jlsmithseven - Therapy help requested.

[PeaceLoveAndPizza]

Sorry then mate. I’ve made multiple recommendations, but you cannot do any of them. Nothing else I can do here.

[jlsmithseven]

So I did the 9cm pressure with NO RAMP and it worked great! I actually like the 9cm pressure starting instead of 8cm and the peace of mind that it's not going to increase when I wake up in the middle of the night is a great bonus. Here are the charts as requested. I only wore my mask for 5 hours because something weird happened at 2am this morning and I couldn't fall back asleep with it on. I posted that strange stuff at the end but I can see why it woke me up. Not sure what happened.

This is the end of night:


This is flat flow rate zoom:


This is spikes:


This is full night chart:

[PeaceLoveAndPizza]

Nothing abnormal going on there. Ignore the last few events, they are sleep-wake junk.

The pressure looks good, the arousals could be from position changes or just shifting around. In general much better than some of your previous charts.

Keep it there for another week and post a chart. I think slowly bumping up the pressure a bit, maybe by 0.2 cmH2O every few nights, would lead to fewer arousals. This is the fine-tuning phase, so you are trying to do some micro-adjustments to smooth some things out. Not absolutely necessary, but it would be the next step if you want to do so.

[jlsmithseven]

I actually used a sleepwatch app on my phone a few nights and it records sounds when I move I hear the hose. It’s repositioning. It’s actually happening a lot during the night like small movements. Almost every night around 12am too something happens. But recently every morning 2-3am I wake up, can’t stop thinking about work and can’t fall back asleep.

Thank you so much for your help. It was nice to finally get a decent night I do feel ok today even though I slept 4 hours more without the cpap.

[PeaceLoveAndPizza]

Some have reported taking 400mg of Magnesium a few hours before bed has helped with reducing movement whilst asleep. Worth reading about to see if it is something you would want to try.

[jlsmithseven]

This is my most recent night last night. Slept 7:45 hours and only woke up once. It looks pretty spiky though. You agree that I need a little higher pressure but I should just increment it up a little at a time?

[PeaceLoveAndPizza]

Leave it as is for now. Let's check again in a few days.

[jlsmithseven]

I have been getting moderately better sleep, thank you. I think the peace of mind with the no ramp off is helping a lot because when I wake up in the night sometimes it ramps my pressure too soon.

I still believe my REM sleep is very disrupted and I might not be getting enough pressure there. Otherwise this pressure has been working fairly well I think. My main problem now is just staying asleep during that last REM stage instead of waking. My charts look very similar every night and I’m ok waiting a bit longer.