Newbie Self Diagnosis - In Denial - AHI Question

marktheshark · Post by **marktheshark** » Sat Dec 01, 2018 5:26 pm

Pugsy wrote: ↑
Sat Dec 01, 2018 5:21 pm
I don't worry so much about the actual leak numbers as I do if the leaks are waking me up or not.

And I could tell the night I had that good stretch I didn't notice any leaks, the next night I really felt them waking me up...

Thanks!

palerider · Post by **palerider** » Sat Dec 01, 2018 5:36 pm

marktheshark wrote: ↑
Sat Dec 01, 2018 4:39 pm
Is there a target leak rate to be under?

The machine starts complaining when you hit 24lpm

I like to right click on 'leak rate' and turn on the dotted line that says 'leak threshold'.

Pugsy · Post by **Pugsy** » Sat Dec 01, 2018 5:44 pm

If a leak wakes you up...doesn't matter how big or how little it might be.
It's disturbing precious sleep and that makes it unwanted and I don't care if it's a measly 5 L/min excess leak.
The machine can compensate for considerable leak in terms of affecting therapy effectiveness...
sometimes the body can't compensate so easily and our sleep gets disturbed...and that's when I would want to fix it no matter how big or how little.

If I sleep through a big leak and feel decent...I shrug my shoulders and move on.
Little leaks never wake me up but I know they do some people.
Sometimes it's not so much the amount of leak as the frequency of the leak that might wake a person up.
So a lot of little leaks might disturb someone more than one big leak might.

marktheshark · Post by **marktheshark** » Sun Dec 02, 2018 6:52 am

Pugsy wrote: ↑
Sat Dec 01, 2018 5:44 pm
If a leak wakes you up...doesn't matter how big or how little it might be.
It's disturbing precious sleep and that makes it unwanted and I don't care if it's a measly 5 L/min excess leak.
The machine can compensate for considerable leak in terms of affecting therapy effectiveness...
sometimes the body can't compensate so easily and our sleep gets disturbed...and that's when I would want to fix it no matter how big or how little.

If I sleep through a big leak and feel decent...I shrug my shoulders and move on.
Little leaks never wake me up but I know they do some people.
Sometimes it's not so much the amount of leak as the frequency of the leak that might wake a person up.
So a lot of little leaks might disturb someone more than one big leak might.

Makes sense, thank you!

marktheshark · Post by **marktheshark** » Tue Dec 04, 2018 8:45 am

Hi All,

It seems like I'm stuck in a pattern of waking up 6-10 times per night, I'm not sure if it's because of the pressure rising that's waking me up or just my old self still not use to the machine?

What happens is, I wake up, turn the machine off then back on to be able to fall back asleep at the lower ramp level, I know if I wake up I can't fall back asleep unless I reset the machine.

So if you look back at my last sleepyhead chart I posted a few posts ago, its pretty consistent each night, it's like the pressure is a roller coaster ride and not steady for very long.

Pugsy · Post by **Pugsy** » Tue Dec 04, 2018 10:08 am

It wouldn't be impossible for you to be waking up from the airway air flow reduction that is causing the increase in pressure.
So the event wakes you up and you see the higher pressure because the machine is trying to prevent it from happening again.

It is also possible you are simply sensitive to relatively minor pressure changes. Your last report the machine barely went over 10...that's not a really high pressure. I go from 7 to 16 fairly often and never know it until I see a report. Sleep right through it.

Why not change your minimum to 8 or 9....you can still use the ramp if needed. Tightly restrict the range or roaming around of the pressure.
Or even use a fixed pressure...see if it's the pressure change that is the culprit because if you eliminate pressure changes...and you don't have the wake ups you have your answer but if you still have the wake ups then you have to look for another reason for the wake ups.

marktheshark · Post by **marktheshark** » Tue Dec 04, 2018 10:11 am

Pugsy wrote: ↑
Tue Dec 04, 2018 10:08 am
It wouldn't be impossible for you to be waking up from the airway air flow reduction that is causing the increase in pressure.
So the event wakes you up and you see the higher pressure because the machine is trying to prevent it from happening again.

It is also possible you are simply sensitive to relatively minor pressure changes. Your last report the machine barely went over 10...that's not a really high pressure. I go from 7 to 16 fairly often and never know it until I see a report. Sleep right through it.

Why not change your minimum to 8 or 9....you can still use the ramp if needed. Tightly restrict the range or roaming around of the pressure.
Or even use a fixed pressure...see if it's the pressure change that is the culprit because if you eliminate pressure changes...and you don't have the wake ups you have your answer but if you still have the wake ups then you have to look for another reason for the wake ups.

