Too early?

cctex wrote: If I did, in what increment should I adjust it up?

Up to you if you want to include them but if it were me I would change over to APAP mode and start the minimum at your current 13 cm and open the max up to 20 cm.

Your events are coming in clusters...some times nothing exciting going on and sometimes everything has gone to hell.
2 main suspects when we see stuff like this are Supine Sleeping and REM stage events meaning for some reason or other you need more pressure for some reason and it is common for people to need more pressure or have more stubborn events either supine sleeping and/or in REM sleep.

I am a REM person myself....doesn't make any difference what sleep position.

If you are primarily a supine sleeper always on your back then you might try staying on your side (sometimes easier said than done) and see if it changes things. Or just use APAP mode and let's see what the machine thinks you need during those time frames. I don't see any need to use higher pressures all the time if APAP mode works for you.
Now if you find out APAP mode itself with variable pressures is a problem then we can try to fine tune pressures in cpap mode.

If it was me I would change over to APAP mode...keep the 13 cm as the minimum though..we already know you need at least that much and open the max up to 20 cm and see where it wants to go. Besides in APAP mode we also get Flow limitation data.
Up to you if you want to go through your DME or doctor but they probably aren't around this weekend anyway

On the rare occasion that my wife is in the same room as me, like on vacation, she says it doesn't matter if I'm on my back or side when I snore.
My machine says I have auto for only a 30 day trial. Looks like if this is the answer I might need a new machine or I can find a pressure setting that works better.
Just frustrated that I'm not seeing results. Tired of spending my lunch hour sleeping in my truck.

cctex wrote:My machine says I have auto for only a 30 day trial. Looks like if this is the answer I might need a new machine or I can find a pressure setting that works better.

First of all tell me what the model number is on your machine. If you have the 460 (this number is on the bottom of the blower unit) it says 30 days of APAP mode but if you smile real nice I can tell you how to fix that little annoyance. It's easy to make it a full time APAP if that is what you end up wanting...
We would want to make sure that any insurance compliance requirements are satisfied though..more on that if we have to cross that bridge.

Model #DS460HS.
And I have already set it to auto.

cctex wrote:Just frustrated that I'm not seeing results.

Hi,

When this gets dialed in, you will see results.

If your medical care team is not being responsive, or they have run out of ideas, then you need to seek out a 2nd opinion. I think I can see where this could go. Pugsy is probably right about the APAP range needing to be higher. Since I see some centrals in there, it is possible that more will pop up with more pressure. That might require a BiPAP machine to treat, and that is probably going to require a BiPAP titration study to figure out the pressure levels. I'm not saying that this is a for-sure type of thing, but this looks a bit like a few other folks here on the forum who ended up having to lobby hard to get BiPAP machines.

-john-