I am a male, 47 years, BMI within normal range, no smoking, no other underlying conditions.
Since forever, I've had a deviated septum, my nose is often blocked (diagnosed with enlarged turbinates), and large tonsils.
I was diagnosed with severe OSA recently, following a sleep study that showed an AHI of 63, and a low SaO2 of 81%;
also exhibiting no N3 sleep and very little REM sleep (5.6%), indicating poor sleep quality and structure.
I started APAP therapy 3 days ago, using a Lowenstein Prisma Smart, and APAP set by the doctor at 4 - 15, with ERP of 2.
Using a Philips Dreamwear pillow nasal pillow - I also continue using nasal strips (breatheright) that I have been using for a long time, and that I feel help me a bit with breathing.
Normally I sleep on my stomach, since CPAP started, I have slept on the side, as on the stomach it's difficult for me.
In the last 2 nights, OSCAR shows AHI of 15 and 13. My device (Prisma) showed 13 and 10 on their app.
My experience so far has been a bit odd. I wake up and can't sleep when the pressure goes high (above 10 or so).
- You can see in the first night, I actually moved the max pressure to 9 manually in the middle of the night.
- For the second night, I set the max to 12 and it worked (as in, I was able to get some sleep). However I only used CPAP after falling asleep in the sofa, so the night shows shorter than it was
- I have also learned how to move my tongue up while sleeping, but from time to time I still move it done and open my moth with air coming out
Although it seems the AHI numbers are quite high, and I get a very low % of deep sleep, it's strange but I feel more rested in the mornings than usual.
I'd appreciate if you can help with the Oscar results attached, with any recommendations on pressures, or treatment approach or any tips.
* I have tried to capture the essential data in the screenshots, but given I am on a Lowenstein, I think some charts (like Flow Limitation) are not available.
Let me know if I should provide any more charts.