Tried Raising Pressures, but it just keeps going up?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
jlsmithseven
Posts: 250
Joined: Mon Dec 20, 2021 6:18 pm

Tried Raising Pressures, but it just keeps going up?

Post by jlsmithseven » Fri Nov 25, 2022 7:14 am

So, reading my OSCAR data, it looks like I hover around the mid 9's for pressure for the past year I've been using my APAP machine. I have been using a lower starting pressure and it goes up to 9 or so when it needs to. I thought the general idea was to put it at the correct pressure, then it wouldn't have to go up and down so much. The first night my starting is around 8 and the second night I tried to put my starting around 9.2 or so. I thought oh it's going to be better because it doesn't have to go up as much and will get to the pressure quicker when I need it. Then I come back and it just goes even higher. Is this because it needs to basically "jolt" the airway open so it needs that extra pressure at all times? If this is the theory, why won't a pressure of 5 work then?

https://ibb.co/njHRt6Y
https://ibb.co/PhyRPC5
https://ibb.co/kBh2bqY

User avatar
Jlfinkels
Posts: 468
Joined: Sun Jun 20, 2021 3:51 pm

Re: Tried Raising Pressures, but it just keeps going up?

Post by Jlfinkels » Fri Nov 25, 2022 8:18 am

I can’t do OSCAR divination, but I think those that can would rather see the “flow limit” graph rather than the “time at pressure” graph. Is there any way you could redo the screenshots to ease their analysis?
Sometimes it is the very people who no one imagines anything of who do the things that no one imagines

User avatar
jlsmithseven
Posts: 250
Joined: Mon Dec 20, 2021 6:18 pm

Re: Tried Raising Pressures, but it just keeps going up?

Post by jlsmithseven » Fri Nov 25, 2022 8:35 am

https://ibb.co/NxhDmLj
https://ibb.co/hYXLpbp
https://ibb.co/C9HN625

How is this. The first two are from the last night which pressures went up. The last picture is zoomed in on the first night which I had great sleep.

User avatar
Jlfinkels
Posts: 468
Joined: Sun Jun 20, 2021 3:51 pm

Re: Tried Raising Pressures, but it just keeps going up?

Post by Jlfinkels » Fri Nov 25, 2022 9:03 am

Still showing the “time at pressure” graph and not the “flow limit” graph. If you click on the bottom right “6 of 14 graphs”, uncheck “time at pressure” and check “flow limit” to get the right graphs.
Sometimes it is the very people who no one imagines anything of who do the things that no one imagines

User avatar
robysue1
Posts: 897
Joined: Sun Sep 18, 2022 3:39 pm
Location: Buffalo, NY

Re: Tried Raising Pressures, but it just keeps going up?

Post by robysue1 » Fri Nov 25, 2022 9:39 am

jlsmithseven wrote:
Fri Nov 25, 2022 7:14 am
So, reading my OSCAR data, it looks like I hover around the mid 9's for pressure for the past year I've been using my APAP machine. I have been using a lower starting pressure and it goes up to 9 or so when it needs to. I thought the general idea was to put it at the correct pressure, then it wouldn't have to go up and down so much. The first night my starting is around 8 and the second night I tried to put my starting around 9.2 or so. I thought oh it's going to be better because it doesn't have to go up as much and will get to the pressure quicker when I need it. Then I come back and it just goes even higher. Is this because it needs to basically "jolt" the airway open so it needs that extra pressure at all times? If this is the theory, why won't a pressure of 5 work then? (emphasis added)
No, an APAP does not work by trying to "jolt" the airway open once it collapses.

Even at 20cm H2O of pressure, the APAP does not generate enough pressure to force a collapsed airway to open up. It relies on your body's own defenses to wake you up enough for you to clear the obstruction, and then the APAP increases the pressure in an effort to make it more difficult for the airway to collapse again.

Here's what you need to understand about how the Auto algorithm in your Resmed AirSense 11 works:

First, all xPAP therapy is based on the idea of preventing obstructive events from happening in the first place: If the pressure is sufficient to prevent the airway from collapsing, very few or no obstructive events will occur.

