New user, support needed please

[Katie.williams]

Hello everyone. I was diagnosed with severe obstructive sleep of 35 AHI in June this year. I was provided with the ResMed airsense 10 on auto settings with a f20 cushion mask (by the nhs- a UK user)

I have struggled to adapt to using the machine.i do find it difficult to sleep with. My AHIs have significantly improved though. 

More recently am finding I am constantly waking in the night and am finding my sleep very unrestful. I’m struggling with energy levels again. 

I have been looking at myOSCAR data but it looks very confusing and I’m struggling to make sense of it. 

When I’m constantly waking I sometimes turn the machine off and so when it starts again the pressure is low. I am Wondering if this is contributing to issues? 

I welcome any insight or advice available.

[Katie.williams]

Attachments included

[Expat31]

Hello, 

Posting graphs is a great step. 

Before we get into it, can you repost just the following 5  key graphs only:-

Events
Flow rate
Pressure
Leak rate
Flow limitations. 

The others we don't need at this stage. 

Giving a quick glance without all the info, your minimum pressure of 4 is the standard default, but too low to be of any use.  

We will have to up this a bit, maybe increase a small token about, say just 6, until we get a clearer picture from the standard 5 graphs, and do it properly.

You have some leaking, this can be dealt with also.

[Expat31]

Oh, forgot, disactivate the calendar that will give more space so as to see all graphs clearly.

(Click on small triangle to the left of date)

[dvschwab]

I'm also new here. I'm really glad there is a forum like this for us CPAP users.

You said that you restart your machine because the pressure is too high. Do you have a ramp setting (i.e. a setting that starts out at a lower pressure)? I used to do the same thing, and my ramp setting was 30 minutes, so I effectively wasn't getting the full pressure for most of the night. I set the ramp to 5 minutes, and I am now sleeping all the way through the night (although I did my own post about why I'm still feeling so sleepy).

Hope this helps.

[Big Guy]

Her machine will indeed, have a ramp setting. I use the same machine and I have the ramp setting set @ 5 minutes. 

Click on "My Options". The ramp setting is at the top of the list. 

[Deborah K.]

I see some things that should help you.

Your starting pressure is way too low.  I suggest that you set your pressure range at 7-13.

If you are using ramp, turn it off if you can handle it.  If you feel you can't handle it, turn it up to 5 and use it for a short number of nights, with the plan to eventually turn it off.

Change your EPR to full-time, set at 3.

Good luck!  

[Katie.williams]

hello and thank you for taking the time to reply. 
i think i have uploaded it with he correct info displaying now

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thank you for the advice. it does seem a bit hard to understand it all but any advice is appreciated. i will give this a try.

[Old Steve]

I agree with Deborah K. turn your min pressure to 7cm, your max to 13cm, EPR at 3 and limit your ramp time.