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2 years of good sleep, now having issues
#1
2 years of good sleep, now having issues
I've been using CPAP at home and on the road (resmeds) for 2 years now.  Up until now, my sleep has been good.  For the past 3 weeks, however, it seems that I've regressed back to where I was before I began CPAP.  
I haven't had major health issues and I'm VERY fit, so I'm not sure what's going on.  I'm getting a new SD card reader to upload my data.. but the online data from nightly CPAP use shows only .6 AHI.   

Any thoughts about what could be happening?  Therapy induced CSA?  Something else?
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#2
RE: 2 years of good sleep, now having issues
A guess would be something has changed negatively. We'll have to wait until the charts help tell the story.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: 2 years of good sleep, now having issues
How common is therapy induced CSA?
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#4
RE: 2 years of good sleep, now having issues
If you were having CAs, they would be showing up as part of your AHI. So as Dave says, we can try to help once you are able to post a chart or two.
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#5
RE: 2 years of good sleep, now having issues
Treatment emergent Central Apnea is fairly common for newer CPAP users. The addition of the bit of extra air pressure the CPAP introduces can flush extra CO2. This lowered CO2 reduces the drive to take a breath, hence a breath pause translates to a CA on the CPAP data.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#6
RE: 2 years of good sleep, now having issues
After two years of therapy, your CAs are not therapy-induced. Once you post a chart Dave will be able to assess what is going on.
Machine:  ResMed AirCurve 10 Vauto
Mask:  Bleep DreamPort Sleep Solution
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#7
RE: 2 years of good sleep, now having issues
Here is the data from last night.  Woke at 330 and couldn't get back to sleep. Tried to nap today to no avail. I don't have the week before because I was traveling and using my Resmed Airmini. I see the gap in data.. not sure why. I don't remember not using it at that time.


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#8
RE: 2 years of good sleep, now having issues
I would consider increasing Min pressure to 7, and edit EPR to 3 full time. There were zero CA in this chart. Comfort is the main target.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#9
RE: 2 years of good sleep, now having issues
(12-31-2024, 06:00 PM)SarcasticDave94 Wrote: I would consider increasing Min pressure to 7, and edit EPR to 3 full time. There were zero CA in this chart. Comfort is the main target.

Thanks! I'll give it a try.  Just adjusted to 7
FWIW, my EPR was already at EPR 3 full time.

Can such small changes in the settings make a big difference?  I have never adjusted them before.
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#10
RE: 2 years of good sleep, now having issues
It's possible there may be positive changes, especially with min 6 hindering EPR 3 slightly until events cause pressures to increase.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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