New to Cpap and sleep apnea

[elyfrank]

Hi Pugsy,
Thanks for taking the time to reply I know people are busy and everybody has their own problems. I really appreciate it.

I go to bed at the same time 10:30pm and get up at 7:30am but wake up multiple times during the night, so at the end I really don't know how many hours of sleep I am getting.
Yes, I still have the same problem without CPAP, that is why I did a second sleep study and got the results for sleep apnea.
I don't think I can do anything to improve my sleep quality and amount at this point. My sleep hygiene is pretty good. I check all the boxes.

So, I really don't know what to do anymore, just looking at the waves from Oscar and trying to see if I can spot something but it is really difficult.

[Pugsy]

Maybe it is time to talk to the doctor about adding in some sort of RX or OTC sleep aid.
4 to 6 hours of very fragmented sleep is a recipe for feeling like crap for sure. Hell, 4 to 6 hours of not fragmented sleep isn't enough sleep.

I have that sleep problem now but even though I know the cause (not breathing related so cpap is zero help) knowing doesn't mean it is easily fixed. I fight that battle every single night and have for years and years and years.

You most likely have a sleep quality problem that the cpap machine isn't designed to fix.
The list of items that mess with sleep isn't limited to sleep apnea and instead is miles long.

Talk to your doctor about these issues you are having.

[elyfrank]

Hi,
Base on those charts what do you think I should set the Min and Max pressure.
I am trying to understand if I could narrow the numbers down.
Thank you

[ozij]

I agree that those charts show very bad sleep.

I see that when you switched from CPAP 6 to APAP 6-9 you added an "iPR=2" as a result of which part of the time your pressure is lower than 6.

Do you know how iPR functions on your machine? What made you add it when you switched to APAP 6-9?

Some people don't sleep well when the pressure changes.
I'm one of those, and if the those were my charts and I was sleeping so badly, I'd do the following:
Set a fixed pressure.
Move it up as little as the machine lets me, sleep with that for a few nights.
Repeat.
In the beginning when the pressure is low I would not use anything that makes changes between inhale and exhale.

All this is not to say that I thing your charts show your breathing is disrupting your sleep and correct CPAP setting will improve it. I don't know. But, since that's the route you want to try, that's what I suggest: Fixed pressure, no iPR, very gradual changes.

[elyfrank]

Hi Ozij,

See my answers in bold below.

"I agree that those charts show very bad sleep."
I wish I can tell by looking at the charts, I don't know how you do it. Can you post some examples

"I see that when you switched from CPAP 6 to APAP 6-9 you added an "iPR=2" as a result of which part of the time your pressure is lower than 6.
Do you know how iPR functions on your machine? What made you add it when you switched to APAP 6-9?"
I think I switch to IPR=2" based on a recommendation by Pugsy but I can't find that post now.

I will try your suggestion of going back to a fix pressure, I know I tried that at 6 before as they recommended in the sleep study am still I didn't sleep well.
Based on my charts what pressure would you start with?

Thank you.

[ozij]

Hi Ozij,

See my answers in bold below.

"I agree that those charts show very bad sleep."
I wish I can tell by looking at the charts, I don't know how you do it. Can you post some examples

Unstable breath flow, very unstable tidal volume.

I will try your suggestion of going back to a fix pressure, I know I tried that at 6 before as they recommended in the sleep study am still I didn't sleep well.
Based on my charts what pressure would you start with?

I would start with as little as the machine lets you go above 6, and stay there for 4-5 days.

[elyfrank]

Hi Ozij,
It has been a while since my last post. I have been on a scale of 0 to 10 at about 2 of my overall health when it comes to sleep and energy.
I have been using my CPAP all these days but nothing makes it better, once in a while I hit one ok night and feel good the next day (Good at about 5 to

These are my last screenshots.
Let me know if you see anything that I can improve and maybe tweak the settings.
I really appreciate all you guys help.

Is this what you need. I am getting the same size image with imgur
https://imgur.com/a/mKUu4U8

[Pugsy]

Please don't give us a gazillion teeny tiny graphs that are impossible to evaluate easily.

Review this thread for sharing reports and which graphs to include (and not so tiny).
http://www.cpaptalk.com/viewtopic/t1585 ... eview.html

[kteague]

Tried the link to your sleep study results and got an error message. No need to do anything about that for me, I can just ask you. Were your legs wired during the test to look for limb movements, and if so, what did the report say about it? Just asking because jumpy legs can be a sleep buster.

[elyfrank]

Legs were wired and no movement reported.

Here it is a link to the study, it will expire in 24h.
https://jmp.sh/s/Oy9koeWFxLrptwoHycrd

Thank you!

[Nocibur]

Is this what you need. I am getting the same size image with imgur
https://imgur.com/a/mKUu4U8

Load this one into SleepHQ.

[Pugsy]

Is this what you need.

Not to suit what I like to see nor what I need.
Thank you for trying. I will have to let the others try to help.

[elyfrank]

Is this what you need. I am getting the same size image with imgur
https://imgur.com/a/mKUu4U8

Load this one into SleepHQ.

We'll do.
Thank you!

[elyfrank]

Is this what you need.

Not to suit what I like to see nor what I need.
Thank you for trying. I will have to let the others try to help.

Thanks for trying.

[elyfrank]

Is this what you need.

Not to suit what I like to see nor what I need.
Thank you for trying. I will have to let the others try to help.

Pugsy,
I think I got the screenshot the way you wanted.
Let me know Thanks.

screenshot-20250226-141807.png (95.31 KiB) Viewed 2758 times