Second, the machine is programmed to increase the pressure after OAs and Hs are detected and "cleared" by your own body---more on this in a bit. Second, the machine is also programmed to increase pressure when it detects breathing patterns associated with snoring and flow limitations since both of these are indications that the airway is at greater risk of collapsing and causing OAs or Hs. Resmed machines are known to be rather aggressive in increasing the pressure in response to flow limitations and snoring, so when you have a spike in pressure that does not seem to be tied to OAs or Hs being flagged, it's a good bet that there's something going on in the snore graph or the flow limitation graph.

Third, the basic idea is that the Min Pressure setting should be high enough to prevent your airway from collapsing for most of the night---i.e. the minimum pressure setting should not be set too low so that your airway can easily collapse during non-Rem, non-supine sleep. But it's known that for many people, the OSA is worse during supine sleeping and during REM sleep. So with an APAP, the pressure can increase if/when flow limitations, snoring, or obstructive events start to happen while you are asleep. Why might those things start to happen? Well you could flip onto your back. Or you could go into a REM cycle. Either of which is likely to increase the activity in the snore graph and/or the flow limitation graph, or they could lead to some obstructive events (OAs or Hs) being flagged. And the machine increases the pressure in an effort to prevent additional obstructive events from occurring.

Fourth, when it looks like your breathing has stabilized (i.e. no more flow limitations, no more snoring, and no OAs or Hs being flagged), the machine will start decreasing the pressure. The machine will continue decreasing the pressure until one of two things happens:
  1. the Min Pressure is reached
  2. the machine detects flow limitations, snoring, or another OA or H occurs
If (b) happens, the machine once again increases the pressure until it's "happy" with the stability of your breathing.

Fifth, if the Max Pressure is set too low, then it is possible for the machine to be limited in its ability to prevent nasty clusters of OAs and Hs from occurring. In other words, if Max Pressure is set too low to prevent events from happening in a "worst case" scenario (typically supine REM sleep), then once the maximum pressure is reached, the machine cannot increase pressure any further in response to the events at the start of a nasty cluster. And because the machine can't increase the pressure any further, the airway remains unstable and the events continue to happen until you either wake up enough to turn over or the REM cycle is over or both. In other words, the cluster ends only after your body does something to make it a bit harder for your airway to collapse, and once that happens, the machine's maximum pressure can once again provide the support your airway needs to remain open.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.

Correct number of posts is 7250 as robysue + what I have as robysue1

Profile pic: Frozen Niagara Falls

User avatar
robysue1
Posts: 897
Joined: Sun Sep 18, 2022 3:39 pm
Location: Buffalo, NY

Re: Tried Raising Pressures, but it just keeps going up?

Post by robysue1 » Fri Nov 25, 2022 10:06 am

jlsmithseven wrote:
Fri Nov 25, 2022 7:14 am
I thought the general idea was to put it at the correct pressure, then it wouldn't have to go up and down so much.
This is correct: The general idea is that if Min Pressure is set close to your actual needs, the machine should not need to increase the pressure as much and that should reduce the sizes of the pressure swings.

However, not everybody's airway seems to have gotten that particular memo about how apap is supposed to work: Some flow limitations are not caused by a partially obstructed airway that is in danger of collapsing, and hence they don't respond to additional pressure the way the machine thinks they should. In other words, there's more to establishing "airway stability" than just increasing the pressures---otherwise they could just set all of us using a CPAP at 20cm and not bother with titration at all.

And we don't sleep exactly the same way every single night. Some nights, for whatever mysterious reasons, our airway is just more unstable than on other nights. On nights where our airway is stable, it's possible that there will be long stretches where the machine is running at Min Pressure and your breathing is quite stable with no flow limitations, no snoring, and no OAs or Hs happening. On other nights the airway can be more unstable for some unknown reason (perhaps you're sleeping on your back, but perhaps not), and so the machine detects (and responds to) the flow limitations and snoring and OAs and Hs that are occurring. So you see more pressure spikes and the pressure spikes you see may be steeper and go higher than the pressure spikes you see on a "good" night where the airway is relatively stable to begin with.

The first night my starting is around 8 and the second night I tried to put my starting around 9.2 or so. I thought oh it's going to be better because it doesn't have to go up as much and will get to the pressure quicker when I need it. Then I come back and it just goes even higher.
In principle starting with a Min Pressure of 9.2 ought to result in fewer pressure swings than starting with a Min Pressure since you say you "hover around the mid 9's for pressure for the past year." (Note: That "mid 9's" number is apparently your 95% pressure level over the past year.) But there's also a basic mathematical fact at work here as well: If you start at a higher pressure (i.e. a pressure close to your "old 95%" pressure) and the machine detects even a small number of events, flow limitations, or snoring, then its auto algorithm can lead to a modest pressure increase that is still above your historic 95% pressure level, and hence it can leave you with the impression that "it [the pressure] just goes even higher" when you increased the Min Pressure setting.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.

