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Straight vs Auto sleep units

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barbz +0 points · over 8 years ago Original Poster

With the new technology, are the straight CPAP/BIPAP still considered better than the auto? I find I can breath more naturally with my auto. I am getting good results also...AHI of .68 to 6.7. My doctor let me order it, but was definitely not happy with my choice.

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DanM +1 point · over 8 years ago Sleep Enthusiast Support Team

Hi @barbz. Auto-titrating (APAP) devices are very commonly prescribed these days in place of traditional fixed-pressure CPAP machines. I'm not sure I would say one is better than the other, APAP machines sense your breathing on a breath-by-breath basis and can adjust the pressure up or down based on whether you are snoring, having respiratory events, etc. As an APAP user myself, I tend to like that my machine will titrate down when I do not need to higher pressures. BIPAP machines are available in fixed pressure and auto-titrating models as well, and BIPAP is used to treat more conditions that just obstructive sleep apnea. It sounds like you are doing well on your APAP unit. Any idea why your physician was not happy with your choice? I would encourage you to share your AHI information with him and see if there are other concerns related specifically to APAP and your diagnosis. Best wishes!

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barbz +0 points · over 8 years ago Original Poster

He still believes in the straight pressure, whether CPAP or BIPAP. Should have stated I am new to BIPAP. Love it as I have weak exhalation. He faxed the order for my BIPAP, but stated he was not happy doing so. I have printed out one week of results that I want to show him...just how my unit delivers just what I need.

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