Sleeping with CPAP blog post
Hi,This post is about sleep apnea and blood sugars. Thanks for reading.http://sleepingwithcpap.blogspot.com/See More
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ZolliStar replied to ZolliStar's discussion What's the Right Machine?"Thanks for this, Mary.
Worse comes to worse, I'll buy a used machine from Second Wind. First I'm going to see if I can get my doctor to prescribe one.
Maybe this is the final answer. Meanwhile, I'm surely happy to have…"
Mary Z replied to ZolliStar's discussion What's the Right Machine?"Zollistar, I think the ASV is hands down the best machine. It took me four years to get hooked up. Because of lingering depression and continued day time sleepiness with a high AHI my doctor suggested a night in the lab with an…"
ZolliStar replied to ZolliStar's discussion What's the Right Machine?"May I ask two dumb-dumb questions? What do "Dx" and "CSA" mean?
And here is a not-so-dumb-dumb question (I hope!): From your experience, do people sleep better using an ASV machine?
I look forward to your answer.
"
RockRpsgt replied to ZolliStar's discussion What's the Right Machine?"You will most likely not be able to get insurance approval for an ASV without a Dx of CSA. I think that saying that an ASV breathes with you is false. ASV does however provide a better breath support and algorithm for auto use. The newer ASV units…"
Mary Z replied to ZolliStar's discussion Beating Sleep Maintenance Insomnia"Zollistar, what a good idea! The music is nice and relaxing on some of them."
ZolliStar replied to ZolliStar's discussion What's the Right Machine?"Thanks for this information Lisa. It really helps.
Anyone else?
"
Lisa replied to ZolliStar's discussion What's the Right Machine?"Hi Zollistar, I much prefer using an Apap to a straight Cpap. I changed over a few years ago and found straight away that I had much less of a problem with leaks. Another thing that I have noticed is I used to have ongoing problems with my nose…"
Terry Vella replied to ZolliStar's discussion What's the Right Machine?"He's still going, a bit of a pain sometimes but that's life, thanks for asking."
ZolliStar replied to ZolliStar's discussion What's the Right Machine?"This helps a lot, Terry! Thanks for letting me know.
How is your dog??
"
Terry Vella replied to ZolliStar's discussion What's the Right Machine?"ZolliStar, I went straight to an auto so can't really compare but from what I have heard there are two major benefits, first, the comfort factor of not having the high pressure all night and second, it adjusts to what you require, so if you use…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"Ginny, they are probably not doing anything against the law- though it may seem like fraud to us it may be an accepted practice. I would rather change DME's. Have you talked to the manager. They don't want to lose your…"
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"It really burns me up that they are doing things like this. Monday I am going to lok up th eMedicare complaint number and give them an ear full.
"
RockRpsgt replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"Companies like this will have to pay in the end. Medicare is taking no prisoners in their effort to reform medicare fraud."
RockRpsgt replied to Mary Z's discussion Symptoms"I had zero symptoms. I was testing equipment one night and fell asleep hooked up. When I woke up my doc said I had an AHI of 10 with 30 second events. I have been on PAP ever since."
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I just use a large rubber band and safety pin to attach i tho the sheet. It doesn't exactly kink, but rather seems to have almost bends that don't quite ever go away. I have one that doesn't but all the others seem to.…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"My light weight tubing does not have a tendency to kink. It just hangs down from the stand and comes back up to the bed. I tried a hose hanger, but bought the cheaper travel model and it just wasn't up to the task."
Ginny Edmundson replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"I was really surprised when the congestion improved without the humidification. Yes, I use the lighter weight tubing too. Do you have trouble getting the bends and kinks out of them???? I have one favorite that is broken in and I hate…"
Mary Z replied to Ginny Edmundson's discussion New "Rant" about DME/Wisp"The reasoning behind changing the tubing is that it may develop small holes or tears which causing leakage. I am careful with my tubing and don't have any animals or children playing with the tubing. I don't feel like they have…"
CPAP Compliance Better When Titrations Include Sedatives
If you are administered sedatives during your titration sleep study, you have a better shot at long-term compliance after the study, a new study shows... thought this was of interest:
by David Douglas
Last Updated: 2009-11-16 16:34:05 -0400 (Reuters Health)
NEW YORK (Reuters Health) - Giving sedatives during continuous positive airway pressure (CPAP) titration will improve patients' subsequent compliance, researchers report in the November issue of Chest.
"Obstructive sleep apnea is becoming increasingly prevalent," lead investigator Dr. Christopher J. Lettieri told Reuters Health. "CPAP remains the treatment of choice for most patients. Unfortunately many people are intolerant of CPAP initially because they find it uncomfortable or because they have a difficult time falling asleep with it on."
