standard or soft response

I have been on soft response since I started a few months ago. I have more centrals than OAs. After googling around, I decided to try standard response. I had a very bad night with higher centrals. I woke up and could not fall back asleep for a long time which is not typical for me. I usually wake 2 or 3 times but fall back to sleep very quickly. Could switching to standard cause the wakefulness?

Also, are other people having trouble with lag on the forum or is it just me?

onward60 wrote: ↑

Sun May 05, 2024 3:57 pm

Also, are other people having trouble with lag on the forum or is it just me?

Not just you

viewtopic/t188210/Anyone-else-experienc ... forum.html

Anytime you change anything with the cpap there is the potential for sleep disruptions. The brain likes predictability and when you change something the brain just gets all confused and we might not sleep so great.

onward60 wrote: ↑

Sun May 05, 2024 3:57 pm

I had a very bad night with higher centrals.

If you didn't sleep soundly and had numerous arousals with trouble falling back to sleep it is entirely possible that those centrals aren't real asleep centrals and instead are the machine flagging pauses in our awake breathing as a central.
Happens often and about all it means is you didn't sleep so great.....which you already knew.
They are a symptom of the poor sleep more than they are the cause of the poor sleep.

So should I just go back to soft response? Or is it better to try something for a few days before giving up on it?

I will usually say that we need several nights before we can really evaluate any experiments EXCEPT when we have disastrous results. Our sleep is so fragile I just don't see the sense in experimenting when first results are a disaster.

Go back to the soft response tonight and see if your sleep quality improves or not.

Why did you change anyway? You were doing really good I thought.

My numbers were getting worse for some reason. I hadn't changed anything but I was getting AHI in the 4 to 7 range (can't exactly remember, but back into official sleep apnea numbers).

EDIT: No, wait, that's not right. I raised my minimum pressure. I watched that Lanky guy in a video talk about how auto adjusting sucks, so I thought I would try to bring my low and high pressure closer together to see if I could find a set pressure that worked. The machine was saying my pressure was 10 point something (is that an average?), so I inched up to 10 as my minimum.

Jason (TheLankyLefty) doesn't walk on water like some people seem to think.
He has his opinions and well within his rights but while I love him to death.......I don't always agree with him. I get to have my opinion as well.

You need to learn how to tell awake from asleep flagged events. It takes some work and a bit of time but it can be done.
You are making major pressure changes because of an AHI that might be primarily made up of arousal/awake flagged events and instead you might need to figure out why you aren't sleeping so good. You might have a sleep problem and not an apnea/airway problem. 2 different problems with 2 different solutions.

I actually only change one step at a time when I make a change and one thing at a time. I was creeping my low number up toward what the machine was telling me I was reaching every night (10 point something) but that caused a higher AHI. So, perhaps I should creep it back down again and see what happens? Since the machine doesn't seem to know what kind of events I'm having, is this sort of trial and error?

I have had sleep apnea for many, many years. My study showed my AHI was near 15 (14 point something). Now I am typically in the 3 to 7 range. I figure whatever I'm doing, I'm much better than I was before, so making these changes is not going to kill me, right?

onward60 wrote: ↑

Sun May 05, 2024 9:43 pm

I was creeping my low number up toward what the machine was telling me I was reaching every night (10 point something)

Is that the maximum you were reaching every night, or the median?

Big difference.

ozij wrote: ↑

Sun May 05, 2024 10:57 pm

onward60 wrote: ↑

Sun May 05, 2024 9:43 pm

I was creeping my low number up toward what the machine was telling me I was reaching every night (10 point something)

Is that the maximum you were reaching every night, or the median?

Big difference.

I actually don't know. Which shows up the the screen of the airsense 11?

onward60 wrote: ↑

Mon May 06, 2024 12:01 pm

ozij wrote: ↑

Sun May 05, 2024 10:57 pm

onward60 wrote: ↑

Sun May 05, 2024 9:43 pm

I was creeping my low number up toward what the machine was telling me I was reaching every night (10 point something)

Is that the maximum you were reaching every night, or the median?

Big difference.

I actually don't know. Which shows up the the screen of the airsense 11?

I don't know.
I use fixed pressure on an Airsensen10 and never make changes based on screen data -- even when I tried APAP mode.
You really shouldn't go about making changes in your pressure without looking at your OSCAR data.

I have been trying to understand about flow limitations, but am just getting more confused. There is some kind of relationship between flow limitations and flagged events that may or may not be events. I'm trying to figure out what's a real event and if I have flow limitations. I thought I could look at the squiggles and figure this out but honestly, the squiggles just look like squiggles to me. I've watched many videos about the squiggles and they still look like random, meaningless squiggles. So, looking for someone who can look at this and tell me whats going on. Here's a kind of typical night.

Here's a zoom. If this is not helpful let me know. I will take them down and try again.

You zoomed at a place where a CA appears after you've taken a deeper breath -- that pause is natural.
You also have a hypopnea and a flow limitation in that zoom, and you can see the machine responded by raising the pressure. It's programeed to do that.

Now, try to zoom on that period from 04:45 to 05:30.

Did your electricity stop for a moment?

No, I don't think my electricity stopped there.

Can you try something for me please.
Go to the report in OSCAR that you shared above.
Go to the left side and look for the "Events" tab....click on it.
Then go to the CA/central folder....click on it.
From the list of CAs/centrals scroll down until you see a central/CA flagged at around 4:50 or whenever the first in that cluster of centrals right before 5 AM happens to get flagged.
Click on that event.
The graph will zoom in on that flagged event at the necessary zoom level to evaluate best for judging awake/arousal vs asleep. Get a screen shot of that.

The one you just did....not zoomed in on enough. Need to see each breath more clearly.

I am betting that the majority of your flagged CAs/centrals are related to not being asleep but need to see those breaths to be sure.