[CPAP] Waking in the night - call sleep clinic?

[Flibbertigibbet]

Hi all,

I've had a few fantastic nights with the cpap. Unfortunately I am waking in the night (last night really felt like I woke up quite a few times) and it feels like my mask "isn't working" when I wake. Though there is definitely air coming through. I wonder if it's to do with pressure, mask not in correct position or too loose / leaking or I am opening my mouth in the night. I think I am both a nose and mouth breather, with the mask I haven't noticed my mouth opening but of course not sure if I am opening it when I am asleep. 

I have however changed my sleeping position from on my stomach to slightly raised on my back due to having pain in my thigh at the moment, sleeping position has kind of fixed the leg pain so that's not waking me any more.

I feel like the humidifier is totally fine, no dry mouth at all and my nose isn't sore.

I only use the My air app (might need to get an sd card this weekend and see if I can figure out how to get oscar) it says no leaks, there seems to be no problems according to the app.

I still feel so much better than I did. I just got up eventually and having a warm drink, will try go back to bed and adjust the mask a bit see if it helps. I'm really lucky in that I fall asleep very quickly, so it'd be great if I could stay asleep.

Would you contact your sleep clinic? (I am being treated by the national health service in Denmark and have a telephone number to contact them, I don't have to pay anything so maybe worth a try to see what they say, but obviously if it's something I can maybe fix myself I could save bothering them with it)

Thanks for any advice, I will try and see if I can figure out OSCAR with my tired brain

[PeaceLoveAndPizza]

Seeing OSCAR charts will help. 

Just get an SD card in your machine and download OSCAR. We can help with the analysis and you can learn as you go.

[Flibbertigibbet]

Thanks! I will try pick one up tomorrow. Appreciate the help

[Phaleronic]

PL&P is right, and here is the guide for you to browse and get comfortable with:

https://www.apneaboard.com/wiki/index.ph..._The_Guide

[Deborah K.]

Make sure you get an SD card that is 32GB or less. Bigger won't work in your machine.

[HalfAsleep]

Make sure Smart Start is off.

On my machine, the machine has to be on AND I have to switch on the actual air. If I don’t do that (like last night), there’s very feeble air and makes me feel like I’m suffocating.

[Flibbertigibbet]

Thank you so much for the advice. I have downloaded the data onto my laptop, I am still a bit unclear on everything it's showing, but I wonder if I need to tighten my mask. Maybe when the pressure increases I am getting a leak and waking up. Out of the last 3 weeks though I have only had leaks a handful of times. Hopefully I can spend some time trying to understand the data using the oscar guide. Really appreciate all the help. 

Sleep is still a bit chaotic, I do in general feel better than I did. I attached the last couple of nights (hope I did it right).

[PeaceLoveAndPizza]

Based on the charts your pressure settings are far too low. You need more pressure at the start which will reduce the wild pressure swings you are seeing.

Try the following:

Mode APAP
Min pressure 10
Max pressure 16
EPR 3 full-time
No ramp

That should help considerably. We may need to bump up the max pressure a wee bit, but let’s see how this works out first.

Your mask leaks are not that bad, better than mine in fact. I suggest leaving as is for now, but watch some YouTube videos on fitting your specific mask, particularly from LankyLefty27.

[Flibbertigibbet]

Thank you so much, I will try and set that up now and see how it goes tonight Will also watch the videos. Thanks again for taking the time to look through it for me, appreciate it so much.