Correct number of posts is 7250 as robysue + what I have as robysue1

Profile pic: Frozen Niagara Falls

User avatar
robysue1
Posts: 897
Joined: Sun Sep 18, 2022 3:39 pm
Location: Buffalo, NY

Re: Tried Raising Pressures, but it just keeps going up?

Post by robysue1 » Fri Nov 25, 2022 11:12 am

jlsmithseven,

Let's now look at the data you actually posted.

Here's a marked up copy of the night that you posted where Min Pressure = 8.2 and Max Pressure = 13:
Image

The horizontal dotted lines are at 8.2cm, 9.6cm, and 10.5cm of pressure. Those lines help us gauge the sizes of the pressure increases during this night.

The pressure increases in the brown boxes are caused by the ramp ending. We'll ignore them.

The pressure increases in the red boxes are the machines reactions to an OA or an H. If you zoom in sufficiently on these events in Oscar, you will see the pressure increases occur after the event is over. The typical increase in pressure in response to an OA or H is between about 0.5cm and 1.5cm of pressure. My impression is that if we could see the flow limitation curve, the steeper 1.5cm increases may be for OAs accompanied by FL, but that's just speculation on my part. I will be honest, I don't know how much the Resmed algorithm is programed to increase the pressure in response to an isolated OA or H when the current set pressure is not close to the Max Pressure setting. There are two OA events that also associated (in time) with some snoring, and the pressure increases in those red boxes undoubtedly was influenced by the machine detecting the end of the snoring as well as responding with a pressure increase after the OA ended.

The pressure increases in the blue boxes are ones that I presume are due to FLs since there is no corresponding activity in the snore graph and there are no flagged OAs or Hs in those boxes. The purple boxes include an OA along with a second pressure increase that is most likely caused by stuff in the missing flow limitation graph. The size of the increase in pressure in response to flow limitations is not fixed: My understanding is the machine will keep increasing the pressure until the flow limitation is substantially improved or eliminated OR until Max Pressure is reached. Your Max Pressure is never reached during this night, so it's clear your machine wasn't inhibited in any way from responding to what it was detecting in terms of obstructive events, flow limitations, and snoring.

Your median pressure (8.84cm) for this night reflects the fact that there are some pretty long stretches where the pressure is pretty close to your min setting of 8.2cm, and those long stretches are pretty boring (which is GOOD) in terms of what's showing up (at this level of zooming) in the data. Your 95% pressure level (9.92cm) reflects the fact that the highest peaks of the pressure graph are above 9.92 and that the pressure was above 9.92 cm for no more than about 20-25 minutes for the entire night. You can visually see this by simply looking at how rare the pressure increases get above the line at 9.6cm that I've included in the mark-up.

Finally I'll add that there's nothing in this night's data that screams, increase Min Pressure. The handful of events that got by the xPAP defenses are fairly isolated and there are several nice long stretches of what looks (at this level of zooming) to be decent to high-quality sleep breathing. And relatively speaking, the pressure increases that your machine found necessary to do are rather modest: They typically are less than 1.6cm at a time, and even the highest peaks (when the pressure is greatest) are just less than 2.5cm above your Min Pressure setting. In other words, from your machine's point of view, there are no excessively large pressure swings in this night's data.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.

Correct number of posts is 7250 as robysue + what I have as robysue1

Profile pic: Frozen Niagara Falls

User avatar
robysue1
Posts: 897
Joined: Sun Sep 18, 2022 3:39 pm
Location: Buffalo, NY

Re: Tried Raising Pressures, but it just keeps going up?

Post by robysue1 » Fri Nov 25, 2022 12:55 pm

jlsmithseven,

Now let's look at the night you posted where you used Min Pressure = 9.6 and Max Pressure = 14 for your settings. Again, I've taken the time to mark up this night's data with some useful boxes and horizontal lines for reference. Here's the data:
Image

The horizontal lines are at 9.6cm, 10.75cm, and 11.5cm. Most of your pressure peaks are at or around 10.75cm, which is just under a 1.2 cm increase in pressure. The second largest of your pressure peaks is right around the 11.5cm line and your largest pressure peak is a bit above that line. The numerical data indicates you hit a pressure of 12.06cm at that peak. So your maximum pressure peak was an increase of about 2.5cm over your baseline pressure.

