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Two Weeks on Therapy

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SamInLasVegas +0 points · over 2 years ago Original Poster

I was diagnosed with moderate sleep apnea a year and a half ago. I did a sleep study with a take home monitor and it said I was having 6 events per hour. I decided at that time not to go on a machine because it wasn't that bad and even though I would get a little tired here and there throughout the day it wasn't usually stopping me from doing my activities. A little over a month ago, however, things suddenly got really bad. The moment I would start dozing off my throat would close and I would get jolted back awake from snoring or snorting. It was taking me hours to fall asleep and it would be really late at night by the time I did and I was waking up exhausted. After a week of it I went back to the sleep clinic and got the CPAP machine.

I've been using it for two weeks, but I am still feeling like absolute garbage most of the day. I've had a couple of days where I've felt less fatigued and was actually able to hit the gym, but for the most part my physical activity has completely stopped because I have no energy. I have an AirSense 10 AutoSet machine with an AirFit N20 nose mask. The settings are all auto with the pressure starting at 4 when I turn it on and max setting of 20. I am definitely having less events per hour, which I can tell even without looking at the data. The data on myAir shows it's been as low as 1 event on a few nights, never been more than six. All my scores have been between 80 to 100, yet despite all of this I feel terrible. I am still so tired.

I notice I don't sleep through the whole night. I only seem to sleep for about two or three hours and then I wake up. It takes a me a bit to fall back to sleep and I'll do a couple of more hours and wake up again. Sometimes I have to restart the machine to go back to a pressure of 4 because I can't seem to fall back to sleep as easy when the pressure is higher. I usually check the pressure real quick when I do wake up wondering if there was any common pressure setting that maybe was causing me to wake up after a few hours. I've seen as low as 6 and as high as 13, so there is no common denominator. Last night, for the first time (that I'm conscious of anyway), I actually woke up gasping for air, almost like I had stopped breathing altogether.

I'm trying to stay positive because I know it takes time, but my life totally sucks because of this. I've trained in MMA for several years and I haven't been to the gym in over a month ever since this got really bad. I also would go to Orange Theory a few times a week for exercise and I've only made it there twice since this started. I pretty much lay on my couch all evening once I'm done working because I'm too fatigued to do anything. When I do get up I feel lightheaded and dizzy at times. I have no social life anymore. I've barely seen my friends. I was expecting better results than this and I'm becoming frustrated and depressed now

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wiredgeorge +0 points · over 2 years ago Sleep Enthusiast

Perhaps the tiredness during the day isn't all OSA related. Suggest you get with your primary care doc and have a full physical. I am also suspicious that your PAP therapy isn't really optimized; suggest also that you might look into an in-clinic overnight study and then titration study so you can be more sure your PAP therapy is prescribed as well as it can.

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