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I have an AHI of 10.3, hypoeapnea index of 9.4 and Apnea index .9
I have not felt tired when i have slept 8 hours ever, but i had trouble falling asleep and staying asleep in the past , both of which now seems to have gotten a lot better. I suspect that my bed which was sinking in under the pillow was a contribute, and it could not be a better setup which i am able to sleep.
I am overweight with a bmi of 26.9 with no hypertension, with a min O2 of 81 during sleep , but saturation below 90% only for 7 min in 6 hrs of sleep.
My sleep doctor recommended a CPAP but i am wondering if he is right, or whether my condition can be managed by weight loss if i get into the correct BMI category.
Though the counts are low, you have 3 Central Apnea to 1 Obstructive Apnea. You probably want to ask about getting a Bilevel and ASV Titration.
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11-06-2024, 12:17 PM (This post was last modified: 11-06-2024, 12:25 PM by ravishastri. Edited 4 times in total.)
RE: Do i need a CPAP for Mild Apnea
Thanks for the reply and valuable info guys, really appreciate it.
I ve seen sleep doctors(three so far) for my contiuing insomnia which has been going on for over a year(initially started with me not being able to sleep till around 3am and waking up at 6am), to what resolved by itself without cpap or other sleep aids, to now my sleeping around 5hrs a night now.
I still feel sleep deprived and tired, have felt shakyness during the day for over a year and dullness in mental response. Did not have too much trouble with staying awake thought and my score on the Epworth were relatively low. However the few nights i have gotten 8 hrs , i thought i was better .
When i go to a sleep doc, all they do is recommend melatonin,or give me a sleep test and a CPAP(Im sure its a money anchor). Its frustration because i know i can loose about 10 pounds more and look into my sleep posture but never received any advise on this from docs, or im not sure if what i am dealing with is a circadian rhythm issue due to work from home and sitting in front of a computer from 7 am Pacfic time during weekdays.
I wouldn't worry about the CAs -- there were only 2 during almost 6 hours of sleep. You are seeing a lot of hypopneas, though, as well as desats and flow limitations.
Those results, plus your daytime symptoms, tell me you have a sleep-respiration problem and need to address it. In addition to experiencing daytime symptoms, you are stressing your body during the night in ways that can increase your risks for high blood pressure, stroke, and other serious conditions.
CPAP is the recommended treatment, and for many of us, after a period of initial adjustment, we use CPAP comfortably and effectively. My own recommendation would be to start with CPAP. Ask for a ResMed Airsense 10 Autoset machine. It isn't the newest model, but it's tried and true.
If you're reluctant to do that, then you would need to commit to changing your life in key ways. These would include losing weight, getting regular exercise and sunlight during the day, and going to bed at a time that will allow you to get 8 hours of actually sleep. That may mean going to bed every night at 9:30 pm, if you need to start work in front of a computer at 7 a.m.
I'm also including below the full list of recommendations for better sleep. You need to be honest with yourself about which ones you don't currently follow.
• Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
• Set a bedtime that is early enough for you to get at least 7 hours of sleep.
• Don’t go to bed unless you are sleepy.
• If you don’t fall asleep after 20 minutes, get out of bed.
• Establish a relaxing bedtime routine.
• Use your bed only for sleep and sex.
• Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
• Limit exposure to bright light in the evenings.
• Turn off electronic devices at least 30 minutes before bedtime.
• Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
• Exercise regularly and maintain a healthy diet.
• Avoid consuming caffeine in the late afternoon or evening.
• Avoid consuming alcohol before bedtime.
• Reduce your fluid intake before bedtime.
Your total events during the night were 1 obstructive apnea, 3 central apneas, 1 mixed apnea, and 54 hypopneas. I don't think the CAs are anything to worry about. Your AHI was 10.3, in the higher end of the mild category. If you are sleeping better with the machine I think you should stick with it. You don't have enough weight to lose to make any difference in your therapy. Some folks here have lost 100 pounds and still need therapy.
If you post an Oscar chart, folks might be able to help you find better settings, which can greatly improve your comfort and therapy.
