OMW!! whats going on??!!!

sometohng must be wrong, on paper it looks as though Im doing well but where is the feeling to prove it. My results are good butIm still tired.

Devilbiss Intellipap
Pressure range 9 to 13
Heated humidifier
No leaks
No taking off of the mask
No waking up
No great results

http://www.postimage.org/image.php?v=TspFzP9

http://www.postimage.org/image.php?v=TspGcJr

http://www.postimage.org/image.php?v=TspH75J

Please have a look at my results for the last 12 days. I should be feeling better by now. Ive been on therapy for about 4months. Does changing a pressure setting take you back to square one with each change?

It helps more if you could post the charts instead of just the numbers.

Once everything is set to work for you it can take some time for the body to adjust. Everyone is different, some feel immediate improvements while others take a long time to feel even the smallest improvements.

Have you tried the machine in cpap mode? At a pressure of 11?
Do you move around alot when you sleep(plm)?
Do you take in alot of caffeine during the day?
Any meds taken regularly?
Do you remember waking during the night or do you sleep thru with no interruptions?
Have you had any 'GOOD' nights, where you felt better the next day? Can you find any differences between those nights and all the others?

Brenda

bdp522 wrote:It helps more if you could post the charts instead of just the numbers.

Once everything is set to work for you it can take some time for the body to adjust. Everyone is different, some feel immediate improvements while others take a long time to feel even the smallest improvements.

Have you tried the machine in cpap mode? At a pressure of 11?
Do you move around alot when you sleep(plm)?
Do you take in alot of caffeine during the day?
Any meds taken regularly?
Do you remember waking during the night or do you sleep thru with no interruptions?
Have you had any 'GOOD' nights, where you felt better the next day? Can you find any differences between those nights and all the others?

Brenda

I had a cpap machine previously and set it to 11. It didnt help any. That is the only reason im using an apap.

I didnt want to post the graphs because it would be ALOT of graphs and didnt want to scare people off
I dont move around alot when I sleep
I drink about 5 cups of coffee, no iterruptions, never a full day of feeling good-only part day-the results were non-distinct when it occured. Im baffled!

Post a graph of a typical nite. A graph will get you the most help.

the link to last nights results i.e. day 12

http://www.postimage.org/image.php?v=gxvMA70


just another question, and this may a stupid one...

will increasing my pressure from 11 to say 14 result in a lower AHI?

Sorry but it's a bit hard for me to figure out what's going on from those results, although it looks like you're running anywhere between 11 and 13 cm max on many nights. If I were you I would try CPAP mode self-titration. Start at 11, stay there for a few days, track your results. Then bump up to 11.5, stay there for a few days, and track your results. Go in small increments, it's not a good idea to jump from 11 to 14 directly. Don't dial-wing every day, just make ONE change and stick to it preferrably ONE week (or at LEAST 3 days). I suggest straight CPAP because in APAP mode the pressure can change a lot in one night, and it's difficult to determine what's really going on and what your real pressure needs may be.

Please post your graphs from the software too like GumbyCT said, and we don't mean summary graphs - the entire night's snapshot from night to morning showing the night's AHIs, leaks, etc for every minute you were asleep.

Edit: BTW you are hitting 14 cm on some nights, that's impossible if you're set to a 9-13cm range. So have you been changing the pressure ranges every night?

Junaid wrote:the link to last nights results i.e. day 12

http://www.postimage.org/image.php?v=gxvMA70


just another question, and this may a stupid one...

will increasing my pressure from 11 to say 14 result in a lower AHI?

I think they meant for you to plot a graph of "nightly" data ... not average data.

Increasing pressure may lower or may increase AHI ... everyone is different including you. Did your lab study indicate that you were sensitive to central apneas?

If Juneaid does not have the smartlink module then he can't give us graphs. This info is from the smart code off the website and is very basic.

Juneaid, how may hours a night are you sleeping? I see that on night 6 and 10 you had less than 4 hours. That ain't long enough!

You may want to consider getting the smartlink module and software. Then you can get reports like these:

https://www.cpap.com/productpage/devilb ... ystem.html

It may be that you are getting leaks that are under the large leak limit so won't be reported, but are enough to mess up your therapy!

It may be that you are getting leaks that are under the large leak limit so won't be reported, but are enough to mess up your therapy!

Yep, my thoughts exactly.

Brenda

If you drink all that coffee, you could well have "silent" GERD, acid reflux that will disturb your sleep, but not awaken you and won't give you heartburn that you can feel while awake, but try cutting way back on caffeine of any kind (coke, chocolate, etc.) and take a Tums before bed. So many people with OSA have GERD, though the connection is still a mystery, and we work hard at trying to cut it off before it impacts Cpap therapy.

I'll let the experts figure out your settings but can I make one comment? I think 5 cups of coffee a day is a lot especially in late afternoon and evening. Also, whenever my husband needs a nap after breakfast I know before I even check the data that he was having leak issues that night.

Boy, we all differ, but that much caffiene would 'wire' me up! Talk about anxiety! I have found I can't even drink tea at all. I've finally given up coffee. I sleep so much better and one cup in the morning is enough to get me going when I have to be up early and fast. Otherwise I just give myself enough time or drink a bit of Coke.

Coffee does affect people differently. I'm drinking a cup right now as a matter of fact. I drink at least 5 cups a day.

Doesn't affect my sleep. I head up around 11pm and I'm down for the night. Now...if I have one closer to 11pm I might be up a little longer.

OK OK I'll cut dowwn on the coffee

last night I had an AHI of 1.5 and I did nothing differently. Jush wish I could get an AHI of 1.5 every night because I feel tons better today. Did I just get lucky? was that a fluke?

Coffee and meals! We learn as we go, I suppose.

HOW Does Diet Affect My Sleep?

CAFFEINE
Caffeine stimulates the brain, and interferes with sleep. Coffee, tea, colas, cocoa, chocolate, and some prescription and nonprescription drugs, including some common pain relievers, contain caffeine. Although moderate daytime use of caffeine usually does not interfere with sleep at night, heavy or regular use during the day can lead to withdrawal symptoms and to sleep problems at night. If you suffer from insomnia, you should not drink more than 2 caffeinated beverages a day and you should not have any caffeinated substances after noon.

NICOTINE
Nicotine is another stimulating drug that interferes with sleep, and nicotine withdrawal can also disrupt sleep throughout the night. Cigarettes and some drugs contain substantial quantities of nicotine. Smokers who break the habit, once they overcome the withdrawal effects of the drug, can expect to fall asleep faster and wake up less during the night.

"A COMFORTABLE BED IN A DARK, QUIET ROOM IS THE BEST SETTING FOR A GOOD NIGHT'S SLEEP"
ALCOHOL
One of the effects of alcohol is a slowing of brain activity. When taken at bedtime, alcohol may help induce sleep at first, but will disrupt sleep later in the night. If you have a "nightcap" before bed, you may have awakenings during the night, nightmares, and suffer early morning headaches. For more sound sleep, you should avoid alcoholic beverages within four to six hours of bedtime.

MEALS
Eating a full meal shortly before bedtime can interfere with the ability to fall asleep and stay asleep, as can heavy meals eaten at any time of day or foods that cause stomach upset. A light snack at bedtime, however, can promote sleep. Milk and other dairy productstonsumed with carbohydrates like crackers, are especially good as bedtime snacks.