Oh my, thanks for taking time to answer my question although I'm so far off I'm blushing when reading your "Those are not even faintly the same settings." My brainfog is no joke and I'm so sad that my former, actually quite well functioning, brain has come to this level of pure stupidity since getting sick. Of course they are not even close. Don't know wether to laugh or cry - I do a bit of both. God, I miss my old self... I totally understand your explanation.ozij wrote: ↑Tue Mar 28, 2023 11:04 pmThose are not even faintly the same settings.
You set up the Auto to vary the pressure is supplies between a minimum of 5.6 and maximum of 7. In addition, you set it up to supply the same pressure regardless of to whether you're inhaling or exhaling: no Exhale Pressure Relief.
You set up the bi-level machine to supply a constant Inhale Positive Air Pressure of 7, and a constant Exhale Positive Air Pressure of 5.6. It is to be expected the results will be different.
The chart you posted indicates your pressure is too low and your breathing disturbances are undertreated. The Hypopneas seem to pop up in batches about ever 90 minutes - which makes me think you're breathing is much worse when you slip into REM sleep. That means you may benefit from a setting the raises your pressure when your breathing starts obstructing, and drops it when that's not necessar: i.e. some kind of automatic pressure adjustment.
If you want to understand the differences in results, please post some nights on the APAP - both at the lower pressures, and the higher ones.
And, if you logged the info, tell us how you felt after that specific night.
I have so much more crap happening i what I also believe is REM. First couple of hours are usually ok. A huge problem is that if i raise the pressure, I don't sleep at all because the pressure disturbs me and wakes me up, if I'm not on some stronger sleeping pill, and with lower pressure I probably have more micro awakenings that I'm not aware of - so I'll have to chose between these to types of poor sleep, is my therory. Thinking that which ever makes me fell less shitty in the daytime would be the right choice between two not optimal choices.
Posting a couple of nights with a bit diff. settings. I'm so fed up with trying to analyze this with my no good brain. The only thing I know for sure is that if the data show median pressure over 8 for longer periods I wake up dead, non functioning. That and as I described in the original post, I tend to feel better when feeling I haven't slept for longer times. It's so strange. This night, I slept barely three hours, but felt much more alert than if I slept a full night. It's like My body hates both to have untreated OSA and treated, but in different ways. When I got my pap, all crazy sleep disturbances, except insomnia, vanished within a week, and my anxiety levels and many other sleep deprivation symptoms declined enormously or went away. I don't know if you can make anything out of my images.
How much should one care about FL? When my flow rate i stable and I seem to have longer periods of sleep, I also often have quite a bit o FL.
https://imgur.com/a/IyYSsUJ