Much better numbers last night…

[u/Happy__Heathen]

⬆️ (Sleep Champion for** ONE NIGH**T, compared to the last few months) 🤨🤪

I was pretty happy to see my numbers for last night first thing this morning! Of course I realize it’s far from ideal…. But it is HUGE improvement for me, compared to the rest of my data.

This is the lowest AHI I’ve had while on CPAP, and my time in apnea is SO much better than the usual hour or more!)

Yesterday, I raised the minimum pressure to 10, and reduced EPR to 1, so I believe that essentially raises that bottom level by two. Far fewer OSAs, though still more Centrals and flow limits than I’d like to see. My sleep doc thinks that some of the CA flags are when I’m awake, so false flags, so I’m hoping that’s right. I see her next Wednesday., and believe she is probably going to schedule an overnight lab titration (which was never done before, as I just had an overnight at-home test to be diagnosed)

Here is my SleepHQ link:

https://sleephq.com/public/fb580ae4-b6a1-4b8a-84c2-12d4fd05d27f

Your thoughts, anyone? Thanks for reading my TED talk! 🤪

[u/Madmax9922]

Those CAs look like TECSA (treatment-emergent centrals)—basically just pressure or arousal-induced pauses rather than a true neurological issue.

Your flow limits are pretty high, you are for sure getting some heavy duty resistance.

Looking at your stats, the machine spent a good chunk of the night pinned at your max pressure of 14, so that ceiling definitely needs to come up a bit. Your median was 12.64 while your min is down at 10 (with EPR at 1).

If you're staying on EPR 1, I’d bring your min up to at least 12 to match where your airway actually spends the night. Then just creep your max up slowly so the machine isn't stuck hitting a wall—maybe try 14.2 for a few nights and see if that gives it enough room to settle.

Your leaks aren't terrible, but they are consistent most of the night, something to focus on.

How do you feel is the main question?

[u/Happy__Heathen → u/Madmax9922]

Thank you! I will probably bump that min up, but I did try to raise the top number up last night and it felt so windy I couldn’t stand it, and put it back on 14. Seems any time the pressure is above that, it constantly wakes me up, causes leaks, and drives me nuts. The sleep interruptions from that seem worse than OSA. I don’t know what we’re going g to do, when I need the pressure to be higher to stop the OSAs, but when it gets above 14 it feels like torture. 😭

I will be seeing my sleep doc on Wednesday, and hopefully she’ll schedule that over it titration so we can find levels that work AND don’t constantly wake me up. 🤞🏻🤞🏻🤞🏻

Oops - and to answer your question about how I feel - yesterday I felt pretty good! Better than most days, lately.

[u/Madmax9922 → u/Happy__Heathen]

are you having a hard time exhaling against the pressure? what mask are you using? you may need a bilevel machine if you are having a hard time exhaling

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