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Hi Lee and sorry to hear you're still struggling with daytime tiredness It sounds like your treatment is going very well if you've got your apnoeas down to 2 and under, so the next question would be to ask how much sleep you're getting and how long you've been on CPAP for? It does normally take a while until people feel the full benefit of CPAP therapy as there's a lot of sleep debt owed your body.
Another thing to consider is to have blood tests done to check for diabetes, hypothyroidism and anaemia. Bearing in mind how high the link with hypothyroidism and diabetes is, it's beneficial to have this checked every year, which my own GP insists on!
Lee, I agree with Kath, I know you are seeing your GP, but have you been back to your Sleep Specialist to get them to look at your data and possibly investigate any other sleep disorders you may have?
No wonder you're frustrated Lee, if you've had a clean bill of health in other areas. Ask your GP if he's willing to do Vitamin D tests, as a lot of people with sleep apnoea are low in this and it can cause tiredness. Another reason could be what Terry mentioned (any other sleep disorders). I know you mentioned your apnoeas are low now, but do you know this from every night or was this just what your sleep clinic commented on back when you had your CPAP trial? Are you able to check data from your machine to see if this low AHI is happening every night?
Oh Lee, I'm so sorry to hear all of this and can understand how desperate you are - even more so with having a young child to care for. The one thing I'll say is never ever give up 'hope' because there will be an answer to this!
Just one other thought I had is medications which you may be taking for other medical conditions can also cause tiredness, so it's worth checking on these.
Whilst I'm not a medic, it does sound like it's not related to your sleep apnoea and there are over 80 other sleep disorders which could also be playing a part in all this. A lot of the 'sleep clinics' in the UK are actually 'sleep apnoea' clinics, and I'm not sure what yours is, but it would definitely be worth you getting referred to a sleep centre specialising in other sleep disorders who can perform other types of tests, like the MSLT (Multiple Sleep Latency Test). It sounds like your sleep consultant is suspecting narcolepsy and the MSLT is the kind of test needed for this. We do have members in the Facebook Groups with Sleep Apnoea who also have Narcolepsy and Restless Leg Syndrome - both of which cause daytime tiredness. There is a good UK website about narcolepsy on this link, and they also list sleep centres capable of diagnosing and treating this http://www.narcolepsy.org.uk/ The National Sleep Foundation also have a lot of good information http://www.sleepfoundation.org/article/sleep-related-problems/narco...
Regarding your question about DLA, as far as I know sleep apnoea isn't normally a condition justifying this allowance, and that's because when people are on successful therapy they can usually continue to lead a normal life (if this is their only condition). I do know that there was a petition a while ago to try to get narcolepsy included in DLA, but am not sure of the outcome.
I hope this information helps you in seeking an answer to your frustrations, and please keep us informed of your journey and we are here to support you all the way.
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