When you share the Drive link you have the option to Restrict or Make All Available.

A lot of those CA's look like you're taking a big breath, then holding... rolling over, perhaps? I've generated a CA from farting! Just remember that when you hold your breath longer than 5 seconds it will piss Mother Machine off... I guess I need a Butt Snore graph. O2Ring gives a Movement graph, this can help tag when you're rolling over or awake. You have to pay $ to add the Ring to SHQ... I finally bit the bullet... Amazon O2Ring works fine.

You do have some FL's that could use a little more cm... try 11cm? Good luck.

Miss Emerita · Post by **Miss Emerita** » Tue Apr 16, 2024 3:54 pm

Just to clarify: a CA is flagged whenever you have a pause in your breathing of 10 seconds or more that is not associated with obstruction. That is, 10 seconds is the magic number.

Your CAs look as though they come after you exhale, so I don't think you're holding your breath. They do come after deeper-than-normal breathing, most of which looks like arousal breathing. (Arousal breathing tends to be deeper and messier-looking than regular asleep breathing. It can indicate a change from a deeper sleep state to a more shallow one, or a wake-up.)

I don't see the CAs themselves as your main problem; rather, it's the arousals, both the ones that are followed by CAs and the ones that aren't. No one can say for sure what is causing those arousals, but your flow limit graph suggests that flow limitation might be at least part of the problem.

I would suggest that you turn EPR on, maybe just to 1 or 2 to start with. That might help to reduce the FLs, which in turn might mean fewer arousals for you. Be aware that in some people, EPR can cause an uptick in CAs. So it's a delicate balance.

Do you have any problems of nasal stuffiness?

Since you have good days and bad days, you might try keeping some notes for yourself of how you feel each day. Then you can start trying to correlate that with other factors, like FLs, CAs, bedtime, what you eat and drink, your sleep environment, etc.

tbolto02 · Post by **tbolto02** » Tue Apr 16, 2024 5:51 pm

vandownbytheriver wrote: ↑
Tue Apr 16, 2024 1:21 pm

tbolto02 wrote: ↑
Tue Apr 16, 2024 12:41 pm
I will work on getting access to my google drive for you.
When you share the Drive link you have the option to Restrict or Make All Available.

A lot of those CA's look like you're taking a big breath, then holding... rolling over, perhaps? I've generated a CA from farting! Just remember that when you hold your breath longer than 5 seconds it will piss Mother Machine off... I guess I need a Butt Snore graph. O2Ring gives a Movement graph, this can help tag when you're rolling over or awake. You have to pay $ to add the Ring to SHQ... I finally bit the bullet... Amazon O2Ring works fine.

You do have some FL's that could use a little more cm... try 11cm? Good luck.

Thank you for the post. I have updated my folder and you should have access now. I really enjoyed reading your response and it made me chuckle. Also will increase to an 11 to see what the outcome is after I try EPR of 1. Don't want to add too many variables to make it harder to determine what the possible fix could be.

https://drive.google.com/drive/folders/ ... drive_link

tbolto02 · Post by **tbolto02** » Tue Apr 16, 2024 5:57 pm

Miss Emerita wrote: ↑
Tue Apr 16, 2024 3:54 pm

I would suggest that you turn EPR on, maybe just to 1 or 2 to start with. That might help to reduce the FLs, which in turn might mean fewer arousals for you. Be aware that in some people, EPR can cause an uptick in CAs. So it's a delicate balance.

I will try EPR of 1 to see what happens. Thanks for the input.

Do you have any problems of nasal stuffiness?

I don't have any nasal stuffiness unless I have a head cold.

Since you have good days and bad days, you might try keeping some notes for yourself of how you feel each day. Then you can start trying to correlate that with other factors, like FLs, CAs, bedtime, what you eat and drink, your sleep environment, etc.

Great Idea I will keep better notes to document this.

vandownbytheriver · Post by **vandownbytheriver** » Tue Apr 16, 2024 9:09 pm

tbolto02 wrote: ↑
Tue Apr 16, 2024 5:51 pm

Thank you for the post. I have updated my folder and you should have access now.

You shared the whole folder! This will become confusing when pointing folks to individual charts.

On that page you choose the three vertical dots next to the file you want to share, then choose Share/Copy Link... *that's* when you have the option to change from Restricted to Anyone With Link. I took the liberty of copying the link to the file, here it is:

https://drive.google.com/file/d/1yKO_0g ... drive_link

Still looks like 10 or 11 is where you want to live.

ChicagoGranny · Post by **ChicagoGranny** » Wed Apr 17, 2024 5:47 am

vandownbytheriver wrote: ↑
Tue Apr 16, 2024 1:21 pm
I've generated a CA from farting!

You are wearing the mask on the wrong end.

Leakage and Pressure Level adjustment

Leakage and Pressure Level adjustment

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