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?
6 hours ago
(This post was last modified: 6 hours ago by G. Szabo. Edited 1 time in total.)
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.
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.