10 hours ago
Seeking Treatment Advice Please
Hi All,
I'm hoping to get some advice from you learned folks for next steps to improve my treatment.
I've been using an untouched configuration for years. Recently I've become fatigued and lack motivation. I initially thought it was a low T thing. I checked my readings on Oscar and was surprised to find leakage and a number of clear airways events.
I've grown a beard so switched from an airtouch F20 to N20i. Leaks are now eliminated but I'm still floating around AHI 2.2+. It doesn't seem high, but I feel I'm awake every hour and I get up feeling tired. Tired in a way that you know you struggled breathing overnight. When I get a reduced AHI I feel correspondingly better.
It's been over 5 years since my last sleep study where I clocked in at 63 AHI with no central aponea. These clear airways concern me reading about treatment-emergent central sleep aponea.
I've read EPR can falsely trigger clear airways so I'll spend a few days reduced to 1.
I've also read maintaining a smaller gap between min and max pressure might eliminate awakenings? Should I maybe give CPAP mode a try? I'd like to hear your thoughts on recommended pressure settings.
One final question, why is it encouraged to turn ramp off? Assuming we only ramp on turn on (in my case 10 mins), why should it concern me in themiddle of the night?
Thanks in advance!
John
I'm hoping to get some advice from you learned folks for next steps to improve my treatment.
I've been using an untouched configuration for years. Recently I've become fatigued and lack motivation. I initially thought it was a low T thing. I checked my readings on Oscar and was surprised to find leakage and a number of clear airways events.
I've grown a beard so switched from an airtouch F20 to N20i. Leaks are now eliminated but I'm still floating around AHI 2.2+. It doesn't seem high, but I feel I'm awake every hour and I get up feeling tired. Tired in a way that you know you struggled breathing overnight. When I get a reduced AHI I feel correspondingly better.
It's been over 5 years since my last sleep study where I clocked in at 63 AHI with no central aponea. These clear airways concern me reading about treatment-emergent central sleep aponea.
I've read EPR can falsely trigger clear airways so I'll spend a few days reduced to 1.
I've also read maintaining a smaller gap between min and max pressure might eliminate awakenings? Should I maybe give CPAP mode a try? I'd like to hear your thoughts on recommended pressure settings.
One final question, why is it encouraged to turn ramp off? Assuming we only ramp on turn on (in my case 10 mins), why should it concern me in themiddle of the night?
Thanks in advance!
John
