Thanks in advance.
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Need Help-AHI < 5 but still tired
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02-19-2023, 07:15 PM
(This post was last modified: 02-19-2023, 07:23 PM by Thomas021923.)
Need Help-AHI < 5 but still tired
I have been using CPAP for more than a year now. I have now managed to get the AHI level to be consistently below 5 and Obstruction to be less than 0 but I am still tired during the day. I have tried different pressure settings using CPAP and also auto APAP but it doesn't really change how I feel. I have enclosed the last couple of nights using various auto and fixed pressure settings. Can some body please help point me in the right direction and what I should do? I am out of ideas.
Thanks in advance.
02-19-2023, 07:27 PM
(This post was last modified: 02-19-2023, 07:31 PM by Thomas021923.)
RE: Need Help-AHI < 5 but still tired
I forgot the screenshots. Here they are.
02-19-2023, 10:23 PM
RE: Need Help-AHI < 5 but still tired
Try these settings for a couple nights
Min 7 EPR full time 3 Max 20 EPR will help with your flow limits. FL are apnea also the same as O and H events. They stop you from getting deep sleep and can wake you up. This setting will give you an inhale pressure 7 and exhale pressures of 4. You need to give it a while and get better sleep for a few days to see any changes.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
02-20-2023, 04:25 AM
RE: Need Help-AHI < 5 but still tired
I will add my 2 Cents: I too fought with brain fogging and tiredness for two years after I was switched from a ASV machine to a APAP.
The problem was/is although like you I was able to get my AHIs below 5 per night I was NOT getting GOOD sleep. Good sleep requires DEEP sleep cycles and REM sleep cycles. With out them I could sleep 10 hours and still be groggy all day. In my case I got a ResMed Sleep Score Max system and saw that the simple APAP was cutting my DEEP sleep cycles and REM sleep cycles short. And in my case switching back to a ASV machine solved my sleep cycle problem. Rich
02-20-2023, 10:47 AM
(This post was last modified: 02-20-2023, 10:48 AM by CorruptAlligator.)
RE: Need Help-AHI < 5 but still tired
Sorry, this had to be asked on my part
@racprops, do you have so many CAs that needs treating? Is that why you use and ASV? A person with so low levels of CAs shouldn't require an ASV, but maybe a BIPAP would be an improvement over a normal APAP that the PS is maxed out at 3.
02-20-2023, 07:00 PM
(This post was last modified: 02-20-2023, 07:01 PM by Thomas021923.)
RE: Need Help-AHI < 5 but still tired
Thanks for the replies.
(02-19-2023, 10:23 PM)staceyburke Wrote: Try these settings for a couple nights Thanks very much for the suggested setting. I will try it out starting tonight and will report back.
02-24-2023, 06:16 PM
(This post was last modified: 02-24-2023, 06:17 PM by Thomas021923.)
RE: Need Help-AHI < 5 but still tired
Reporting back after using EPR setting change since 2/20/2023. Feeling much better since the change until today. Even though the numbers look ok last night, see chart enclosed, I felt tired today. But I will continue on.
Also, seems to look like the Clear Airways numbers seems to have increased and also Obstructive numbers a little bit since the EPR change.
03-11-2023, 06:36 PM
RE: Need Help-AHI < 5 but still tired
It seems to improve the first couple of days but then it got back the usual tired feeling. Any other things I could change to help?
03-11-2023, 08:49 PM
RE: Need Help-AHI < 5 but still tired
You're using a Resmed device, you can try a remediated Phillips device, it will help you sleep better. I'm one of the few on here that has tried both and the Phillips allows me to sleep better, juxtaposed with a similar AHI on DreamStation.
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