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+--- Thread: 23 yr old W/ Good AHI - Still tired and foggy (/Thread-23-yr-old-W-Good-AHI-Still-tired-and-foggy)
23 yr old W/ Good AHI - Still tired and foggy - daytong - 09-03-2024
New here to this forum. 23 yrs old and have had my cpap for about a year and although it has changed my life (10 AHI down to <1), I still struggle getting up in the mornings. The MyAir app says I am scoring 100/100 practically every night and my Ear Nose and Throat doc says the CPAP has treated my sleep apnea. The only thing that helps is a midday nap in my car at work. I've also had bloodwork done, including every deficiency you could think of. Any recommendations would be greatly appreciated. Please let me know if there is any other screen shots I need to share
RE: 23 yr old W/ Good AHI - Still tired and foggy - staceyburke - 09-03-2024
Nothing really jumps out to help. You still have to many flow limits. They can stop you from getting into deep sleep or even wake you up. We try to limit them using EPR but you are already as high as it can go so the only option is to try a little higher min pressure. You are at 7, try a night or 2 at 8 to see if that helps.
RE: 23 yr old W/ Good AHI - Still tired and foggy - daytong - 09-04-2024
Thank you, I will look into that
RE: 23 yr old W/ Good AHI - Still tired and foggy - cizagui - 09-04-2024
1) Are your TSH blood levels normal (Possible hypothyroidism)
2) The pressure is somewhat erratic. That could hurt your sleep. I had that problem and improved by switching to mode CPAP, Pressure 7, and ERP 2.
RE: 23 yr old W/ Good AHI - Still tired and foggy - daytong - 09-05-2024
(09-04-2024, 11:05 PM)cizagui Wrote: 1) Are your TSH blood levels normal (Possible hypothyroidism)Thank you for the suggestion. Thyroid was tested in April of 2024, test showed I was in normal range. Will trial these settings asap.
2) The pressure is somewhat erratic. That could hurt your sleep. I had that problem and improved by switching to mode CPAP, Pressure 7, and ERP 2.
RE: 23 yr old W/ Good AHI - Still tired and foggy - AshSF - 09-05-2024
I would go to CPAP mode with a fixed pressure of 9.5cm (since your 95%ile pressure is closest to 9.5). Keep EPR at the same level. And you may use a ramp initially if the pressure seems a bit much at the onset. Or you can keep it in APAP mode but make both max and min pressure = 9.5. The APAP mode collects more data for analysis (at least in my Dreamstation Auto).
See how you feel after 7 days.
I had the exact same problem. 0.1 AHI on most days but brain fog and random sleepiness during the day.
RE: 23 yr old W/ Good AHI - Still tired and foggy - Deborah K. - 09-05-2024
It appears that you are using ramp. If so, you may want to turn it off. During ramp you get no treatment, and if you get up in the night, each time you return to bed ramp starts again, robbing you of therapy. If you feel that you still need it, turn the ramp pressure up to 6. Then turn it off once you are better adjusted to your therapy.
Good luck!
Also, due to your median pressure being 7.84 I suggest that if you try static pressure, set it at 8. I think higher than that may be uncomfortable for you. You can always raise it later, or set a narrow range of Apap pressure, such as 8 to 11. I think that would be best.
RE: 23 yr old W/ Good AHI - Still tired and foggy - daytong - 09-05-2024
(09-05-2024, 11:58 AM)AshSF Wrote: I would go to CPAP mode with a fixed pressure of 9.5cm (since your 95%ile pressure is closest to 9.5). Keep EPR at the same level. And you may use a ramp initially if the pressure seems a bit much at the onset. Or you can keep it in APAP mode but make both max and min pressure = 9.5. The APAP mode collects more data for analysis (at least in my Dreamstation Auto).Thank you, I will try this!
See how you feel after 7 days.
I had the exact same problem. 0.1 AHI on most days but brain fog and random sleepiness during the day.
(09-05-2024, 12:23 PM)Deborah K. Wrote: It appears that you are using ramp. If so, you may want to turn it off. During ramp you get no treatment, and if you get up in the night, each time you return to bed ramp starts again, robbing you of therapy. If you feel that you still need it, turn the ramp pressure up to 6. Then turn it off once you are better adjusted to your therapy.
Good luck!
Also, due to your median pressure being 7.84 I suggest that if you try static pressure, set it at 8. I think higher than that may be uncomfortable for you. You can always raise it later, or set a narrow range of Apap pressure, such as 8 to 11. I think that would be best.
Great insight, I will give this a go!