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+--- Thread: Still tired, any suggestions to optimize therapy? (/Thread-Still-tired-any-suggestions-to-optimize-therapy)
Still tired, any suggestions to optimize therapy? - EnigmaOfSleep - 08-13-2024
I've been using my machine for 5+ years now and I have noticed that I'm waking up tired a lot. I end up taking naps on my days off to feel a little better. Also, my wife said that I was still snoring even with my mask on. I had a physical a couple months ago to rule out medical issues. I was diagnosed with low testosterone and started on TRT which I know can worsen sleep apnea but I had other symptoms related to the low testosterone so it was worth it to me.
I also saw my sleep doctor last week and he recommended changing my pressure. It was originally set to 9-14 and I was topping out at 14 quite a lot. It was increased to 10-20 but I later increased it to 12-20 after looking at the data in OSCAR (my wife did some research and found the software and this board).
It's been almost a week on the new pressure and I am still tired but I'm not sure if it's just because I had been losing sleep so much before or if I still need to tweak my settings. I think things have improved a little bit but it's hard to tell.
Here's a screenshot of OSCAR when the pressure was set to 9-14: [attachment=68234]
And here are 2 screenshots of OSCAR from the past 2 days:
[attachment=68235]
[attachment=68236]
Obviously one had a lot of leaks, that happens sometimes, I assume when I roll over in bed.
Any suggestions?
I hope I did all this right. First time ever posting on a forum.
RE: Still tired, any suggestions to optimize therapy? - Big Guy - 08-13-2024
How old are you? Overall physical health can play a big part in feeling rested or not.
Growing old sucks!
RE: Still tired, any suggestions to optimize therapy? - EnigmaOfSleep - 08-13-2024
I'm only 35. Back when I initially saw my doctor about being tired (before the sleep study), he thought I was too young to have sleep apnea but reluctantly gave me the referral.
RE: Still tired, any suggestions to optimize therapy? - Big Guy - 08-13-2024
Yes.....35 is a bit on the youngish side. I do hope that you find something that works for you.
There's many on here that can interpret your charts.
RE: Still tired, any suggestions to optimize therapy? - Deborah K. - 08-14-2024
The main thing I see is that you are using high pressure and EPR 3 but are still getting pretty high flow limits. I went through the same thing and was advised to get an AirCurve 10 Vauto, which is a bilevel machine instead of an autopap machine, which is what you and I both started with. Things are much better since the switch. I had to convince my regular doctor to prescribe the bilevel. You can read the whole story in this long post if you want to check it out:
https://www.apneaboard.com/forums/Thread-Flow-Limits-How-to-Upgrade-CPAP-to-Bilevel?highlight=bilevel