Struggling with ABPAP... need help

[cjep2000]

Had my first two nights of Auto BiPAP and I am struggling. I've tried CPAP twice before but had never been able to fall/stay asleep so at least I was able to sleep at all with Auto BiPAP. Still woke up quite a bit though and finally took the mask off after a couple hours. I'm wondering how I can adjust my pressures better and don't know how to read air flow charts yet.

In my last sleep study using BiPAP I actually qualified for ASV so I may end up switching to that if I can't control my CAs, but they gave me AutoBiPAP to start, and I am hoping to make it work. Just so fatigued and need to figure out how to make this thing help my sleep instead of hurt it.

First night my starting pressures were EPAP 4, PS 2.6, and max IPAP of 10. Using P30i mask, chinstrap, and mouth tape (fell asleep around 1:43 am mark so ignore all the junk before that). Had some hypopneas and an apnea so thought I would bump my pressure up the next night.

Second night my starting pressures were EPAP 4, PS 3.6, and max IPAP of 10. Using P30i mask, chinstrap, and mouth tape. Had bad aerophagia and chest pain. Generally felt like I had too much air being pushed into my lungs.

Any thoughts on what I can adjust for better sleep? Right now I'm feeling like the machine is making me sleep much worse and I've been very tired/distressed the past two days. Charts attached

[OpalRose]

Are you using the Trigger setting? This has been known to help with CA's.
Try setting it to High and see if that makes a difference.

[HalfAsleep]

In my experience, it takes much longer for the body to adjust to xPAP than most folks anticipate. You can get all the data lined up, but you’re still stuporous. I figure your actual live body isn’t data, so it doesn’t go along with the plan right away.

This all takes time: it’s not plug and play.

For me, I was stuporous for at least 6 weeks. Absolutely junked. Way worse than before biPAP, which was bad enough. I kept at it, though, and my mind began to clear. I still have my bad days (3 months after biPAP day zero), but the balance are good.

You seem to be doing pretty well with the data items, but continue to follow @OpalRose advice. You are impressively good with leaks.

If you’re on insurance, there are compliance requirements. You’ll want to make sure you register at least 4 hours per day hooked up, even if it means you’re watching tv and not asleep. IME it’s a good feeling to get past the usage requirements, because you don’t run the risk of having your unit reclaimed.

[cjep2000]

I may try that. I should probably mention I have cycle set to very high because in my sleep study I was having trouble initiating the exhale