Hope2SleepGuide

Sleep Apnoea Forum Bringing Help + Support to the Patient

I have been on cpap, and now bipap, for  a couple of months now. I have just got the mask that suits me. However I am still having 24, average, apnoeas a night. My ramping starts at 10 and the highest pressure is 20. As this is quite high I am begining to think that I will never get this under control. I'm feeling really low about the whole thing at the moment.

Views: 149

Reply to This

Replies to This Discussion

Number of apnoeas.

Sounds like your CPAP is actually an APAP and it seems your operating band is way too wide. Your ramp start is immaterial - where does it end? Crucially, what is your AHI and even more crucially what is your 90% pressure.

As your machine is set with Pmax = 20, it will go there every time you have a 'significant' apnoea, it is programmed to do so and has nothing whatever to do with the efficacy of your therapy.

Which machine do you have?

Two routes to fix the problem - DIY if you are confident about things mechanical or back to the clinic. If you choose the second option, let's at least arm you with some knowledge of what you want from them - hence my questions.

I am using a resiponics bi-pap auto b-flex.
Are you able to answer the other quetions?
My AHI is 7 days 21.8 and 30 days 21.6.  My 90% is 7 days19.6/17.6 30 days 19.4/17.4. I got these numbers odd my machine. I'm not sure what they mean.

Tigers Fan said:
Are you able to answer the other quetions?
Hello Mary. I am also on a lot of meds. What is your AHI? Thanks for your advice.

Mary Zimlich said:

Carolyn, your AHI is the number of apneas and hypopneas you are having in one hour. It should be under five.  Something is wrong.  If you feel great maybe the machine is overreporting.  I would see the doctor, explain what is going on, and have him/her download and read your data.  Not to scare you, but if the machine data is correct your sleep apnea is not being effectively treated.  You can also call the doc and speak to the nurse and explain the situation.  Please get checked out, though, and for goodness sakes keep us posted.

 

In my own case I cannot get to a normal AHI because of meds I take, but mine is not as high as yours.

Whilst awaiting an appointment with your GP/sleep clinic, have a look at your mask leakage. That high 90% pressure suggests to me that youare experiencing a whole lot of leakage.

But chase a review at yourt sleep clinic urgently - effectively, you are hardly being treated at all!

I think that heavy meds, including morphine and diazepam, are probably causing such a high AHI. I've got an appointment at sleep clinic on 16th Sept, my birthday, what a nice place for a birthday treat. hahahhaahhaha.

Mary Zimlich said:

Carolyn, my AHI is usually in the teens- high to low, it varies.  My average AHI for the week was 16.4 and for the month 19.

I am on some heavy meds and my doc believes that is the cause of the high AHI.

Both Morphine and Diazepam make sleep apnoea worse.  I've done numerous research on this subject for people in the past.  Do a Google search but spell apnoea the US way 'apnea' and you'll find lots of info.  However, people obviously need these medications, but this needs discussing at your next appointment.  Having said this, at least you're on the BiPap as it would be much worse if you weren't.

Carolyn Tipping said:
I think that heavy meds, including morphine and diazepam, are probably causing such a high AHI. I've got an appointment at sleep clinic on 16th Sept, my birthday, what a nice place for a birthday treat. hahahhaahhaha.

Mary Zimlich said:

Carolyn, my AHI is usually in the teens- high to low, it varies.  My average AHI for the week was 16.4 and for the month 19.

I am on some heavy meds and my doc believes that is the cause of the high AHI.

Thanks, everyone, for replies.

Kath Hope said:
Both Morphine and Diazepam make sleep apnoea worse.  I've done numerous research on this subject for people in the past.  Do a Google search but spell apnoea the US way 'apnea' and you'll find lots of info.  However, people obviously need these medications, but this needs discussing at your next appointment.  Having said this, at least you're on the BiPap as it would be much worse if you weren't.

Carolyn Tipping said:
I think that heavy meds, including morphine and diazepam, are probably causing such a high AHI. I've got an appointment at sleep clinic on 16th Sept, my birthday, what a nice place for a birthday treat. hahahhaahhaha.

Mary Zimlich said:

Carolyn, my AHI is usually in the teens- high to low, it varies.  My average AHI for the week was 16.4 and for the month 19.

I am on some heavy meds and my doc believes that is the cause of the high AHI.

Reply to Discussion

RSS

About

Sleep Apnoea Forum

New to the Sleep Apnoea Forum? 

1. Stop by our Sleep Apnoea Welcome Center to introduce yourself to the SleepGuide community.
2. Start a New Topic of Conversation.
3. Post your photos - of yourself, your old CPAP machine, your new CPAP machine, your pet, something about you!

Interested in advertising, have a problem or need to contact us? Click the Report an Issue page.

