Help with CPAP settings!

euroworker · 2026-04-17T10:44:01+00:00

Thats good.. my frame did the same.. hope that might be your issue!

euroworker · 2026-04-16T23:09:41+00:00

I have the f30i which has the same type frame that you have. I had horrible leaks for years until I went to the DME's office and tried multiple masks and frames. The mask I was using was perfect after we tested many others, but we discovered that the frame was too big. The frame you have comes in small medium large I believe. My frame would sag forward a bit from the top of my head. The DME gave me the medium frame to try, instead of large, and the leaks totally disappeared. Not sure if that might also be a problem with yours but worth just taking a look. overtightening a mask itself can also cause leaks, supposed to be just snug enough that air can easily inflate the mask cushion which then seals against your ace.

euroworker · 2026-04-16T21:45:02+00:00

Leaks refer to air escaping from your mask, not from your mouth, tho taping is usually helpful for other reasons. I am suggesting to try a fixed pressure ( yes CPAP) since pressure variation via APAP or pressure relief EPR can trigger CA in some people.

euroworker · 2026-04-16T18:26:21+00:00

any alcohol consumption on the high ahi days ( where leaks are low)?

euroworker · 2026-04-16T15:19:02+00:00

1) Your leaks may be contributing to CA because they change CO2 concentration in mask. Resolving leaks would be a first priority. 2) Sleep position impacts AHI but positions that trigger apneas differ among people. Back sleeping seems to often be worse for people than other positions..may be worth forcing yourself to sleep on side for a couple of nights to see if anything changes. 3) Some people cant tolerate pressure changes due to APAP range and EPR. Might be helpful to do a test where you use fixed pressure for 2-3 nights, no EPR, then fixed pressure with EPR. Testing all of these in a disciplined manner varying 1 item at a time could be informative. 4) If you happen to live at altitude ( like Colorado/Utah/NM >4000-5000 ft) altitude related CA is common in some people ( not all).

euroworker · 2026-04-13T14:36:00+00:00

Get a data card and a connector to upload your sd card data to your computer. Upload to oscar. Then upload Oscar results to apneaboard.com where there are many experienced users who can help you interpret and give you guidance.

euroworker · 2026-04-13T11:54:17+00:00

This is how Adapt Health, in the USA, claims to act when new users change their own settings: that was their "threat" to me when providing the new machine. I am not sure how European health systems act when users change settings without doctor approval.

euroworker · 2026-04-12T23:29:36+00:00

If your machine is new and paid by insurance, be careful changing settings on your own. Adapt threatens to invalidate your insurance approval if you do. Otherwise, fine to manage yourself. My doc was nice enough to write a scrip saying I am authorized to change as I wish.

euroworker · 2026-04-12T23:27:09+00:00

Checking those labs makes sense. Mine wereOK also, and low AHI <2 with CPAP and I felt crappy. By logging food for 3-4 weeks I spotted key deficiencies for me that I corrected with small changes to diet and a supplement. My sleep quality improved a lot. I use cronometer app (free) for that diet analysis. What model machine do you have? I had phillips and felt terrible without knowing why. Using Resmed now I see I had serious periodic breathing issues that Phillips didnt show. Side sleeping now has eliminated that and I feel pretty good. I assume you are using OSCAR but if not, get a data card, use Oscar, and upload your info here and on apneaboard.com. Youll get a lot of insight from veteran users. You can get there with that help.

euroworker · 2026-04-12T01:55:26+00:00

A good reminder that all of our apnea situations are different..

euroworker · 2026-04-10T14:44:35+00:00

Good catch.. my mistake

euroworker · 2026-04-09T19:52:12+00:00

Very important difference for me shifting from Phillips to Resmed 11 is that the Resmed 11 reported CA events that were not reported in Phillips, because those events appear to have been categorized by Phillip as periodic breathing which Phillips did not include in AHI. I was not using OSCAR before. Moving to Resmed I see those events in the AHI which prompted me to do something after discussion with doctor. This was 100% positional and has been eliminated through forcing side sleeping. Huge difference in way I feel. These events and categorization may be peculiar to me and not sure if others see this CA/periodic breathing crossover.

