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[Diagnosis] Looking to Improve my AHI Score
#1
Looking to Improve my AHI Score
Hi,

New to the forum, new to CPAP therapy. Started on CPAP in March of 2024. My AHI ranges from 0.20 - 1.40.

I am getting half decent sleep but keep waking up. I started at 5 - 20 cmH20 APA, but have changed it to 6-18 cmH20 and seen some improvement. Looking for some feedback on how to improve this even more.

I appreciate any help and suggestions provided.

Thank you!

Sebastian

   
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#2
RE: Looking to Improve my AHI Score
Welcome

your ahi is almost perfect, it will never consistently hit 0. just setting expectations. you almost have no leaks so good job on that.

i think you could further restrict your apap range to something like 7-14 and maybe turn ramp off. might improve comfort a bit.

could also try cpap mode it might reduce your ahi a little. i would try 10cm but you have more data. Your 95% pressure it closer to 9cm on that particular day so depending on other days maybe 9cm is enough.
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#3
RE: Looking to Improve my AHI Score
Hi,

Thanks for the quick reply! I will lower my max a bit as recommended. Is there a reason you are suggesting 7 instead of 6 as a minimum (just trying to learn)? Also, I do feel like I still wake up a lot, even with the machine. I am not sure why I do, but I wake up around 4 times a night.

Thanks!
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#4
RE: Looking to Improve my AHI Score
Just to try to improve comfort by avoiding wild pressure swings. Your median pressure is above 7 so you already spend more than half the night above 7.
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#5
RE: Looking to Improve my AHI Score
It can take a while for the body to settle in to xPAP. I noticed especially that I don’t wake up as often, but this took a couple of months.
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#6
RE: Looking to Improve my AHI Score
Hi All,

I have posted two days with my new settings, 7 - 14 cmH20 APAP. I have noticed I have been having more events. Any ideas? Should I adjust the pressures a bit more?

Thanks for all the help!

Seb


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#7
RE: Looking to Improve my AHI Score
Hi All,

I am still waking up from Apnea events. Any recommendations? I was thinking of trying CPAP instead of APAP.

Thanks!
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#8
RE: Looking to Improve my AHI Score
Hello Seb483782, I would turn EPR down to 1, that should help with the CAs, then if you want after a night or two we can try it off. Smile Also, I see that ramp is set to on for 20 minutes, do you require ramp?
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#9
RE: Looking to Improve my AHI Score
The report you posted looks pretty great.
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