 

Latest Activity

Jonathan replied to John's discussion Wellu O2 Ring - is it accurate enough for the medics?
"Hi The SleepCube was a private purchase, as way back then my local sleep clinic assessed patients by filming them overnight, whilst wearing an oximeter, and only issued CPAP machines without humidifiers.  There was no remote monitoring and…"
Saturday
John replied to John's discussion Wellu O2 Ring - is it accurate enough for the medics?
"Yeah I was wondering about email address. I thought probably if they wanted me to mail them they would have given out an address. I can imagine heart data is considered more acute than sleep data, so it would make more sense to have that…"
Friday
Jonathan replied to John's discussion Wellu O2 Ring - is it accurate enough for the medics?
"Hi. I didn't use PatientsKnowBest (ironic name), but I have an email address for my heart department for sending in ECGs.  I was just saying that they may be able to review a PDF when then cannot review a data file from your O2 ring. I am…"
Friday
John replied to John's discussion Wellu O2 Ring - is it accurate enough for the medics?
"Hi Jonathan, did you do that through PatientKnowsBest?"
Friday
Jonathan replied to John's discussion Wellu O2 Ring - is it accurate enough for the medics?
"On an unrelated topic, I've been able to send ECGs by PDF to my heart clinic. On the subject of Resmed and apnoeas, take a look at https://youtu.be/ufOOAfyzZso?si=Tpdl4EEiCQBZR4iD&t=276 Your machine may be under-reporting. Good…"
Friday
John posted a discussion

Wellu O2 Ring - is it accurate enough for the medics?

Moving some furniture my long lost O2 ring continuous oxygen saturation monitor turned up. So I've been wearing it and it tells me I have loads of saturation drops during the night even though my Airsense 10 says I have very few apneas.So I get two…See More
Oct 21
Richard Smith replied to Richard Smith's discussion air bubbles after weight loss
"Hi, Just thought I'd give an update.  So, I had my appointment with the NHS sleep clinic which was much quicker than I anticipated and I've now had the overnight sleep study.  My AHI is now 6, down from over 30, so I'm…"
Oct 15
John replied to Sally Gray's discussion Microplastics risks
"Hi Sally from what I read the airsense doesn't suffer the same foam degredation issues as the infamous Phillips machine.I can conceive it's possible that microplastics may be shed from the flexible main tube.What worries me more about the…"
Oct 7
Jonathan replied to Richard Smith's discussion air bubbles after weight loss
"Hi My sleep clinic discharged me, saying they were happy I was self-managing.  Roll on a decade and the cardiologists taking care of me were very unimpressed and I was re-enrolled.  I expect remote monitoring with current generation Resmed…"
Sep 1
Richard Smith replied to Richard Smith's discussion air bubbles after weight loss
"Hi Jonathan, Thanks again for the info.  My cpap *should* be monitored by the NHS though I haven’t had any contact from them since pre-covid.  I checked out the link you gave to access extra data and I think that’s going to be…"
Aug 31
Jonathan replied to Richard Smith's discussion air bubbles after weight loss
"Hi I have the ResMed Airsense 10 Autoset (APAP).  It's monitored remotely by my NHS sleep clinic and I believe they can make changes to the settings.  I don't know whether they are notified if I make changes, nor whether they…"
Aug 31
Richard Smith replied to Richard Smith's discussion air bubbles after weight loss
"Hi Jonathan, Thanks for the reply.  I'd say that I'm fairly technical.  I have the ResMed Airsense 10 Elite machine.  I've discovered that I can upload data wirelessly from my machine and having lowered the pressure by…"
Aug 30
Jonathan replied to Richard Smith's discussion air bubbles after weight loss
"Hi You don't say how technical you are, or what sort of machine you use.  However https://www.sleephq.com/ has software which allows you to upload data from compatible machines, and analyse your sleep "score", including a…"
Aug 29
Richard Smith posted a discussion

air bubbles after weight loss

Hi,I've been on Mounjaro for about 3 months now, not primarily for weight loss, but I have lost weight around my face and neck.  I've noticed that I am increasingly getting air bubbles in my mouth which of course is disturbing my sleep (and my…See More
Aug 28
Sally Gray posted a discussion

Micro plastics risks

I was reading an article in the I newspaper today written by a journalist who had her blood tested for micro plastics and was shocked by the results.…See More
Aug 3
Alison Mitchell is now a member of Hope2SleepGuide
Jul 2
John posted a discussion

job with the charity

Was wondering if there might be a job for me with Hope2Sleep?(I also just asked this of a group by mistake)See More
Jun 27
Tracey Tilley updated their profile
May 22
Sharon Sullivan posted a discussion

For Sale - Ventura Full Total Face CPAP Mask

I’m selling an Ventura Full Total Face CPAP Mask Large and two spare liners.  I bought it new from the Hope2Sleep shop, but it is not suitable for me.  Only used for about two weeks so I have washed it thoroughly.   Because of this, it is very much…See More
May 17
Tracey Tilley replied to Jim Scullion's discussion UK Attendance Allowance
"I put in a claim for PIP which was denied and now I am over 66 and on pension I tried for AA. Denied again.I have other health conditions ( Diverticular disease and Bile Acid Malabsorbtion ) which I consider hard to live with and they refused all of…"
May 14

© 2025   Created by The SleepGuide Crew.   Powered by

Badges  |  Report an Issue  |  Terms of Service