Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Decent AHI but TERRIBLE sleep quality
#1
Decent AHI but TERRIBLE sleep quality
        I started APAP 12/13 and struggled with mask issues for the first month. I now have a mask (ResMed AirTouch F20) that does not cause leaks or comfort/fit issues. Since finding the right mask on 1/9 my AHI has been in the low single digits, but I feel like the quality of my sleep has been extremely poor. I am awakened many times, with several prolonged awakenings lasting 30-60 mins. I feel like I'm awake for most of the night and that my overall sleep quality is worse now than pre-APAP. 

I'm new to all of this and have spent a lot of time on this forum etc trying to educate myself on interpreting the data so that I can figure out why I'm not sleeping better. Here is my newbie theory:


Although my 95% flow limits are within reason at around 0.06, they happen fairly frequently throughout the night with individual events ranging from 0.10-0.40. In OSCAR I can see the machine reacting to these events by increasing pressure each time it sees a limit above a certain value. I suspect the frequent changes in pressure are waking me up....whether I wake with each incremental pressure increase or if I wake once the pressure reaches a certain cumulative level. 

Separately, most of my AHI comes from CA clusters that happen 1x nightly. It is my understanding that these are not something I should worry about.

Not sure if I am on the right track, or if this is just part of the normal "adjustment period" as my body gets used to APAP?  If I am on the right track, not sure what to do about it? If not on the right track, any clues as to what may be happening and/or pointers on where I should be looking?
Post Reply Post Reply
#2
RE: Decent AHI but TERRIBLE sleep quality
You should increase your minimum pressure to 7 cm, suitable for adults. This will reduce the number of pressure adjustments. For now, keep EPR=1 full-time.   Turn the ramp off. 
After you report the outcome, further refinements might be needed. Turn the calendar off and ensure we can see all the instrument settings and statistics.
Post Reply Post Reply
#3
RE: Decent AHI but TERRIBLE sleep quality
    Thanks for the quick reply and guidance!  In case it helps or changes anything...I have re-attached my data with the calendar hidden and all data visible (per your advice). Will report back tomorrow.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [CPAP] Always waking up 4-6 hours into treatment and feel terrible, need OSCAR reading. Yeliad 2 205 01-12-2025, 06:14 PM
Last Post: Yeliad
  [Pressure] Optimizing BiPap - Sleep Issues in spite of decent AHI BradA12345 8 533 12-25-2024, 10:28 AM
Last Post: staceyburke
  Sleep Pillow (Hack for less leaks and a good sleep) Canuck 2 3 592 12-19-2024, 07:09 PM
Last Post: Canuck 2
  [Treatment] Help optimizing my AHI and sleep quality dahaupt 14 1,113 11-13-2024, 07:55 PM
Last Post: Dormeo
  HELP: Sudden drastic worsening of Sleep Apnea - Can't sleep at all, CPAP completely u Unkikonki 10 1,018 10-13-2024, 11:41 AM
Last Post: Dormeo
  Poor sleep quality slabsi 9 694 09-19-2024, 12:33 PM
Last Post: Phaleronic
  Sleep study- Very high AHI with Central Sleep Apnea and multiple hours of CSR. Help. JoshO71 2 484 08-27-2024, 06:09 PM
Last Post: JoshO71


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.