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Can somebody please tell me how you lose 40 pounds and your sleep apnea gets worse I can no longer sleep all night through without the machine I can’t lay with just one pillow and I actually fall asleep durning the day now

Shorty1979 wrote: ↑

Mon Feb 03, 2025 12:10 am

Can somebody please tell me how you lose 40 pounds and your sleep apnea gets worse

Because some people's sleep apnea is not related to their weight. Some of us just have a much smaller upper airway than normal. Some of us just have an upper airway that is more prone to collapsing even when our weight is in the normal range.

I can no longer sleep all night through without the machine

CPAP works by preventing the upper airway from repeatedly collapsing while we are asleep. Once the body gets used to sleeping without all of the apneas, it can really dislike the apnea-filled sleep that recurs as soon as you try to sleep without the machine.

I can’t lay with just one pillow and I actually fall asleep durning the day now

Without having a much more complete picture of your health history, no-one can answer these questions.

So:

How old are you now? How old were you when you first were diagnosed with sleep apnea? Our sleep changes as we age.

Any known history of GERD or related problems?

How old is your mattress?

How much actual sleep do you get each night with the CPAP? How much sleep do you wind up getting without the CPAP?

Have you checked the AHI data from you CPAP recently? Is the AHI still consistently below 5.0? (If not, that would probably explain why you fall asleep during the day)

Any history of other medical conditions that have daytime fatigue and daytime sleepiness as a symptom? Have your vitamin D level and your thyroid level been checked recently?

robysue1 has a lot of good points there and it would be very helpful to understand a bit more about your sleep environment.

Just to add my two cents, can you clarify

Shorty1979 wrote: ↑

Mon Feb 03, 2025 12:10 am

I can’t lay with just one pillow

Has your sleeping position changed since you lost weight and do you sleep on your side or back? If it has, you might want to look into a different (or new) pillow.

Keep in mind that if you sleep on your back, then multiple pillows or very thick pillows can push your head too far forward and restrict your airway.

I had increased apnea when I lost weight, but I think in my case it was because the mask was no longer fitting as well. Seems like I lost weight in my face first!
Changing the mask helped.

Shorty1979 wrote: ↑

Mon Feb 03, 2025 12:10 am

Can somebody please tell me how you lose 40 pounds and your sleep apnea gets worse...

Define "worse".

A significant weight loss (or gain) could mean that your pressure setting needs to be reëvaluated.

Good point!