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As per the title really. 

Sleepyhead and my resmed machine's precis. screen tell me that my AHI has been at or below 1.00 each night for several weeks. I've also been able to sleep through the night with few, if any periods of wakefulness. On occasion, I've felt that I've not woken up at all.

However, recently during the day, I'm as tired as I've ever been. Come 4pm and I'm struggling to stay awake and have to have a nap.

These days of extreme tiredness are the exceptions. But, every day I'm yawning and feeling lethargic from just after I've gotten up. It's just as if I'm not using my machine. 

I have no idea what's going on. Does it take time for the tiredness to dissipate? Or am I expecting too much from the treatment?

I'm really confused.

:(

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Elliott, how long have you been on CPAP? I found that I slowly improved and it took me about a year before I started losing that tired feeling. I was getting it between 1.00pm -3.00pm and used to take a 15 min power nap. I think it's because our bodies are healing and everyone is different, some take longer that others. I also think it depends on how servere your SA is and ho long you have been undiagnosed. The most important thing is how you feel now compared to pre CPAP.

Thanks Terry. I'm only one month into my treatment. I was diagnosed as 'moderate'. Being 52, I've obviously lived with it unknowingly for a long while. 

To be totally honest, even though all of the numbers seem to be excellent, I feel exactly as I did before started treatment. I'm sure that I sleep better. My partner confirms this. But, sitting here right now, I've got that same fuzzy headed feel that I took for normal for all of those years previously.

I feel reassured to hear that in your experience it can take quite a while for really noticeable improvements to become clear. After all, the odds are that I'm to use my machine for the rest of my days. So, I've got time.

Lots of things other than OSA affect our sleep - stress, diet, alcohol, late night eating esp. wrong foods, diabetes, lack of exercise, ...........

If you are getting good numbers and tiredness persists, I'd say time for a trip to your GP and/or sleep clinic. I reckon a month is time enough to have made good any 'sleep deficit' you were carrying - but maybe not.

Thanks, Tigers Fan. I'm visiting my clinic next week to pick up the equipment for my compliance re-test. I shall mention this to them.

It would be worthwhile getting your GP to take some blood tests to rule out any other problems.  An annual check for thyroid and diabetes is recommended for people with sleep apnoea.

Elliott, it's all good advice and you should speak to your clinic and GP, if not already you may need some multivitamins, I take one that we have in Australia which we take at night and as well as giving me more energy during the day it has ingredidents to help me sleep. You said your figure was 52, is that an AHI of 52 which is 52 times per hour or 52 times per night. They make a big difference, if it's 52 times per hour you have servere SA and going down to 1 is fantastic in such a short time. If it is 52 times per night it is moderate or mild and depends on how many hours you sleep, but if it was say 7 hours per night the average would be around 7.5 so coming down to 1 is still good. I still go back to my original point that it does take a long time and everyone is different and really you don't have another other option anyway. Keep at it and keep asking questions on here, your clinic and your GP.

Thanks Terry. I meant that I'm 52 years old. :-)

During my initial test, my AHI was 18. I was told that I have moderate apnea. One thing this has taught me is that I need to see my medical notes.

Elliott, sorry I got confused with your age and AHI, I'm 49 and was diagnosed just last year after having it my whole life. Your correct 18 is moderate, my AHI is 30 but on CPAP it is down to 2-3. Last night was my 25th wedding anniversay and we went out for a nice dinner, last year I could move or get up to take my wife out. I think you will eventually feel the real benefits of the treatment, unfortunately no one knows how long that will take..

Thanks for your encouragement, Terry and Happy Anniversary!

The awake feeling that are beneficial from PAP therapy are related to the amount of sleep debt you have aquired over your life. If you had untreated sleep apnea for more than 10 yrs it could take 3 to 6 months for you to truly feel these benefits. Try sleeping an extra half hour a day to speed up the process.

Thanks for that. Hopefully, as the weeks and months pass, I'll see the benefit. I now know it will take time. That is comforting as I thought I was doing something wrong.

So much to learn. Lot's of time to learn it.

:-)

While I agree it will take time, you should be feeling some noticeable benefit by now. How are your sats?

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