03-15-2024, 10:16 PM
Lost weight, no doc, can't get my settings right...
Greetings, and thanks in advance for your help.
I've recently lost a LOT of weight, went from 108kg to 75kg, and I was diagnosed at the heavy weight in my mid twenties, I'm 38 now. It has been a long time since I've been at a healthy weight, and I've also quit drugs, alcohol, and smoking in the years since my diagnosis. The problem is I live abroad in the countryside in Japan, and there just isn't a sleep doctor around to help me manage this. I've picked up supplies and machines while visiting my home of Canada, but besides that, I'm on my own.
Problems:
1. Lost weight, and suddenly had major issues with the pressure being too high. Unbelievable gas, waking up, can't keep my mouth shut, the works. So, I started to tinker.
Rx was for 8-14cm, and I changed it to 4-14, which helped me fall asleep do to ramp, but other issues persisted. I dropped the pressure to 4-8.5 (my avg +1) and saw a large improvement.
2. Noticed for the first time (I never really paid attention before) that I have a central apnea and this is my current main concern, as it wasn't what I was diagnosed with. Probably it is treatment emergent.
3. Continued to lose weight, and the pressure continues to feel too high. Air exiting my mouth, dry mouth, leaks, etc.
Lowered the pressure yet again, now 4-7 and felt better, but waking up with a strange feeling sometimes. Like a dizzyness? Or something similar to lack of air, but *not* that. It is a weird sensation that I've never had and can't quite put into words. Actually, my gut tells me that it is the APAP getting in the way of my normal breathing.
Help me please:
1. Can you help me understand my data and where my settings may need to be changed?
2. Over, and over, and over again, I am pointed in a direction that the machine is too strong for me, is there any way I can tell if I have made enough lifestyle changes that I no longer need it? A sleep study is simply unavailable to me for the mid-term. I'm also still losing weight, the last 8 kg should be off by the spring.
3. Help me to understand this central apnea. Is this another sign that the pressure is just too high?
Today was my first time looking at the data in OSCAR, so if there's another screen I can share to help, please let me know.
Again, thanks for taking the time, I've been fiddling for months and my sleep is suffering so much since I lost weight, I'd really like to get it back into a good place.
I've recently lost a LOT of weight, went from 108kg to 75kg, and I was diagnosed at the heavy weight in my mid twenties, I'm 38 now. It has been a long time since I've been at a healthy weight, and I've also quit drugs, alcohol, and smoking in the years since my diagnosis. The problem is I live abroad in the countryside in Japan, and there just isn't a sleep doctor around to help me manage this. I've picked up supplies and machines while visiting my home of Canada, but besides that, I'm on my own.
Problems:
1. Lost weight, and suddenly had major issues with the pressure being too high. Unbelievable gas, waking up, can't keep my mouth shut, the works. So, I started to tinker.
Rx was for 8-14cm, and I changed it to 4-14, which helped me fall asleep do to ramp, but other issues persisted. I dropped the pressure to 4-8.5 (my avg +1) and saw a large improvement.
2. Noticed for the first time (I never really paid attention before) that I have a central apnea and this is my current main concern, as it wasn't what I was diagnosed with. Probably it is treatment emergent.
3. Continued to lose weight, and the pressure continues to feel too high. Air exiting my mouth, dry mouth, leaks, etc.
Lowered the pressure yet again, now 4-7 and felt better, but waking up with a strange feeling sometimes. Like a dizzyness? Or something similar to lack of air, but *not* that. It is a weird sensation that I've never had and can't quite put into words. Actually, my gut tells me that it is the APAP getting in the way of my normal breathing.
Help me please:
1. Can you help me understand my data and where my settings may need to be changed?
2. Over, and over, and over again, I am pointed in a direction that the machine is too strong for me, is there any way I can tell if I have made enough lifestyle changes that I no longer need it? A sleep study is simply unavailable to me for the mid-term. I'm also still losing weight, the last 8 kg should be off by the spring.
3. Help me to understand this central apnea. Is this another sign that the pressure is just too high?
Today was my first time looking at the data in OSCAR, so if there's another screen I can share to help, please let me know.
Again, thanks for taking the time, I've been fiddling for months and my sleep is suffering so much since I lost weight, I'd really like to get it back into a good place.