It's worth noting that you had two clusters of events on this night. The first cluster contained 3 OAs as well as a hint of snoring. Because of those 3 OAs, the machine increased your pressure from 9.6cm to about 11.5 cm, roughly a 2cm increase. Had this cluster happened on the night where you had Min Pressure = 8.2, there's a chance that the cluster might have included a few more events before the machine was happy enough with your breathing to start decreasing the pressure. And in that case, you might well have seen a pressure increase of more like 3 or 3.5 cm instead of the 2cm increase on this night.

It's also worth noting that the second cluster of 2 OAs is pretty close to the first cluster, but far enough away from the first cluster that your machine had in fact decreased the pressure from 11.5cm to 10.75cm before the second cluster started. In response to that second cluster, the machine increases the pressure by about 1.75cm--from a current set pressure of about 10.75 to a new pressure of 12cm. A 1.25cm increase in pressure in response to two OAs flagged in quick succession is typical of a Resmed machine regardless of what the "current set pressure" is. Again, had this happened on the night when you had Min Pressure = 8.2, the pressure would have increased by about the same amount, and if the OAs stopped, so would the pressure increase. The critical question, which cannot be answered, is whether the machine would have allowed more events in the first cluster to have gotten through the xPAP defenses simply because it would have taken a few more events to raise the set pressure from 8.2 up to 11.5.

It's important to realize that the size of these pressure increases on this night is just about the same size as the pressure increases that you had on the night that you used Min Pressure=8.2. In other words, on both nights, the machine detected a few obstructive events (OAs, Hs) and each time it detected such an event, it increased the pressure somewhere between (roughly) 0.5 and 1.5 cm above the current baseline pressure. Because the largest cluster of OAs on either night only contained 3 events, the largest increase in pressure in response to a cluster of events was a mere 2cm above your min pressure at the end of that first cluster.

As for the statistical stuff: The median pressure level increased from 8.84 (Min Pressure = 8.2) to 9.9 (Min Pressure = 9.6). Obviously the median pressure was going to increase to something above 9.6, the new min pressure setting. It's worth noting that at Min Pressure = 8.2, your median pressure level was 0.64 cm above your min pressure, but with Min Pressure = 9.6, your median pressure level was only 0.3cm above your min pressure.

The 95% pressure levels are based on (roughly) the 20-30 minutes where the pressure is at its highest levels---i.e. the cumulative time spent at or near the largest pressure peaks. On the night when Min Pressure = 8.2, your 95% pressure was 9.92cm, which was 1.72cm above your minimum pressure. On the night where Min Pressure = 9.6, your 95% pressure was 11.26, which was 1.66cm above your minimum pressure. Statistically speaking, the pressure changes on the night with Min Pressure = 9.6 were a bit smaller than they were on the night where Min Pressure = 8.2, even though the pressure numbers themselves look to be larger.

Here's an explanation of why its reasonable to expect that 95% pressure level to be greater when you increased the Min Pressure setting to 9.6cm: Since the AirSense 11 will tend to increase the pressure by 0.5-1.5 cm in response to a typical OA/H and since the AirSense will respond to multiple events in a short time with additional pressure increases, it's not at all surprising that when your minimum pressure is set to 9.6, that your 95% pressure level is up around 11.25---that's only about 1.65cm above the minimum pressure setting, and the fact that your 95% pressure level is only 11.26 on Nov. 24 (Min Pressure = 9.6) indicates that there wasn't much the machine needed to respond aggressively to throughout the night. If there had been, your pressures would have gotten a lot closer to your Max Pressure = 14cm setting.

In other words, there are several take-aways from looking at just these two nights' data side-by-side:

1) One night's data is not enough to establish a trend or definitively answer the question, "Will a modest increase in pressure improve things when the data is already good in terms of AHI, flow limitations, and snoring?" If the data is already good, increasing the pressure most likely isn't going to result in a drastic change in the overall data.

