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AHI < 1; cpap for over 1 yr; still tired during daytime
#1
AHI < 1; cpap for over 1 yr; still tired during daytime
Hi,

Like title said, I have been a cpap user for over 1 yr (close to 2), but still get excessively tired during daytime. I rarely if ever feel "well-rested".
I get excellent AHI, less than 1 and even zero some nights.

 Could there be some settings/pressure changing causing me to wake up? but not so much to register as an event? 

Appreciate any insights. Thanks in advance.

   
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#2
RE: AHI < 1; cpap for over 1 yr; still tired during daytime
Overall your data looks really good. I do see an opportunity to raise minimum pressure to reduce the flow limitations and get you into EPR full time if it's been helpful - right now you're only leveraging EPR when your pressure gets above 6cmH20. I also see some snore detected which also bolsters my assertion that your not using enough pressure.

Would you mind sharing a zoomed in view of the flow rate graph at 1 hr after you fell asleep and 1.5hrs after (around 3:40a-3:50a)? Would love to see what your breathing looks like in REM at these pressure settings. Make sure you can see each individual breath so we can evaluate.
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#3
RE: AHI < 1; cpap for over 1 yr; still tired during daytime
Correct, if you min pressure is increased to 6, then EPR 2 would work fully. As is, it needs to wait to work until events force pressure up from 5.
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#4
RE: AHI < 1; cpap for over 1 yr; still tired during daytime
How long do you normally sleep?

5 hrs is probably not long enough.

Make sure you are tired, follow good sleep hygiene as per Wiki on this site so you get a good start to the night before putting mask on.

Try to get 7 hrs sleep and see how you feel....
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