Hitting Max Pressure With Controlled AHI Question

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Franko39
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Re: Hitting Max Pressure With Controlled AHI Question

Post by Franko39 » Tue Sep 03, 2024 11:17 am

Hi everyone,

Thanks again for the help and tips. I've slept on it for a few more nights, so to speak. The changes made were upping my pressure from 6.0-10.6 to 7.0-11.2.

Attached are the last two nights of data. The Sept 1st night seems to be achieving that "flatter curve" that one of you had mentioned earlier, with a nice low AHI as well.

How do these flow limitations look now? There's still some there, but I'm not sure how bad these are, relatively speaking.

TIA!
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robysue1
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Re: Hitting Max Pressure With Controlled AHI Question

Post by robysue1 » Tue Sep 03, 2024 4:53 pm

Franko39 wrote:
Tue Sep 03, 2024 11:17 am
How do these flow limitations look now? There's still some there, but I'm not sure how bad these are, relatively speaking.
How are you feeling these days?

That's really the critical question with data that looks like this. If you are feeling pretty good---as in you wake up feeling ready to face the day and you have enough energy to get through your day, then the best thing you can do is just not worry about those remaining flow limitations.

Here's the thing: Not everything that Resmed scores as a "flow limitation" can be fixed by increasing the pressure. Sometimes flow limitations can be caused by nasal congestion. Or a deviated septum. Or, occasionally, the airway can counterintuitively become more unstable at higher pressures and part of that increased instability can show up as "flow limitations" that don't get better, and can get worse, as the pressure increases.

In other words, if you feel good, it's reasonable to assume that the flow limitations are not necessarily indications that you need more pressure to manage your OSA.
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Franko39
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Joined: Wed Nov 15, 2023 11:12 pm

Re: Hitting Max Pressure With Controlled AHI Question

Post by Franko39 » Wed Sep 04, 2024 11:55 pm

robysue1 wrote:
Tue Sep 03, 2024 4:53 pm
Franko39 wrote:
Tue Sep 03, 2024 11:17 am
How do these flow limitations look now? There's still some there, but I'm not sure how bad these are, relatively speaking.
How are you feeling these days?

That's really the critical question with data that looks like this. If you are feeling pretty good---as in you wake up feeling ready to face the day and you have enough energy to get through your day, then the best thing you can do is just not worry about those remaining flow limitations.

Here's the thing: Not everything that Resmed scores as a "flow limitation" can be fixed by increasing the pressure. Sometimes flow limitations can be caused by nasal congestion. Or a deviated septum. Or, occasionally, the airway can counterintuitively become more unstable at higher pressures and part of that increased instability can show up as "flow limitations" that don't get better, and can get worse, as the pressure increases.

In other words, if you feel good, it's reasonable to assume that the flow limitations are not necessarily indications that you need more pressure to manage your OSA.
I don't feel much different in these last few days (with the pressure tweaks made) than I did when I was on the 6.0-10.6 pressure range. I'd say that I feel like it's an improvement overall for my energy level on CPAP therapy, vs. off of it. However, I still get fatigue towards the end of the day even with the CPAP. I've only been on therapy successfully (keeping the mask on all night, having fixed the leaks, etc) for a couple months now, so perhaps things will improve with some more time.

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robysue1
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Re: Hitting Max Pressure With Controlled AHI Question

Post by robysue1 » Fri Sep 06, 2024 2:23 pm

Franko39 wrote:
Wed Sep 04, 2024 11:55 pm
I don't feel much different in these last few days (with the pressure tweaks made) than I did when I was on the 6.0-10.6 pressure range. I'd say that I feel like it's an improvement overall for my energy level on CPAP therapy, vs. off of it. However, I still get fatigue towards the end of the day even with the CPAP. I've only been on therapy successfully (keeping the mask on all night, having fixed the leaks, etc) for a couple months now, so perhaps things will improve with some more time.
More questions:

1) Do you have a regular sleep schedule? As in do you go to bed at roughly the same time each night and get up at roughly the same time each morning? If you do have a regular sleep schedule, what does it look like?

2) How long does it take you to fall asleep at the beginning of the night? Do you remember waking up frequently during the night? If so, how many times do you typically wake up and how long does it take you to get back to sleep after a random wake-up in the middle of the night?

3) When you say you get fatigued towards the end of the day, do you mean a couple of hours before bedtime? (That's kind of common even for people without sleep apnea.) Or do you mean during the late afternoon? (It's also kind of common for people to get tired and/or sleepy during the afternoon, particularly after lunch, even if they don't have any sleep problems, including both insomnia and OSA.)
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.

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