u/goc32

These are four graphs of precisely the same period at night where I am having some fucked up thing on my flow-rate graph.

Settings (Resmed 11 BiPAP VAuto):

• 4 EPAP and 9 IPAP (VAuto mode but settings are configured to lock EPAP, IPAP in place)
• Medium for Trigger and Cycle

It looks like my inhale is not even happening on these breaths (machine not reacting), repeated exhale, and then you can see that my heart rate moves up a huge amount during this period implying arousal.

No leak detected here.

It can be seen that the BiPAP algorithm is not upping the pressure which I guess may be a problem.

Specifically, maybe the following could help (even with PS the same), if I move to S mode from VAuto

• Upping trigger because it seems like the machine may not be catching my inhale?
• Maybe moving away from EasyBreathe to faster rise time to deliver IPAP faster?

Let me know your thoughts on some ideas.

These are four graphs of precisely the same period at night where I am having some fucked up thing on my flow-rate graph.

Settings (Resmed 11 BiPAP VAuto):

• 4 EPAP and 9 IPAP (VAuto mode but settings are configured to lock EPAP, IPAP in place)
• Medium for Trigger and Cycle

It looks like my inhale is not even happening on these breaths (machine not reacting), repeated exhale, and then you can see that my heart rate moves up a huge amount during this period implying arousal.

No leak detected here.

It can be seen that the BiPAP algorithm is not upping the pressure which I guess may be a problem.

Specifically, maybe the following could help (even with PS the same), if I move to S mode from VAuto

• Upping trigger because it seems like the machine may not be catching my inhale?
• Maybe moving away from EasyBreathe to faster rise time to deliver IPAP faster?

Let me know your thoughts on some ideas.

https://sleephq.com/public/teams/share_links/aadbdc67-d99b-41f7-a28e-966a46d15c08/dashboard

Looking for help with what to do because my AHI got low very quickly with CPAP therapy but still my energy is not good at all after almost 9 months, not sure how much I have really improved.

Is there any indication that I would I be better off with BiPAP or ASV? How would I be able to tell based on the data? Which one would be better if so? I would follow the tutorial myself to convert my AirSense 10.

If there is some way that the CPAP settings could be better than I would do that too but honestly I am not sure how to analyze the data in depth. I can see that Minute Vent has historically been very unstable which I know is not good. Not sure what to do though and honestly feel too tired to really dig in and wouldn't know how to analyze the data anyway.

Hello, earlier I posted on this subreddit about flow limitations. I think this graph of Glasgow Index over time should give a much better indication of what additional problems I have been having, but at the time of that previous post I had not heard of it.

I am 22, male, not overweight and other than sleep apnea am in good health as far as I know (e.g. cardio fitness) but still have not recovered my energy as much as I was hoping despite using CPAP for a while.

I know that Glasgow Index can provide more insight into additional problems to go after, but I am not sure what these specific things imply I should change although I tried to find some relevant posts. My total is always around 2.0 which is not very good apparently.

Throughout this entire time I have been using relatively low pressure. Eventually I limited it to the 5.0 - 6.0 range because that got my AHI below 0.5 on most nights but before limiting the range e.g. when I bought it initially and had it on 4.0 - 20.0 it stayed low and got my AHI low. Also I have had my EPR at 2.0 for a while and have always had that on and I believe I have kept it set there for a while now.

I am using a Resmed Airsense 10 with a nasal mask (that goes around my nose, not nasal pillow mask) and I tape my mouth with adhesive medical tape so I don't open it at night.

If someone could offer insight into targeting the specific problems highlighted I would appreciate it. Didn't know about Glasgow Index until doing more research today, but I am hoping it can provide useful insight beyond just AHI.

My AHI is pretty low typically (0.48 AHI for the night pictured), but still I am not feeling fully back to normal after ~6 months with CPAP (diagnosed with mild - moderate sleep apnea at about 10 AHI and worst desaturation was 92% with Lofta home sleep study). I am 22, male, not overweight, and have solid fitness and no known other things which would contribute.

I am curious about how to analyze this graph and also if there is anything else I could glean from OSCAR that could hint at further things (graphs/information to take a look at).

My pressure is currently set at 6.0 - 7.0 with 2.0 of pressure relief, previously had it set at 5.0 - 6.0 and typically had about 0.5 or less AHI with that as well, no difference there. I know it takes time to improve with CPAP but if there are any suggested things to look out for would appreciate advice.

Most of my apneas over time are marked "Clear Airway" by OSCAR but that is always about <= 0.5 and then most nights I would have <= 0.5 between OA and Hypopnea but overall that contributes to less apneas according to OSCAR.

I can provide more info if it would be helpful.