Help with Bipap settings

[Dormeo]

Somewhere along the way you lowered your PS from 3 to 2. Was there a particular reason for that? It has resulted in more flow limitation. Although the FL graph is by no means horrendous, the FLs do drive some pressure changes. People whose sleep is easily disrupted sometimes are awakened by the FLs themselves, or by the pressure changes they cause.

In addition to answering Sleeprider's question, could you explain the reasons behind the PS change?

[bioshen7]

I may have done that by mistake and didn't realize I did that. I'll change it back to 3. My sleep does seem to get disturbed easily.

[Dormeo]

Thanks for the information about the PS. And to follow up on Sleeprider's question, which settings so far have been most comfortable for you?

I realize there's yet another question: did you try Sleeprider's suggestion of raising the trigger sensitivity to high?

[bioshen7]

I have changed the trigger to high. As far as most comfortable, I'm not quite sure what you mean. If you mean when I used cpap it was about a 7 or 8. For the Bipap, I've pretty much followed the instructions on here and have left the ipap at 12 and epap at 7. Ive tried to change the ipap to 13 and felt discomfort in my nose so moved it back to 12.

[bioshen7]

Any new advice? I'm sorry to keep asking, but I'm trying really hard to make Bipap work and not do surgery if I can. Do I just need to be patient?

[SarcasticDave94]

PAP therapy does take a bit of time to make you feel better. There's time to optimize settings then time to repay the sleep debt accumulated during untreated Apnea timeframe.

[Dormeo]

As Dave says, it can take time. Was the change in trigger sensitivity OK for you? Would you like to post another chart?

[bioshen7]

Thanks for responding. I guess I'm impatient because I've been using cpap on/off for like 3 years and thought the transition to Bipap would be faster if it is indeed better for me. I think the trigger helped and I'll post my results from last night when I get home.

[bioshen7]

This is my results from last night. Perhaps i need to look into trt in addition to bipap treatmeant.

[Sleeprider]

What is "trt"? Your main problem remains uncontrolled leaks. Your AHI is very low, and pressure variation is more than reasonable, nearly fixed. These are excellent results. What would you change?