Due to the Philips Respironics Dream Station recall, I have stopped using my CPAP machine until my Air Sense 10 replacement arrives.
When I was diagnosed with sleep apnea (AHI = 16.7) last year I was a perpetual mouth breather due to environmental allergies and nasal congestion.
Over the past year I have retrained myself and revolutionized my life in the following ways:
Now that I no longer use my CPAP machine that got recalled, I have noticed that I am sleeping well and feeling refreshed without it.
Is it possible that I have cured my sleep apnea by retraining my breathing habits?
Is having an additional sleep study performed the only way to confirm this, or could I set my CPAP machine to a really low pressure and see if apnea events remain unremarkable?
Thanks!
Setting your CPAP to the minimum 4 cm pressure will give you some indication of where you stand. But, the real test is a sleep study. The home sleep study should be sufficient.
Awesome thank you very much.
Just out of curiosity, what motivates your attentiveness/activity on this forum?
Your input is invaluable and greatly appreciated.
I myself have realized how underappreciated/underdiagnosed sleep apnea is, and do my best to pay forward all that I have learned to those in my life.
I find that coming here and answering a few questions motivates me to stay up to date in the field of apnea.
Makes sense.
So normally, with a fixed pressure of 9.5, my AHI is 1.0 even.
Last night, I set my fixed pressure to the lowest setting, 4.0, and my AHI came back at 4.4.
So somehow I am still having events in spite of all of the relearning/training I have undergone in terms of my breathing habits/posture.
Isn't <5.0 considered normal according to the literature?
Either way, it's still suboptimal.
Yes, the industry accepted apnea threshold is an AHI of 5. But, most achieve a level well below that. With my most recent settings my average is 0.8, and my wife's is about 0.6.
So if I were to take a sleep study tonight and it came back with an AHI of 4.4, would the accurate/appropriate statements/conclusions be that:
I do not meet the clinical criteria to be diagnosed with sleep apnea.
In spite of my sleep study not supporting an actual diagnosis, I do experience hourly episodes of apnea.
?
There have been a LOT of debates spanning many years about that “AHI of 5” standard for treatment.
It’s a complicated and important issue and I will shortly start a new thread elsewhere on this on that subject. To some extent, it is a matter of what the insurers are willing to reimburse. But there are those who will tell you that a single apnea, if it lasts long enough, can do a lot of damage, especially if you are someone who desaturates badly.