sleepyveem's therapy thread

[sleepyveem]

Thanks for the advice larrygreg- I have the n30i also, how does that compare to the dreamwear?  To me, they are very similar. 

I am using the p30i on the n30i frame and I think the leaks are less. But I need to perfect the mouth leaks, including possibly shaving some so that my mouth tape will be able to stay on. Right now I just got the Nexcare strong hold tape which is very strong so that’s something I’m evaluating. 

I’m also going to try to use a thinner pillow as I heard that helps. I currently use a decently thick memory foam pillow so I hope the thin one works better. 

I’m not there yet on the cervical collar as I do think the mouth tape might prove to be effective. Let’s see how these changes help or aggravate the situation.

[sleepyveem]

Hi all, I'd love some help.  I'm trying to self-titrate using the Resmed titrating manual.  I've been feeling like crap after the last 2 nights of sleep, and my thinking is that some of that is caused by the increase/decrease in pressure.  So I set my Resmed to CPAP mode at 6.4cm with EPR=2 to see how that would go.  I had a great night of sleep, but it included a LOT of tossing and turning and wake-ups and mouth leaks.  I think part of the reason I feel great is b/c I was in bed for 8.5 hours.

Here are my questions below:

-I see a lot of CA's - and based on the manual, I should lower the pressure by 1.  I'm going to do it more incrementally so I will lower it to 6cm tonight.  This should also help with the extensive mouth leaks.  
-Is there anything to say about this of CA's towards the end my sleep?  I do notice arousals throughout the entire night, but at this point, it feels average.  I think some of that is due to age (I am 45) and some due to my body changing (I have lost some weight and gained a bit back).
-Speaking of leaks, I am using micropore tape and notice that by the morning, one side opens up and my mouth leaks air.  I also had chipmunk cheeks at some points through the night, so I think I let it leak out or I swallowed the air (I know that's not ideal but I just did it quickly).  I think lowering the pressure to 6cm should help with that.
-I have read that EPR sometimes causes CA events.  Its currently set for 2; should I lower it or eliminate it?