Why am I still tired?

Are you taking any other medications?

What's your typical AHI running at your pressure of 10?
It's not totally unusual to see a "curve" on the AHI scale as pressures go up or down.
On the other hand, if you don't/didn't have any Central Apnea events or pressure induced Centrals, you should be able to take your pressure upwards.


Den

If you have tested low for testosterone you should be looking at the possibility of Adrenal Fatigue - that at least can be treated.
Ken

[quote="sybert1ger"]Thanks for all the advice. Let me elaborate a little and answer some of your many questions.

I'm currently using the hybrid mask set as I do mouth leak. My pressure is set at straight at 10. I started initially on APAP but didn't like it. My doctor had me set at 9 and after my last sleep study suggested increasing it to 13. I tried that but subjectively I felt worse than ever and the readout from my Auto M it should a higher AHI than when I was set at 9. I backed off slowly to 10 and seemed to find the best results there.

I brought printouts from Encore Pro to my doc and he says the CPAP is successfully treating the Apneas in his opinion. The second sleep study found no other abnormalities. He even gave me full copies of all the reports for me to go over.
We've tested me for lots of conditions. Interestingly the only outstanding result was a low testosterone level which I just started treatment for. I had been treated for this initially before CPAP with no real improvements. Maybe with both of them it will be the 1-2 punch that's needed.

Any other advive/suggestions appreciated. I never feel rested. Getting out of bed is a struggle. I wake up tired and just get worse from then on.

Thanks. I've been started on Androgel and I'm hoping this will finally cause some improvement.

[quote="MrGrumpy"][quote="sybert1ger"]Thanks for all the advice. Let me elaborate a little and answer some of your many questions.

I'm currently using the hybrid mask set as I do mouth leak. My pressure is set at straight at 10. I started initially on APAP but didn't like it. My doctor had me set at 9 and after my last sleep study suggested increasing it to 13. I tried that but subjectively I felt worse than ever and the readout from my Auto M it should a higher AHI than when I was set at 9. I backed off slowly to 10 and seemed to find the best results there.

I brought printouts from Encore Pro to my doc and he says the CPAP is successfully treating the Apneas in his opinion. The second sleep study found no other abnormalities. He even gave me full copies of all the reports for me to go over.
We've tested me for lots of conditions. Interestingly the only outstanding result was a low testosterone level which I just started treatment for. I had been treated for this initially before CPAP with no real improvements. Maybe with both of them it will be the 1-2 punch that's needed.

Any other advive/suggestions appreciated. I never feel rested. Getting out of bed is a struggle. I wake up tired and just get worse from then on.

I will be interested to know if it helps you with the fatigue. I am convinced that I have this problem too. Unfortunately, I have an uncle who is a doctor here so that seems to prevent me from going in search of my own doctor, but it also seems to generate a lot of over the phone diagnosis. When I told him I was convinced I had irritable male syndrome, Im a classic case, he said it was probably just my sleep apnea.

SO I got a bipap machine, now I get so unreasonably mad at the sound I want to throw it through a wall, but I cant, cuz Im too damn tired

I bumped the thread about CPAP and chronic fatigue syndrome, hoping that maybe this thread overlapped that one in some way.

Could that be the problem for this everlasting tiredness?

Nobody wants CFS, but sometimes an explanation helps.