Still sleepy after 9 months. Could only sleep for 6 hours.

[ajack]

I went from 3 to 0 @15cm, to try and stop an exhale obstruction. I found I soon got use to it. You don't force the exhale, you just relax and let it happen.

[susilosaja]

Thanks for all the input guys. Going to lower EPR. I tried EPR 2 last night and it was actually ok, so yeah I probably thought too much about it.

[susilosaja]

Hi guys. I tried EPR 1 for 8 days, but it doesn't seems to help with the CA. I'm still feeling sleepy. The good news is that I feel fine with this EPR in term of comfort. Any other advice? Should I turn off the EPR?

[sleepy1235]

Some thoughts

1. Once you start getting enough sleep you will find that getting to sleep can reveal new things. I had a very uncomfortable bed, which I didn't realize until I got CPAP therapy. Before I was able to just fall asleep on most anything. 

So when you wake up now, you are not so dead tired to fall back to sleep. Try just 15 minutes of moving around to stretch your muscles, no coffee, and then go to sleep. I use the smart phone to look at distracting images. I fall back to sleep. 

2. My doctor is talking about idiopathic hyposominia. Which she explained is you are sleepy and we don't know. We are thinking about modafinil. I am not necessarily recommending it though. Just bringing it up.

3. Try nasal pillows. They are much more comfortable. 

4. The sleep profession thinks an AHI of 5 or less is some type of accomplishment. That is five per hour. Waking up every 12 minutes on average. You need to target 5 or less a night sleep and I think a person can target 2 or less. As others have suggested they adjust the pressure and they get better results. However, I am not a doctor and can't say there are no risks. However, I adjust my pressure all the time. 

5. There is a phenomenon called upper respiratory arousal syndrome. You could be waking even though there are no apneas.

[susilosaja]

4. The sleep profession thinks an AHI of 5 or less is some type of accomplishment. That is five per hour. Waking up every 12 minutes on average. You need to target 5 or less a night sleep and I think a person can target 2 or less. As others have suggested they adjust the pressure and they get better results. However, I am not a doctor and can't say there are no risks. However, I adjust my pressure all the time. 

How do I know if I need to adjust my pressure?

5. There is a phenomenon called upper respiratory arousal syndrome. You could be waking even though there are no apneas.

How do I know if I have this? I read that cpap is also use to treat UARS, so shouldn't the use of cpap fix this?

[Marillion]

Once some more of the people come along and see your data Susilo, you will get some more suggestions. Hang in there.

[sleepy1235]

I just try different pressures and see if there are fewer apneas. 

As for upper respiratory syndrome, I am still investigating that.  I am thinking of designing a set up to see if I am waking up and when.