2) We don't sleep the same every night. It could be that November 22 (Min Pressure = 8.2) was a (slightly) better than normal night in terms of the OSA and that November 24 (Min Pressure = 9.6) was a (slightly) worse than normal night in terms of the OSA. Without more data at both settings, there's no way to tease out whether the increase in pressure was warranted or not. (I'm inclined to believe that the pressure increase was not warranted since your overall AHI for the last year has been 1.54.)

3) If it ain't broke, don't fix it. What I mean by this is: It's not at all clear what you were trying to accomplish by the increase in your Min Pressure setting. Yes, in your post you said:
jlsmithseven wrote:
Fri Nov 25, 2022 7:14 am
I thought the general idea was to put it at the correct pressure, then it wouldn't have to go up and down so much.
But your APAP's pressure increases are modest to begin with: Your largest swings on the daily data for November 22 were about 2.5cm. That's not really much of a pressure increase at all: Some people regularly see their pressures increase by 5 or 6 cm over a short period of time. If you were sleeping fine with Min Pressure = 8.2, there really was no need to change the minimum pressure setting in order to somehow "minimize" the changing pressure when your pressure is only changing by about 2.5 cm.

4) If something is broke when you have Min Pressure = 8.2, we need a better idea of what's broke. It's not your AHI numbers--they're fine given your statistical data for the last year. So what were you trying to "fix"? If you think pressure swings of 2.5cm are waking you up, then you might be better off trying fixed pressure mode rather than APAP. While most people around here strongly prefer APAP, there are a few people who are open about the fact that they sleep better in CPAP mode than in APAP mode, and part of why they sleep better is that the pressure is not constantly changing all night long.

So I'll end with this all important question: How do you (subjectively) rate your overall sleep? Do you wake up feeling rested? Do you have the energy you want to have to get through the day? If not, when what do you think might be wrong with your sleep?
Last edited by robysue1 on Fri Nov 25, 2022 1:37 pm, edited 1 time in total.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.

Correct number of posts is 7250 as robysue + what I have as robysue1

Profile pic: Frozen Niagara Falls

User avatar
jlsmithseven
Posts: 250
Joined: Mon Dec 20, 2021 6:18 pm

Re: Tried Raising Pressures, but it just keeps going up?

Post by jlsmithseven » Fri Nov 25, 2022 1:13 pm

Here are a few more flow limitation graphs sorry that wasn't checked.

https://ibb.co/Pr6v095
https://ibb.co/mHKH2CN
https://ibb.co/CzccYH7

User avatar
robysue1
Posts: 897
Joined: Sun Sep 18, 2022 3:39 pm
Location: Buffalo, NY

Re: Tried Raising Pressures, but it just keeps going up?

Post by robysue1 » Fri Nov 25, 2022 1:27 pm

jlsmithseven wrote:
Fri Nov 25, 2022 1:13 pm
Here are a few more flow limitation graphs sorry that wasn't checked.
The (minor) flow limitations are showing up just where I expected them to show up.

Take time to read my earlier responses carefully---there's a lot of information that I've included in an effort to help you learn why your machine is increasing the pressure setting in the first place and why increasing your minimum pressure setting hasn't really changed that much in terms of the size and number of your pressure increases.

The short version, however, is: On paper, there's not much to "fix" in terms of the machine's management of your OSA when Min Pressure = 8.2. And increasing Min Pressure = 9.6 doesn't change the fact that the few events (and minor flow limitations) that are getting around the xPAP defenses still cause APAP pressure increases of 0.5-1.5 cm per event and, because most of your events are reasonably well isolated, a total pressure increase of about 2.0-2.5 cm above your base Min Pressure setting.

The fact that there are still a few events for the machine to respond to when Min Pressure = 9.6 is also why the 95% and 99.5% pressure levels have the expected increases in them as compared to the 95% and 99.5% pressure levels at Min Pressure = 8.2.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.

Correct number of posts is 7250 as robysue + what I have as robysue1

Profile pic: Frozen Niagara Falls

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Tried Raising Pressures, but it just keeps going up?

Post by palerider » Fri Nov 25, 2022 1:41 pm

Your images are pretty much useless, you appear to have shrunk them to a small size, which makes them blurry. You need to post full sized, not scaled down, graphs so that they're readable.

You might want to use imgur, not imgbb.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

User avatar
robysue1
Posts: 897
Joined: Sun Sep 18, 2022 3:39 pm
Location: Buffalo, NY

Re: Tried Raising Pressures, but it just keeps going up?

