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Please Help w. Self-Directed Tx - sozdds - 01-11-2025
I am a 68 y.o. male, 6', 170#, mostly non-snorer. Have had nocturia most of my adult life. Last couple of years have added insomnia to that. Was piqued after watching Barry Krakow's Ted Talk on YouTube-"Why Do You Wake At Night?" Describes my situation very well. I currently void 2-4 times a night. I have no trouble going to sleep at 9-9:30p. Wake up for first void after 2-3 hrs. Can usually return to sleep w. no prob. Next event in 1 1/2- 2 hrs. Hit or miss if I can return to sleep after that.
In 2023 urologist suggested sleep study after problems with urinating in bed. Had PSG in sleep clinic 6/2024 and followup titration in 7/2024. Afterwards pulmonologist said I didn't need CPAP tx. After studying Krakow, LankyLefty's videos, and this form, I decided to attempt self tx. Found AirCurve 10 VAuto on Amazon Marketplace w. 1 hr on it. Started trying to use it about 2 weeks ago. I have gone as far as I can on my own and need help to optimize.
I am currently having no trouble falling asleep. I'm having a good first 3-4 hour segment. Return to sleep quickly, sleep another 1 1/2-2 hrs. Then I need to void again, and usually can't return to sleep. Heaven would be two 3 1/2-4 hour segments of decent sleep.
My initial PSG, I had an AHI of 12. I had 46 apneas in 230 minutes of sleep, 14 OA and 32CA. 31 of the CA's were in the supine position and the majority were in a cluster at the very end. 12 of the OA's were in supine and 9 were during REM. I am a side sleeper. So I'm not too worried about apnea, I just want more and better quality sleep. I spent 13.9% of the night in stage N3 and 5.6% in REM.
Also had a lot of leg movements and arousals. My legs do not jerk, but they do get restless and I do a lot of tossing and turning, especially later in the night. My total leg movements index was 27.6; PLMS index was 14.6; and PLMS arousal index was 6.8. So I don't know how much effect this has on my insomnia.
My goals of tx are: 1.To increase REM and deep sleep. 2.To decrease urination events. 3.To be able to return to sleep quickly and complete ~7 hours of decent sleep most nights.
Sorry for the length of this and I would appreciate any suggestions. I have been taping and using nose strips most nights.
RE: Please Help w. Self-Directed Tx - staceyburke - 01-11-2025
Really I don't think that less than 2 events an hour is anything to worry about. You have a few centrals and you may be able to help with those by moving the trigger setting to high or very high...
RE: Please Help w. Self-Directed Tx - greatunclebill - 01-11-2025
i don't know exactly what your numbers mean but restless leg can do the same thing apnea does in waking you up. its possible medication could help that if its serious enough. see a doc.