[CPAP] Exhausted newbie, good stats (?) but more tired

[mrp80]

       

Hi!  I was diagnosed with OSA on 8/2/23--I had two different anesthesiologists suggest I might have OSA, one in 2020, one in 2022, but other that occasional quiet snoring, never really had any symptoms.  Had exhaustion and frequent night waking recently, but I have a toddler, and the round robin of post-covid upper respiratory infections.

I am also pregnant (17 wks), and was recently diagnosed with post-viral/nighttime asthma.  That diagnosis came 2-3 months before the OSA one, and may be completely new.  (I get wheezy at night, doesn't really bother me, not using inhalers unless absolutely needed at OB's advice.)

I have been using my CPAP, but I still feel like I am waking up a ton, and I am EXHAUSTED.  Even when I sleep 10+ hours, which is really not a thing I do, even pregnant.  I feel more tired since starting CPAP.  Have been trying to get a good pulseox (Circul and Wellue unfortunately did not work for me), and have been playing  around with sleep trackers, many of which suggest I am getting less than 10% deep sleep a night, and sometimes roughly only 10% REM, although some nights closer to 20%.  (I know that stuff isn't reliable/reliable, but trying to figure things out.)  

They are bringing me back for an in-lab sleep study, to see if they can figure out why my data (on their end, AirView) looks so good, but I feel so poorly.  In the meantime, would love any and all thoughts.  Here are my OSCAR charts from last night.

Thanks!

-mpr

[GWild]

Not a sleep expert but from personal experience I also felt more tired after starting treatment, but the headaches were gone. After a couple months the sleep began being refreshing again. I attributed it to my body not knowing what to do with a good nights sleep and it was adjusting to the fact I really didn't need to wake up every other minute to breathe.

[mrp80]

Wanted to add for context--I'm also waking up like roughly once an hour and don't know why.

[staceyburke]

Waking up is possibly due to flow limits. You did not include the chat so I’m taking an educated guess. Flow limits are apnea the same as Oa and H events but are not counted in the AHI. You can see how apnea is determined in my signature.

To help with flow limits I would suggest you try these settings.

Min 7
EPR set to FULL TIME 3

Also to make it easier to see everything on your graphs - turn off calendar - pie chart and use F12 button for a screenshot.

[mrp80]

Flow limits are on my second chart.  I don't think I can do the screen cap thing because I'm on a mac.  Thanks so much!

[slingshot383]

I'd bet being pregnant doesn't help any. I have arthritis, just had a double neck fusion and scheduled for lumbar surgery in 2 weeks. Pain wakes me up every 20 minutes,fully awake, so, I'm betting I never get into REM sleep.

[Old Steve]

Everything in OSCAR 1.5.0  works just fine on my imac...