Good ideas, I will give them a try!

marktheshark · Post by **marktheshark** » Wed Dec 12, 2018 5:19 pm

Hello all.

So I pretty much have this down every night, just can't figure out why I am waking up several times still?

Also, am I right that REM sleep tends to be the first 3 hours of sleep? I am wondering more and more if this is why I can feel so bad, not getting enough REM?

I feel like if I can manage to fall asleep and stay asleep for the first 3-4 hours, I can really notice a difference the next day, unfortunately, this has only happened once or twice.

I tried a fixed pressure of 10 for a few nights, then went back to a range of 9.5 to 13, which seems to work better for me. Last night I spent most of the night with a pressure of 11+.

I just can't imagine a day where I only wake up 1 or 2 times per night, that hasn't happened in 100 years lol.

ChicagoGranny · Post by **ChicagoGranny** » Wed Dec 12, 2018 5:25 pm

marktheshark wrote: ↑
Wed Dec 12, 2018 5:19 pm
Also, am I right that REM sleep tends to be the first 3 hours of sleep?

No. Here is a healthy sleep cycle -

As the night proceeds, you can see that the REM stages get longer.

Now, you are probably REM-deprived. In which case, you will not have a normal sleep cycle. You could be having a long REM cycle as soon as you fall asleep.

palerider · Post by **palerider** » Wed Dec 12, 2018 8:20 pm

marktheshark wrote: ↑
Wed Dec 12, 2018 5:19 pm
Hello all.

So I pretty much have this down every night, just can't figure out why I am waking up several times still?

Also, am I right that REM sleep tends to be the first 3 hours of sleep?

Nope. Rem stages tend to get longer the later in the night.

marktheshark · Post by **marktheshark** » Wed Dec 12, 2018 8:42 pm

ChicagoGranny wrote: ↑
Wed Dec 12, 2018 5:25 pm

marktheshark wrote: ↑
Wed Dec 12, 2018 5:19 pm
Also, am I right that REM sleep tends to be the first 3 hours of sleep?
No. Here is a healthy sleep cycle -

As the night proceeds, you can see that the REM stages get longer.

Now, you are probably REM-deprived. In which case, you will not have a normal sleep cycle. You could be having a long REM cycle as soon as you fall asleep.

Gotcha.

Well I'm quit sure I'm deprived of something sleep wise lol.

marktheshark · Post by **marktheshark** » Thu Dec 13, 2018 8:12 am

This has been what my nights look like, pretty much exact each night as far has wake ups and AHI. All I can really see is that my biggest issue is waking up several times then restarting the machine. I can't seem to get any long stretches of sleep.

Pugsy · Post by **Pugsy** » Thu Dec 13, 2018 8:15 am

In the future...hide the calendar and turn off the pie chart (Preferencs/Appearance tab)...this will allow needed statistics to move up into view.

So why the wake ups? Anything you can put your finger on causing you to wake up so often?

Do you take any medications of any kind? If so, what? I may have already asked you that question but I don't remember and can't see past just a few posts right now.

Pugsy · Post by **Pugsy** » Thu Dec 13, 2018 8:19 am

Don't need 2 pressure graphs...omit mask pressure graph...and omit the snore graph (it's not exciting anyway) and this will allow you to enlarge the graphs. Right now they are tiny and hard to evaluate.

You can make them larger and easier to see. I don't know why yours are so small. Are you shrinking or reducing something besides the graphs????
See mine here...much easier to see and evaluate.

marktheshark · Post by **marktheshark** » Thu Dec 13, 2018 8:36 am

Pugsy wrote: ↑
Thu Dec 13, 2018 8:15 am
In the future...hide the calendar and turn off the pie chart (Preferencs/Appearance tab)...this will allow needed statistics to move up into view.

So why the wake ups? Anything you can put your finger on causing you to wake up so often?

Do you take any medications of any kind? If so, what? I may have already asked you that question but I don't remember and can't see past just a few posts right now.

Gotcha, I can do that.

No medications, I just wake up and think "why am I awake?"

I feel like this is very normal for me, before using the cpap this what I remember all night, just constant wake up's that don't make sense.

I think before when it happened, it was in the early morning hours, I was waking myself up because id end up on my back snoring. Fall asleep, dream, wake up, fall asleep dream, wake up, fall asleep dream, wake up. You couldn't pay me to oversleep because I go thru these 1-2 hour wake ups so often.

I know there is no silver bullet, just wanted to give an update and make sure I wasn't overlooking anything.

Last night after a couple of hours went by, id fall asleep and wake up feeling like I was sleeping well, and then repeat the same feeling 3-4 times.

Newbie Self Diagnosis - In Denial - AHI Question

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