No any improvement after 7 days of APAP therapy

Hi
Thanks all for your comments and suggestions. I postponed my answer because I wanted to monitor my condition more time. But my condition is same - there is nothing new.

Pugsy wrote:Do you have any idea why the wake ups during the night? Is there anything you can put your finger on in terms of comfort or something that might point to a known reason for the wake-up?

I agree with you that I have a fragmented sleep. Actually, I guessed it before CPAP therapy. I don't see any obvious reason for wake up.
Actually, I have a bad feeling after the sleep since about adolescent age and who knows maybe it is not sleeping apnea.

kteague wrote:Does your spouse report if you move around a lot during the night, particularly your legs? Any history of restless leg syndrome?
Are you and your spouse on the same sleep schedule, or is there activity in the room while you sleep?

No, it is quiet in our sleep room and nothing (noise etc) bother me.
I don't have a history of restless leg syndrome (I know what about you're talking). My wife states that I don't move a lot during sleeping.

TedVPAP wrote:I was worse for ~2 months until I conquered mask and mouth leaking. There is more than just A & H that disrupts sleep.

Did you feel that your previous mask is not good for you or leaking was too large? Actually, I use chin strap right now for preventing leaking.

CPAP can only fix bad sleep when the bad sleep is solely related to sleep apnea and the cpap fixes the sleep apnea issues.
It can't fix bad sleep caused by something else no matter how much we might want it to or expect it to.

Insomnia (either sleep onset or sleep maintenance) issues are a huge problem and that's why it is a multi billion dollar industry and it affects people who don't have sleep apnea too.

One of the first things we look at when people have some sort of insomnia is medications...sometimes meds have negative impact on sleep quality.
So we have rule out or in medication impact.
Then we start looking at the other potential culprits....sleep hygiene in general.

You won't ever have much of a chance of feeling those nice low AHI numbers until sleep quality gets improved upon but often figuring out how to improve it isn't so easy. Even if we can easily identify the culprit fixing it isn't always so easy.

You might read this blog from one of our forum members who has had some sort of insomnia issue pretty much all her life.
http://adventures-in-hosehead-land.blog ... er_19.html
and in it she mentions some good books to read....so pay attention to that and get those books.

Finally even if the bad sleep is solely caused by sleep apnea it can take weeks and months to actually feel the good numbers even if the sleep quality is improved. You didn't get this way overnight and you can't fix it overnight or even over weeks and months sometimes. You read about people having the life changing miracle from day one on cpap but those people are really in a very lucky small minority. Most of use it took quite some time to experience/feel any major improvements.

So what we do is continue with cpap (like we have much choice if we have sleep apnea) and while giving it time we can use that time to investigate other potential culprits for the bad sleep and try to make changes that might improve the situation.

Talk to your doctor about potentially adding medications (sleep aids) short term to help get you over the hump so to speak.

And trust me...I do understand how difficult it is to pin point the causes of insomnia...I am experiencing it right now and it's playing hell with how I feel during the day. I thought I had finally found a solution for my sleep maintenance insomnia only to find out it didn't stick too well.

USMCVet wrote:I asked at my appointment today how long it would take to feel better. I was told its different for everyone and that how sleep deprived you are before starting all plays a role.

USMCVet has a good point, and additionally the brain damage caused by sever apnea takes a while to heal too (like up to a year). so it take time. Honestly I'm still waking up 1-4 times a night but I feel way better than 8 months ago.