Sleep Issues

[WhatIsSleep?]

Good morning

I have sleep apnea which is treated with Resmed Air 10 Auto and my AHI is less than 1 regularly and under control with 0 leak. This would suggest my apnea is under control.

Recently I have been awoken during the night in a strange state which I can only describe as a mixture of dizziness/hallucinations/head fuzziness/eye or sight disturbance as if I am high or out my face on drugs. I do not take drugs, drink nor smoke and my hydration was a good level. 

Does anyone experience similar or know what the likely cause of this is?

Today I am absolutely shattered as if I have hardly slept. I felt I woke regularly during the night, had my bed sheets pulled off at one point and generally feel crap today and literally fighting to stay awake!

Thanks 

[Gideon]

Not that we will see anything but post your nightly chart and let us look at it. It cannot hurt!

[staceyburke]

Just GUESSING maybe flow limits. ResMed does not report these in AHI. please put up a night of OSCAR charts.

[WhatIsSleep?]

            Good Morning,

Thank you for your kind responses so far. I am not sure whether APAP might be the issue and might be worth discussing CPAP for a constant pressure with my sleep med rather than fluctuating. I wonder whether the fluctuations in pressure might be what is causing me to regularly wake up during the night. I had a trial of this last night and saw my average pressure over a week is 12.8 so therefore set my machine to CPAP 12.8 and I feel I had a better less broken sleep but did get some leakage which may suggest that pressure might still be a bit high.

Please see below charts as requested. I look forward to any feedback.

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1 Further graph to be added for last night

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Thanks everyone. Not sure how many charts would be need so thought I would give enough to see if there is any obvious stand outs over the last 10 days

[WhatIsSleep?]

I hope someone can help with a good analysis of the charts posted, thanks in advance

[SarcasticDave94]

I think your flow limits are the driver for higher pressures. And it appears fixed pressure was not the solution, the FL increased. I think this is in part because of the pressure differential acting on flow limits. Are you using EPR?

I'd consider an APAP range, 7-8 on the minimum side and about 13 on the Max side. Trying this with EPR 2, not EPR 3 yet in light of a few treatment emergent CA on the chart. Something like this may be better in results and in feel.

[Gideon]

I would set EPR=2 and see what happens. This should make a dent in the flow limits.

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