Your thoughts on my stats

[Brennie]

Hi Everyone!

I was thrilled to get the diagnosis of mild OSA. I thought finally I would not be so tired/sleepy in the day. I have been very disappointed as I am still sleepy in the daytime. I am slim and in very good health otherwise. I just had my annual checkup and all the lab results are good except cholesterol is borderline (in spite of being on a plant-based diet.) I exercise regularly.

I saw the provider November 2, who looked at the AHI and told me all is fine and made an appointment for me for 6 months.

I did increase my own pressure from prescribed 7 to 8. It reduced the RERAs. I am attaching last night's summary, which is typical. Do you see that there is hope for possible improvement with CPAP therapy (which I will faithfully continue to use), or do I need to look elsewhere for a solution for the sleepiness?

The sleepiness comes and goes through the day. Really sleepy in the evenings and I go to sleep immediately.

Thanks, everyone!!  This is a great forum.

[PeaceLoveAndPizza]

Please read the link in my signature on “Organise your OSCAR charts”…

ResMed machines are not particularly good at detecting RERA’s, so take it with a large grain of salt. We need to see the entire chart as described in the link to offer the best suggestions.

[gainerfull]

Looking forward to seeing the full daily view - given the prevalence of hypopneas you'll likely benefit from EPR but let's wait to see what the flow rate tells us.

[Brennie]

I have attached a screenshot of last night's data. Let me know if it is ok.

[BoxcarPete]

Yep, definitely need more pressure and/or EPR. I would keep the minimum at 8, and boost max up to at least 12. EPR full time at 2 or 3 as well, and see how it goes.

[Deborah K.]

You will be more comfortable and have better therapy if you turn on EPR full-time, set to level 3.

[Brennie]

ok, so set to APAP, 8-12 and EPR to 3?
Is that what you are recommending?

I truly do appreciate you taking the time to look at the data.

[Brennie]

OH, Will I get in trouble with the DME or my provider if/when they find out?

[BoxcarPete]

No, you cannot get in trouble. They can scold you, but any threats they make regarding you taking control of your own PAP therapy are toothless. Good luck!

[gainerfull]

Not to confuse things but I'd vote that you stay on constant pressure mode but try 9cmH20 tonight.

You are definitely under-titrated (pressure too low) but I've found constant pressure to be helpful, personally. If we see less events and are only seeing flow limits every 90 mins or so (REM segments) then we can add EPR to help with hypopneas & RERAs.

Good luck.