I am so tired. Please help

[oliviaissleepy]

                My AHI is consistently low but I am not feeling well-rested. It is so hard for me to wake up in the mornings-- I often sleep for another 90 min after my alarm clock goes off. I am consistently getting at least 9 hrs of sleep. 
I have started mouth-taping recently with varying degrees of success. Ive been cutting a small slit in the middle of the mouth tape for safety reasons but I think I will try just a solid piece of tape tonight, as I suspect I am still getting mouth leaks. 
Not sure if it's relevant but I cut out caffeine a month ago as it was contributing to anxiety.

[Deborah K.]

Yes, your numbers are great, but I see a couple of things that should help. You have been on your machine long enough that you don't need ramp. Turn it off. Also, to find what pressure you need, I suggest you set your machine with a small range of pressure. 8 to 12 would be a good place to start.

Good luck at improving your therapy and comfort!  

[greatunclebill]

try to make the cpap work, but keep in mind that apnea is not the only thing that makes you tired.

[G. Szabo]

I suggest you set your machine with a small range of pressure. 8 to 12 would be a good place to start.

 In addition, I suggest experimenting with higher (2 or 3) EPR settings. They usually increase your comfort and make you feel more refreshed.

[oliviaissleepy]

Thanks for your reply! May I ask why the range of pressure? 
Also, when raising EPR, do I also need to raise my pressure levels?

[paulag1955]

Keep in mind that raising EPR could have the unintended consequence of increasing your central events.

[Deborah K.]

Your CAs vary and are not high enough to worry about.  I still get some sometimes and ignore them.  EPR makes breathing more comfortable and lowers flow limits, a good thing to do.

Also, you are still using ramp.  You don't need it and should turn it off.

[oliviaissleepy]

Last night I slept terribly-- I woke up feeling as if I hadn't slept at all, and ended up getting back in bed for another two hours. The two nights before I felt well-rested and my AHI was lower. Any idea as to what's going on here? I haven't changed any settings, but I did switch from a standard to the heated tube three nights ago.

[G. Szabo]

You did reduce your EPR; hence, you had a worse night. I suggest setting it to either 2 or 3 full-time. Also,  turn the ramp off.

[Nightynite]

Have you checked your Blood Oxygen Saturation yet?