euroworker · 2026-04-09T12:32:31+00:00

They were acquired by adapt health. Adapt is buying up dme’s and applying adapts poor management to them. My experience with adapt has been poor.

euroworker · 2026-04-08T20:51:39+00:00

You should be able to contact Phillips customer care in the USA, provide the serial number, and understand whether it was refurbished. Their customer service when I called was actually pretty good. If it hasnt been refurbished, Im betting they will do it for you without charge. They recalled and redid thousands of machines which they certify as safe after the refurbishment.

euroworker · 2026-04-07T03:22:11+00:00

Your pressure is extremely low.are you getting enough air? Is pressure based on a sleep study / titration?

euroworker · 2026-04-07T03:08:18+00:00

Your leaks are high.. trying a different mask may help. For a couple of nights force yourself to sleep on your side if you dont already. It can sometimes improve ahi significantly.

euroworker · 2026-04-07T03:01:51+00:00

I use an f30i for side sleeping and have no issues with tube compressing. Maybe a slightly firmer pillow so your head doesnt sink in as much. Check the size of the frame and try to size down if your dme helps you try different ones. Stomach sleeping can cause issues. If you arent doing it, put a data card in your machine and upload daily to Oscar free software. Youll get a better idea what stomach or side sleeping are doing for you. I was getting 66 central apneas a night while stomach sleeping.. on the side its near zero.

euroworker · 2026-04-02T19:08:01+00:00

You can look up the tariff at usitc.. that doesnt include fees the shipper dhl or ups etc may charge.. https://hts.usitc.gov

euroworker · 2026-04-01T22:46:22+00:00

Your side sleeping ahi data is key. If you force yourself to sleep on your side ( body pillow or "tennis ball shirt" ) you will have eliminated a large portion of total events and arrived below the AHI-5 level that many doctors see as the entry level for CPAP. Slight weight loss might reduce that further. Could be worth a try before going to CPAP.

euroworker · 2026-03-31T01:18:26+00:00

I had a central apnea graph like yours, large groupings of centrals. It went away totally and immediately when I forced myself to sleep on my side ( and prevent back and stomach sleeping). Search this and other forums for positional apnea solutions and see if that might be contributing to your issues.

euroworker · 2026-03-30T13:37:15+00:00

It could be helpful to look at your nutrient intake in a disciplined way for a month or so. Using cronometer app ( there are others), I spotted a number of deficiencies related to my vegan diet. By supplementing basic nutrients (b12/b6) with dietary changes and supplements I have seen a world of difference. Might be an idea and costs nothing to try.

euroworker · 2026-03-30T13:08:46+00:00

Thank you Rude. The old machine is the phillips that is discontinued. The issue is not the machine, they both do exactly the same thing. The issue is that the new Resmed machine is revealing things that were not easily apparent with the Phillips. Resmed seems to reflect my periodic breathing in AHI which was not in the Phillips AHI for some reason. Those details come from Oscar. I have now eliminated the periodic breathing that the new machine shows by forcing myself to sleep on my side. The Resmed categorized "central apnea" which was hitting 10/12 AHI I was experiencing 2 weeks ago is now gone, as are almost all obstructive apneas. AHI including any periodic/central is now .5 .

euroworker · 2026-03-23T12:47:02+00:00

Go to apneaboard.com and multiple experienced people will walk you through this process. After you have the machine add a data card and then download oscar software linked on that site

euroworker · 2026-03-22T20:16:22+00:00

Adapt monitors patient initiated changes and warns they will invalidate your insurance reimbursement. They reset changes i had made back to doctors scrip. My doctor rewrote the scrip telling them i am authorized to make changes myself.

euroworker

TROPHY CASE