Bi-level for UARS

Hello everyone. Back in the early 2000s I posted as Kermit. Even though I was able to posts a few more times in 2021, sadly not able to now. So am Dante49 now.

I made many online friends back then, one special lady was Rested Gal. Hope she chimes in.
I owe my cpap therapy success to this board. In fact, despite self diagnosed UARS (AHI ~ 3-4) I had no life, no energy and was on my way to being fired, no to mention close calls crashing on freeway due to afternoon sleepiness. Pre-CPAP life was a living hell.

With helpful advice from the board way back then, I have enjoyed a good life in old age, am 77 now. I am 100% compliant and always have a back up CPAP, should my machine fail. Even today, a day without treatment will be a very bad day.

Back then I figured out I suffered from UARS. No one took me seriously nor support me treating it. CPAP has been great and I should not complain but still think it's time to address UARS despite pushback from the "medical system".

I learned more about UARS and have figured out I don't need ASV, but see Bi-level as a better path than CPAP/APAP.
Interested in forum's opinion on those with UARS and switching from CPAP to Bi-level.

I solved my horrible mouth leaks in the early years using a simple dental device I found back then. First one I bought 22 years are still in use today. Nevertheless I later purchased two more for back up should device production cease. So leakage not an issue. Now want to fine tune my air flow. So is Bi-level worth the upgrade ?

Dante49 wrote: ↑

Thu Apr 23, 2026 12:21 pm

I made many online friends back then, one special lady was Rested Gal. Hope she chimes in.

Rested Gal retired from the forum some years ago so don't be disappointed if she doesn't chime in because she rarely drops by here anymore.

Dante49 wrote: ↑

Thu Apr 23, 2026 12:21 pm

So is Bi-level worth the upgrade ?

Don't know because we have zero information about your current settings on the machine you are using now and what you expect to accomplish with a bilevel machine.

Later this evening when I have more time I will try to go back to some of your old "Kermit" posts to get an idea what you were doing.

Are you paying out of pocket or are you wanting to file your insurance?

Hi Pugsy.

Oh, I hope Rested gal is doing well. I liked her posts and wisdom.

Currently I use a Resmed Air sense 11 at home. My pressure is 10 cm H2O fixed. Auto does not work well with me.

As to insurance, I am covered and while I keep my cpaps till they break, I learned I am eligible to upgrade. Seriously thinking of the Aircurve 11 after reading how it is more suitable for UARS.

I just learned of OSCAR and am looking forward logging a lot of data and if the curves shows there is room for improvement will use the data when approaching my family care physician. It's a 50/50 proposition. If turned down, am prepared to pay the difference (cpap vs bipap). Failing that, I will have no choice but to buy it. This is assuming the OSCAR data will support the upgrade.