Bi-Pap data and settings

My provider switched me to a loaner bi-pap to see if it helps with my therapy. I was having really bad aerophagia. They got me the bi-pap but I don't think they put the settings anywhere near they should be but I don't know what settings I need to be at. I'm waking up super tired even on the new machine. Before sending the bi-pap they reduced my pressure from 13 max down to 9 which helped with the air in my stomach but made my therapy useless and that was about a month ago.

I'm using an airtouch f20 and as best as I can tell it isn't leaking.

Any chance you guys can help? My productivity and motivation has been shot the last month and I really need to get on a better footing.

You don't happen to have a detailed report from your old machine do you?
If you do...please share it.

Do you ever spend much time with the mask and machine on and you are awake???

I see one break in therapy...any idea why? Did you go right back to sleep?

The bulk of your AHI is composed of Clear Airway Apnea events or central apneas.
Did you have many central apneas flagged on your sleep study?....was it a home sleep study or an in lab sleep study?

Off hand without having more information the only thought I can offer is greatly reduce PS or pressure support to see if it's the pressure support triggering the central apneas because it does that in a small subset of people.
And that's assuming you tell me you are pretty sure you were asleep when all those centrals were flagged.
I would reduce PS to 1 and make no other changes in the settings at this time and see what happens if that were my report.

Here is my old thread that has some data. I think that pressure relief does cause the centrals as I had that experience when I first got my apap.

viewtopic/t179988/New-CPAP-user-looking ... l?start=15

Last night I didn't have the mask on very long before falling asleep. I did toss and turn a lot but was mostly asleep the first half of the night. I woke up in the middle of the night to use the bathroom and put my mask back on but had a hard time falling back asleep. Once asleep I slept hard the remainder of the night.

I did an in lab study and I had 9 obstructive, 2 mixed and 12 central, 141 hypopneas, and 22 RERAs.

Thanks I'll make the change. I have another followup with the tech on Tuesday but I can't keep going like this without change.

I realized last night that my tubing had a hole in it. Here is data from last night after I swapped out the tubes. I had previously changed humidity to fixed because of dry mouth but it seems to have been due to the leak because I woke up to water in my tube sometime in the early hours of the morning which caused me to keep waking up until 6:30 when I took the mask off and went back to sleep without it.

From your old sleep study reports and your most recent chart, I'd say you may well have mixed apnea. The standard way to treat it is to use an ASV machine. Is this something you can discuss with your doctor?