Trouble getting back to sleep, machine ramping up to quickly

[sleeplessintheswamp]

Using a DreamMachine. Pressure ranges from 4 to 8.5. Therapy mode is Auto. Smart ramp is On (so Ramp is locked in Patient mode). Ramp Time is set to 0:45. FLEX type is A-Flex. Flex number is 3. 

Thankfully, I have no problems getting to sleep at night. If I wake up at night (to use restroom, etc), I find it difficult to get back to sleep because the pressure ramps up too quickly. I end up hitting the ramp triangle multiple times to get the machine back down to 4 - which just delays me falling back to sleep. 

Any ideas on some setting I should try changing?

It’s too bad that the minimum pressure is 4. Otherwise, I’d go lower. 

Thanks I’m advance for your thoughts.

[Dormeo]

Try going to the Setup Manuals link at the top of the page to learn how you can access all your settings. That way, you can set the ramp to function however you want it to.

I'm surprised you like 4; for most people, it is too low and leaves them feeling air-starved. But as with so many things, your own experience is the best guide for you.

[Gideon]

Please attach your Standard Daily charts so we can see what is going on.

My initial guess, assumption is that your pressure settings (min and Max) may be set too low.
We very often find DreamStation users with insufficient min pressure, for 99.99% of users, 4 is too low

[sleeplessintheswamp]

I may try to change the ramp time to zero.

[sleeplessintheswamp]

I made some changes to my settings. Minimum pressure is now 7.5. Maximum pressure is 9.5.  I've attached some screen shots of the OSCAR data. I'm still having trouble getting back to sleep with the CPAP after waking up. Any suggestions for further changes to my settings that might prevent this? Thank you for your guidance.

[Dormeo]

The night you were at a minimum of 8, you had reduced flow limitations, but you still had a fair number of hypopneas. They might or might not respond to a higher minimum, if you cared to try it. You could also experiment with C-flex, though I'd recommend just one experiment at a time.

But I'm doubtful whether any of these further adjustments will ease your difficulty getting back to sleep after you wake up. One piece of advice that sleep experts give is to get up if you can't get back to sleep within 20 minutes. Do something relaxing that doesn't involve screens or bright lights, e.g., read a (paper) book or listen to music. When you get sleepy, go back to bed.

I myself would find that advice hard to take, but you might want to give it a try.

Oh, and you might try restricting fluids for three hours before bedtime, to lower the odds you'll have to get up to go to the bathroom.

[sleeplessintheswamp]

Thanks for the thoughts. So, I’m guessing you just increase the maximum as you increase the minimum? Also, any advice on when to try the C-flex approach instead of continued increased minimums?

In terms of falling back asleep, I have no trouble doing it without the CPAP. I just can’t do it with the CPAP. But if I go back to sleep without the CPAP, then the apneas kick in, along with everything that goes with that. Maybe I’d be better off not trying to go back to sleep after achieving some threshold of CPAP sleep…

[Dormeo]

You aren’t hitting your max except for the probes. But it’s fine to increase it; the machine won’t use the additional headroom unless you need it.

[Ockrocket]

I made some changes to my settings. Minimum pressure is now 7.5. Maximum pressure is 9.5.  I've attached some screen shots of the OSCAR data. I'm still having trouble getting back to sleep with the CPAP after waking up. Any suggestions for further changes to my settings that might prevent this? Thank you for your guidance.

It can take your body a few days (or longer) to get out of the waking up habit.

Never make multiple setting changes all at the one time, do them one at a time with gaps in between, you need to allow a few days to see what each change does for you - benefit or detrimental for your treatment.

CPAP is a slow race for the win.