[CPAP] Need Help - OSCAR - Low AHI/Mild RDI

[Thehedgehog12]

Hello,

I recently got 2 at-home tests done and they both showed low AHI 2-4/hour but showed moderate RDI 6-9/hour. Furthermore, it was significantly higher in REM at 16-21/hour and REM sleep overall was low at 20%. Majority of my time spent in REM was in the supine position.

From these results, I was prescribed an APAP for mild OSA. I am waiting to get an in-lab study to confirm, but for now I went ahead and got an Airsense 11 AutoSet. However, I have not felt better the past two nights using it so I really can not tell if I need it nor if it is working. I know it will take more time but I was wondering if I could get some guidance based on my OSCAR data. The attached data is from last night (which was my second day using the APAP) and got a solid ~5 hours of sleep.

Thank you!

[Old Steve]

I would set your minimum pressure to 9cmH2O and the maximum to 15cmH2O, leave your EPR set at 3cmH2O try the new settings for a few days then post some more chats.  You also need to work on lowering your leaks.  
Good luck with your treatment and welcome to the forum.

[Thehedgehog12]

Thank you! I will try that tonight. Should I try turning off the ERP and seeing that helps my CAs and OAs?

[Old Steve]

For now leave the EPR on.

[Thehedgehog12]

Old Steve,

Please see my OSCAR data for a relatively full nights rest with only waking up around 4 AM and falling back asleep after.

As you can see, my data looks relatively uneventful in terms of the pressure chart (range 9-15 erp 3). This matches my home sleep study which only really showed problems during REM sleep. I have included a 5 minute zoom in during what I assume to be my REM stage. As you can see my breathing during this time like very inconsistent with I assume flow limitations that the OSCAR algorithm isn't "flagging."

Please let me know if you see anything that would signify sleep disordered breathing and the need for a CPAP or if you would recommend other settings.

Thanks!