New to Cpap and sleep apnea

Hi Pugsy,
Thanks for taking the time to reply I know people are busy and everybody has their own problems. I really appreciate it.

I go to bed at the same time 10:30pm and get up at 7:30am but wake up multiple times during the night, so at the end I really don't know how many hours of sleep I am getting.
Yes, I still have the same problem without CPAP, that is why I did a second sleep study and got the results for sleep apnea.
I don't think I can do anything to improve my sleep quality and amount at this point. My sleep hygiene is pretty good. I check all the boxes.

So, I really don't know what to do anymore, just looking at the waves from Oscar and trying to see if I can spot something but it is really difficult.

Maybe it is time to talk to the doctor about adding in some sort of RX or OTC sleep aid.
4 to 6 hours of very fragmented sleep is a recipe for feeling like crap for sure. Hell, 4 to 6 hours of not fragmented sleep isn't enough sleep.

I have that sleep problem now but even though I know the cause (not breathing related so cpap is zero help) knowing doesn't mean it is easily fixed. I fight that battle every single night and have for years and years and years.

You most likely have a sleep quality problem that the cpap machine isn't designed to fix.
The list of items that mess with sleep isn't limited to sleep apnea and instead is miles long.

Talk to your doctor about these issues you are having.

Hi,
Base on those charts what do you think I should set the Min and Max pressure.
I am trying to understand if I could narrow the numbers down.
Thank you

I agree that those charts show very bad sleep.

I see that when you switched from CPAP 6 to APAP 6-9 you added an "iPR=2" as a result of which part of the time your pressure is lower than 6.

Do you know how iPR functions on your machine? What made you add it when you switched to APAP 6-9?

Some people don't sleep well when the pressure changes.
I'm one of those, and if the those were my charts and I was sleeping so badly, I'd do the following:
Set a fixed pressure.
Move it up as little as the machine lets me, sleep with that for a few nights.
Repeat.
In the beginning when the pressure is low I would not use anything that makes changes between inhale and exhale.

All this is not to say that I thing your charts show your breathing is disrupting your sleep and correct CPAP setting will improve it. I don't know. But, since that's the route you want to try, that's what I suggest: Fixed pressure, no iPR, very gradual changes.

Hi Ozij,

See my answers in bold below.

"I agree that those charts show very bad sleep."
I wish I can tell by looking at the charts, I don't know how you do it. Can you post some examples

"I see that when you switched from CPAP 6 to APAP 6-9 you added an "iPR=2" as a result of which part of the time your pressure is lower than 6.
Do you know how iPR functions on your machine? What made you add it when you switched to APAP 6-9?"
I think I switch to IPR=2" based on a recommendation by Pugsy but I can't find that post now.

I will try your suggestion of going back to a fix pressure, I know I tried that at 6 before as they recommended in the sleep study am still I didn't sleep well.
Based on my charts what pressure would you start with?

Thank you.

elyfrank wrote: ↑

Fri Jan 24, 2025 12:51 pm

Hi Ozij,

See my answers in bold below.

"I agree that those charts show very bad sleep."
I wish I can tell by looking at the charts, I don't know how you do it. Can you post some examples

Unstable breath flow, very unstable tidal volume.

I will try your suggestion of going back to a fix pressure, I know I tried that at 6 before as they recommended in the sleep study am still I didn't sleep well.
Based on my charts what pressure would you start with?

I would start with as little as the machine lets you go above 6, and stay there for 4-5 days.