Post by robysue1 » Fri Nov 25, 2022 1:45 pm

palerider wrote:
Fri Nov 25, 2022 1:41 pm
Your images are pretty much useless, you appear to have shrunk them to a small size, which makes them blurry. You need to post full sized, not scaled down, graphs so that they're readable.

You might want to use imgur, not imgbb.
When I downloaded the posted jpegs in order to edit them, I got full sized jpegs that I could easily enlarge to see the stuff that looks fuzzy if you are just looking at the image at imgbb.

I agree posting at imgur is better, if only because imgur lets you copy and paste the BBCode that allows the image to actually show up in the post.
Joined as robysue on 9/18/10. Forgot my password & the email I used was on a machine that has long since died & gone to computer heaven.

Correct number of posts is 7250 as robysue + what I have as robysue1

Profile pic: Frozen Niagara Falls

User avatar
jlsmithseven
Posts: 250
Joined: Mon Dec 20, 2021 6:18 pm

Re: Tried Raising Pressures, but it just keeps going up?

Post by jlsmithseven » Fri Nov 25, 2022 1:47 pm

Let me say Thank you Robysue1 for answering my post in such detail and explanation than I've ever received before. You helped me understand why the swing goes up and down more clearly than I could have asked for. I think, my original question was yes, I believe the pressure changes might be interrupting my sleep more than I imagined. I tend to be very sensitive to pressure changes, so I was thinking when I raised my min. pressure if I could get closer to the pressure I am usually at when it raises, that I wouldn't wake up or cause me mini wakeups without realizing. My quality of sleep isn't exactly where I would want it, yes. I am a mouth breather and for most of this summer I have been using the Bleep Dreamports because 1. they dont leak, and 2. because there is no headgear. I've tried taping my mouth and using chinstraps and they help, but they aren't perfect. On my second the night the pressure was just a bit too much for me I believe, and I also taped my mouth this night as well as the other night. The only difference is, the tape I had to take off the last few hours on the last night because my mouth was so dry i needed some water.

A while back I made a post about the ramp up causing my wakeups and I got an amazing response from Dog Slobber with some recommendations. I constantly go back to that post because the settings he told me have worked great, not perfect, but pretty good.

I know I don't sleep the same every night, but I believe my biggest issues with not being content consist of the following reasons:
1. I easily get caught up in the numbers game, rather than how I feel game.
2. I like to experiment to make things better

If I did use CPAP mode, (ive thought about trying it in the past, but was scared that it couldnt reach the pressure it needed if i needed more), what pressure do you think would be good?
Here is the link to the other post I was talking about with the settings, I revert to these settings when I feel I've messed up too many things.
viewtopic.php?f=1&t=184598&p=1415051#p1415051

User avatar
jlsmithseven
Posts: 250
Joined: Mon Dec 20, 2021 6:18 pm

Re: Tried Raising Pressures, but it just keeps going up?

Post by jlsmithseven » Fri Nov 25, 2022 1:54 pm

I currently Use the Bleep Dreamports and tape sometimes when I feel like it. I wear ear plugs in both ears. I think my main worries are that the pressure changes are causing me mini wakeups that I dont experience, but my body does so it doesn't help me feel as rested. My other worries are my mouth leaks which don't really show up in the charts, but I feel like it still leaks because I am a mouth breather. I will admit I am trying this tongue retainer device soon and I am about to order a lower mouth guard to help some of my bruxism issues I've been dealing with recently. I'm not sure if taping is recommended while wearing a mouthguard so i still have so much research to dive into. I guess at this point I'm wanting to try everything because I just don't wake up feeling rested like I used to. Could be because Winter is settling in and I have a 5 week old doesn't help anything either but I should be sleeping better.

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Tried Raising Pressures, but it just keeps going up?

Post by palerider » Fri Nov 25, 2022 2:29 pm

robysue1 wrote:
Fri Nov 25, 2022 1:45 pm
palerider wrote:
Fri Nov 25, 2022 1:41 pm
Your images are pretty much useless, you appear to have shrunk them to a small size, which makes them blurry. You need to post full sized, not scaled down, graphs so that they're readable.

You might want to use imgur, not imgbb.
When I downloaded the posted jpegs in order to edit them, I got full sized jpegs that I could easily enlarge to see the stuff that looks fuzzy if you are just looking at the image at imgbb.
I was not able to get an image that I could read any of the numbers with.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.