Help!

[vendormanagementsystem]

Hi all- I am a brand new CPAP user (going in to week 4 of using). While I am sure it is helping my body somewhat, unfortunately I don't feel any less tired than before. I constantly seem to be getting results over 5 AHI, and finally I was able to set up OSCAR to review the data. 

This is from last night. I am hoping you all can provide me with some feedback on what I can do differently to help get my AHI down or what info I can ask my doctor to do!

My AHI pre treatment was 33 for reference. Although I still feel extremely tired during the days like before, I luckily haven't missed a second of treatment yet since I got it. I have had a very easy time adjusting to using the machine and mask, just wish my results (both physically and here were better).


Thoughts on what the data is showing for me? I am far more focused right now on improving the AHI here than feeling less tired at the moment. Thank you all in advance!

[Sleeprider]

You appear to be using your Autoset at minimum pressure 4.0 and maximum pressure 14.0 with EPR full-time at 3. You need to increase minimum pressure to at least 7.0, but I would suggest getting up to 9 or 10 cm to better stabilize pressure, providing a range of 10/7 to 14/11 (inhale/exhale with EPR). You have considerable flow limitation and obstructive apnea at all pressures, and the clustering a persistence of obstruction is an indication of what we call positional apnea. Read this wiki article and see if you can identify how it relates to you. https://www.apneaboard.com/wiki/index.ph...onal_Apnea

[HalfAsleep]

Your pressure graph is a veritable jagged mountain range. That's a settings thing. @Sleeprider ^^^^^ is where it's at! So adjust the settings in the clinician menu, sleep a couple of nights, and post new Oscars.

FWIW the fatigue may not lift for quite a while AFTER you get the right settings. It can take a month or more for your body to adjust. You might not even recognize it when it happens, because you've never experienced a restful night before and it feels very unfamiliar.

[CPAPfriend]

Pressures are simply too low. If you can tolerate it, up them as suggested above and we'll go from there. There is a chance you could eventually need bilevel, but we can cross that bridge later. There is plenty of territory to explore on CPAP still. Your case in no way surprises me, and I have hope you'll find a far better outcome soon.