New CPAP User could use some advice

[frankie1579]

           

For the last 5 years have felt tired all the time, never suspected sleep apnea. Got a lofta home test which came back at 33 AHI, all obstructive. 33 AHI Left side, 2.7 AHI Right, 43 Supine (Approx numbers). 

Had maxomandibular advancement performed almost 2 months ago. No noticeable change in breathing or sleep quality. I had a OK nights sleep the previous night with CPAP, and then last night was awful. I wear a garmin watch and can see my stress levels throughout the night which closely correlates to how I feel in the morning. I had as bad a nights sleep last night as if I had not worn the CPAP.

Using Resmed 10 Autoset

I understand these things can take time, however I do know my body is a quick responder to when, whatever the issue is, is fixed, as 3-4 times over the last few years I woke up feeling so well rested, it was the most amazing blissful feeling, better than any drug. I tried to replicate that in every way I knew how, with no luck. 

I'm assuming I have some settings off here. Any advice would be so greatly appreciated. Thank you!

[frankie1579]

       

Added device settings etc

[Old Steve]

RE: New CPAP User could use some advice

I would try setting the EPR at 2 full time with 9cm minimum pressure and max pressure at 16cm to start.

Having the machine in full time EPR should lower your flow limits and make your sleep more comfortable.  It will also make it easier to determine what your pressures should really be set at.

As to the ramp, turn it off if at all possible, you are getting little if any benefit when it is turned on.

You are having some major leaks that the CPAP machine can not compensate for that you need to address. During the major leaks (+24) you are not getting proper treatment if any.

Try these setting for a few days then post some more charts (see below for info on chart organization)

Welcome to the forum.

[Dormeo]

Next time you post, could you fit all of the following into a single screen shot (and include nothing else):

Left panel
Events
Flow rate
Pressure
Leaks
Flow limitations
Snores.

That will make it easier to see what's going on.

I agree with the suggestions Steve has made for revising your settings.