straight pressure

Wulfman... wrote:Maybe you need a little more pressure.
Without seeing previous reports and what your pressures were doing with the range you were using, it's hard to determine what you need in CPAP mode......because when you went straight pressure, you picked the minimum pressure from your range.


Den

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darco wrote:

Wulfman... wrote:Maybe you need a little more pressure.
Without seeing previous reports and what your pressures were doing with the range you were using, it's hard to determine what you need in CPAP mode......because when you went straight pressure, you picked the minimum pressure from your range.


Den

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It still in my sig....after my 30 day eval, my Sleep Doc upped it from 8 to 9.....

Wulfman... wrote:

darco wrote:

Wulfman... wrote:Maybe you need a little more pressure.
Without seeing previous reports and what your pressures were doing with the range you were using, it's hard to determine what you need in CPAP mode......because when you went straight pressure, you picked the minimum pressure from your range.


Den

.

It still in my sig....after my 30 day eval, my Sleep Doc upped it from 8 to 9.....

I know......I read that. That's what I'm talking about. Maybe you need a little more than 9 cm. (what you picked for your fixed pressure trial which is indicated in the report you posted). Maybe try 10 cm. for a week or so. I'm sure your pressure went up to or over that when you were using a range of pressures.


Den

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darco wrote:

Wulfman... wrote:

darco wrote:

Wulfman... wrote:Maybe you need a little more pressure.
Without seeing previous reports and what your pressures were doing with the range you were using, it's hard to determine what you need in CPAP mode......because when you went straight pressure, you picked the minimum pressure from your range.


Den

.

It still in my sig....after my 30 day eval, my Sleep Doc upped it from 8 to 9.....

I know......I read that. That's what I'm talking about. Maybe you need a little more than 9 cm. (what you picked for your fixed pressure trial which is indicated in the report you posted). Maybe try 10 cm. for a week or so. I'm sure your pressure went up to or over that when you were using a range of pressures.


Den

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Well what the heck...I upped it to 10 last nite...AHI under 2.00...Ill see how it goes over the week...nothing to lose

darco wrote:Ok Wulfman, I took your advise and upped my pressure to 10cm.....started this on the 2nd.
Well by looking at my graphs, not only was my AHI the lowest ever, my events are dropping like a rock. Typical number of events averages prior were around 30.
The thing is, I am still very fatigued in the mornings....When the afternoons come around, there is no questions as to nap, I have to!
Any suggestions on what I can do next? Also anyone can help interpret my graphs?
thxs
d

Pugsy wrote:While you are giving the new settings time you might look at other possible factors.

How is your sleep quality?
***I feel I sleep thru the nite but the quality is lacking since I feel tired in AM

Looks like a good number of hours of sleep but are those hours fragmented for any reason? Do you remember many wake ups...if so..any idea why.
***I do get wake ups but are very brief. Weekends I tend to only sleep in an extra 90 mins

Your leak line is kinda all over the place. While technically it says below large leak territory is there any chance that mask issues or leaks are disturbing your sleep?
***I do notice at times when the mask leaks, I shift it back and immediately fall back asleep. I feel very comfortable w/this mask but I only had one other that I used for a week..

Do you take any medications even OTC stuff?
**No
Do you have any other health issues?
**No, 5-9 175 32w... 50yr old
Pain?
**No
How comfortable is your bed?
***its 3yr old Serta something, firm mattress..its a nice bed
Have you have a complete physical including labs (the basics like thyroids and stuff but also maybe hormones and vitamin D)?
*** I had extensive test that revealed nothing......I do take fish oil and Mens one a day , glucosamine,,,drink alcohol on weekends....

Other than the leak line I don't see anything exciting on your reports and even the leak line isn't horribly exciting. Just a maybe little exciting if you wake often fiddling with the mask and leaks.
***I missed an opportunity at the Stanford Research center where they had Mask Vendors showing off their wares..I would like to try another just to be sure...Im really think to just give it time....yes I shouldnt chase numbers....the event drop to me is huge....

There's so much more to feeling the good numbers that we see on the report. Getting a nice low AHI is really pretty easy but sometimes it isn't all about the numbers.

Wulfman... wrote:

darco wrote:Ok Wulfman, I took your advise and upped my pressure to 10cm.....started this on the 2nd.
Well by looking at my graphs, not only was my AHI the lowest ever, my events are dropping like a rock. Typical number of events averages prior were around 30.
The thing is, I am still very fatigued in the mornings....When the afternoons come around, there is no questions as to nap, I have to!
Any suggestions on what I can do next? Also anyone can help interpret my graphs?
thxs
d

THAT'S GREAT NEWS!

The reports look "reasonable", in my opinion. But, now that you've gotten your therapy sort of dialed in, you need to be patient and give it some time to work. You've had this setting for less than a week.......it can take weeks to months to really see the benefits. This isn't like a light switch that when it's turned on you see "immediate" results. You probably have a "sleep debt" to pay off, and that can only realistically start when the proper settings are obtained.

I'm speaking from experience when I say this. It's "baby steps" and "one day at a time".


Den

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robysue wrote:Also please keep in mind that it's hard to say anything after only one night at a particular setting.