still tired even with the new s9

How often should I raise the pressure 8 is the tiration so I did a range 8.5-9.0 still have 2-5 Ahi an hour and still and leak rate from 6.0 up to 13.whatever
in an avearage of 7 hrs a nite.

You may need to be a little paitent the S9 is a gret machine, as I love mine, but it does not work the instant miricle. We all have to work through and keep working at the sleep hygiene to see what we need to change or continue doing to get better sleep. you may just need to work on your leaks a little and keep at it it will get better. you may want to post more info stats ect.. so that the more experienced in the group can help more.

Hang in there
Chris

If, as happens with a lot of people, going on Cpap has provoked mouth breathing while you're asleep (the air wants to go somewhere), then you shouldn't raise your pressure even more, but instead consider trying taping, or a FF mask.

Welcome new member! I see that you have just joined us. You are among friends.

Messing around with your S9 settings is something that you should not be doing unless you have been around for a while and immersed yourself in the CPAP culture and have some CPAP experience under your belt. More is not necessarily better. Less is not necessarily better. There is going to be a setting or a range for YOU and YOU alone that is the right setting and if you are inexperienced it is perhaps better that you strive for this pressure along with a good respirologist.

For example, I have discovered (I think) that LOWERING my pressure settings is perhaps working better for me these days. It may be due to less inclination to allow the air to exit via my mouth. I have also discovered that when allergy season arrives (as it just has here in Toronto) that a higher pressure range gives me greater effect as I otherwise don't seem to be getting sufficient oxygen/air blown into me. (My issue may not even be the same as yours!)

In any event, it is fine to have a machine that gives you all sorts of data to track. But at the same time you need to be able to interpret that data.

In terms of mask leaks, etc. This is something that we have all fought with and it is going to likely take a little time to get a mask that you are comfy with and that gives you a proper fit. I find that the Activa XL Wide gives me the best fit as that's just the shape of my face and it sits better on my cheeks.... my leakage area is the upper part of the mask and the Activa or Comfort Gel masks tend to give me a better seal there. You need to play the mask game.

Anyway, stick around. You will find friends and plenty of good advice on the forum here. And again, welcome. You are amongst friends.

Oh.... and one other thing. Don't expect that APAP/CPAP therapy is a magic bullet for that tired thingy. You are also going to have to look at lifestyle. Things like making sure that your room is dark when the sun comes up at 5:00 a.m. Or the time you go to bed being made a regular thing. No food after 8 p.m. Visit the washroom before retiring for the night. Cool down the room and get a lightweight comforter. All sorts of lifestyle changes to improve your sleep habits. Get yourself a 12 guage shotgun as well and a 3 million candlepower spotlight and if the kids get up and hit the kitchen at 2 a.m. rack the slide on the shotgun and hit the lights...... I finally discovered that MY sleep was being disturbed by the kids studying until 2 a.m. and then having a snack before retiring (geez... remember when WE could do that and still sleep?)

No ammo in the house for the 12 guage by the way...we don't want any boo boos. You get the picture. And on top of this all you are going to have to give yourself a little time to get used to the new sleep patterns and recover your sleep 'debt". You are going to have good days/weeks and bad. One thing I can assure you is that at some point you are going to have an epiphony and wake up one morning saying 'my God I feel great!".

Again, good luck. Keep at it. Just don't expect every night to be a gift from heaven. Start by looking to make small improvements.