Maybe not needed?

[MrsBrando]

My CPAP has an auto-trial setting. What would that do if I tried it? Would that be like having a split study? They never did one of those because my apnea was "too mild for treatment" until a couple years ago. Should I try it?

[Mosquitobait]

If you have very mild apnea, chances are your settings are too low if you feel like crap when you wake up. Just so you understand what others are saying, 4-6 are considered pediatric settings. Most adults are uncomfortable for long periods at 6.

[Gideon]

Plus, I already have to have my mask dig into my face, but the higher the minimum pressure, the worse it blows into my eyes.

Tell us more about this.  Finding the right mask is the hardest part of PAP treatment.

[MrsBrando]

I alternate between an F&P Simplus and a ResMes Quattro Air. The Simplus used to give me decent numbers, but it blew into my eyes. I tried a suggestion on here to try some folded flannel to stop it from blowing, but that didn't work, no matter how much I tweak the straps. The Quattro does much better, but cuts into my face all night. If I loosen it at all, it's blowing in my eyes again. I have an extremely deviated septum, and a very crooked nose. I'm using Breathe Right strips inside my mask so I get some air flow through my nose. My neuro sleep specialist said breathing through my mouth is no better than going without CPAP, but a nose job wouldn't help. I'll switch to 7 minimum again and see what happens.

[jacl]

Hi everyone I am new to this too but also think my settings are wrong as I am tired all the time.Is there a forum page that I can post my charts on so that someone could have a look. Thanks in advance and for this site, it has been a big help

[Hydrangea]

MrsBrando - Have you tried the Amara View? It's still a FFM, but it doesn't go over the nose (which is where it sounds like you're having the problems).

[MrsBrando]

[attachment=3214]
I forgot to mention that I also wear a dental guard at night because I grind my teeth. So a ffm is really necessary. My DME did have me try one, but my nose is so messed up it just wouldn't sit right.

On a side note, I did notice toward morning that my pressure maxes out at 12 and stays there a bit when I roll onto my back, almost every night.

[Newbee2016]

There's already lots of good advice given above. Just to add, AFLEX is a comfort setting and with your pressure range, you should be able to wean off it earlier rather than later. I had used the AFLEX on my PR and it's pretty good in matching my breathing rhythm but there is a transition between lower (exhale) and minimum pressure (inhale) where the machine has to work to catch up on the pressure. I got off it and my AHI dropped. Your 95% pressure was 9.5 cmH2O, I would not use AFLEX with a minimum setting of 6 or avoid it even at 7 cmH2O.  

It could be that during those wonderful 90mins, you were sleeping on your side hugging the little sleeping beauty. 

Edit: just saw your latest chart. You had lots of events at the start during ramp. I too needed ramp to get to sleep earlier on in my treatment when starting out at 6-7 cmH2O last year. Was on the APEX XT then and didn't use its EPA function (similar to AFLEX) as it didn't quite sync with my breathing rhythm unlike the PR. If you can, try without the AFLEX, and see if the events improve.

[OpalRose]

MrsBrando,
Agree, turn AFlex off...see my post #10.  Turning that off may help with the Clear Airways.

It looks like you are using the ramp feature.  My feeling is to turn that off too.  The PR machine takes longer to react, so starting at your minimum pressure is better than waiting for the ramp to get where it needs to be.

Your minimum pressure may still need to be raised, but I would wait a few days and let things settle.  

I know you are getting alot of advice, but most of us are saying the same thing.

And your leak rate is better.

[OpalRose]

Hi everyone I am new to this too but also think my settings are wrong as I am tired all the time.Is there a forum page that I can post my charts on so that someone could have a look. Thanks in advance and for this site, it has been a big help

Hi jaci, Welcome to the Forum!

You will need 4 posts to upload your graphs.  

To do that, please start a new thread, this way you will get the most help.
http://www.apneaboard.com/forums/misc.ph...elp&hid=16

See my signature line for tutorials.