"Once they become accustomed to CPAP," he added, "their adherence is typically very good. However, many people discontinue the use of CPAP early on and never get to this point."
Dr. Lettieri and his colleagues at Walter Reed Army Medical Center, Washington DC randomized 117 patients to receive a 2-week course of 3 mg of eszopiclone or placebo during CPAP titration. Ninety-eight patients completed the study.
Eszopiclone produced significant improvements in mean sleep efficiency, total sleep time and the number of residual obstructive events seen at the final CPAP titration, compared to placebo.
Over the first 4 to 6 weeks, the active-treatment group showed significantly better compliance. They used CPAP on a higher percentage of nights (75.9% versus 60.1%) and for more hours per night (4.8 versus 3.9 hours).
Intent-to-treat analysis, which assumed that subjects who did not return for follow-up did not use CPAP at all, still showed a tendency toward greater compliance in the premedication group.
"Not only did they use it more, but less of them discontinued CPAP," Dr. Lettieri said.
"Given the prevalence of sleep apnea and the common difficulties patients have with CPAP, this and other interventions aimed at improving the initial experience with CPAP may help improve adherence," he concluded.
Chest 2009;136:1263-1268.
http://www.rtmagazine.com/reuters_article.asp?id=20091116clin014.html
Copyright Reuters 2009.
by David Douglas
Last Updated: 2009-11-16 16:34:05 -0400 (Reuters Health)
NEW YORK (Reuters Health) - Giving sedatives during continuous positive airway pressure (CPAP) titration will improve patients' subsequent compliance, researchers report in the November issue of Chest.
"Obstructive sleep apnea is becoming increasingly prevalent," lead investigator Dr. Christopher J. Lettieri told Reuters Health. "CPAP remains the treatment of choice for most patients. Unfortunately many people are intolerant of CPAP initially because they find it uncomfortable or because they have a difficult time falling asleep with it on."
"Once they become accustomed to CPAP," he added, "their adherence is typically very good. However, many people discontinue the use of CPAP early on and never get to this point."
Dr. Lettieri and his colleagues at Walter Reed Army Medical Center, Washington DC randomized 117 patients to receive a 2-week course of 3 mg of eszopiclone or placebo during CPAP titration. Ninety-eight patients completed the study.
Eszopiclone produced significant improvements in mean sleep efficiency, total sleep time and the number of residual obstructive events seen at the final CPAP titration, compared to placebo.
Over the first 4 to 6 weeks, the active-treatment group showed significantly better compliance. They used CPAP on a higher percentage of nights (75.9% versus 60.1%) and for more hours per night (4.8 versus 3.9 hours).
Intent-to-treat analysis, which assumed that subjects who did not return for follow-up did not use CPAP at all, still showed a tendency toward greater compliance in the premedication group.
"Not only did they use it more, but less of them discontinued CPAP," Dr. Lettieri said.
"Given the prevalence of sleep apnea and the common difficulties patients have with CPAP, this and other interventions aimed at improving the initial experience with CPAP may help improve adherence," he concluded.
Chest 2009;136:1263-1268.
http://www.rtmagazine.com/reuters_article.asp?id=20091116clin014.html
Copyright Reuters 2009.
Tags: compliance, sedatives, subsequent, titration
Views: 0
Replies to This Discussion
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Permalink Reply by Judy on -
What I have trouble understanding is why in this day and age w/computers in so many homes and computer use required on so many jobs and therefore so many computer literate people in this country rather than getting anxious and in a twit when a sleep study is suggested or they have completed their sleep evaluation PSG and are awaiting their titration PSG WHY they don't get on the computer and look up OSA and polysomnography and end up in these forums and relieve so much of their anxiety.
My husband is one of "those" people who just does what the doctor says and doesn't question anything and drives me up a wall!!! I do NOT understand people so willnig and content to be so darn IGNORANT of their health condtions and treatment!!!!! My husband has a saying about some people: "He may not be dumb, but he sure is STUIPD!" meaning the person is educated, normal intelligence, etc., etc. but doesn't use his smarts and makes absolutely asinine decisions and mistakes. My husband is NOT dumb - but - when it comes to his medical care he is absolutely STUPID!!!!
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Permalink Reply by RockRpsgt on -
This point may be supported
by research demonstrating that an increase in sleep efficiency
(SE) during CPAP titration compared to the diagnostic night
was found to be the only significant predictor of objectively
measured CPAP adherence after controlling for indices of OSA
severity and sleep quality during the diagnostic night. Specifically,
patients who had their SE increase used their machines an
average of 2 hours more per night than those who did not have
their SE increase.
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Permalink Reply by sleepycarol on -
I totally agree Judy.
I know there are several others that have sleep apnea where I teach. I have learned not to discuss it with them cause NOT one can tell you which machine they use, what their pressure is, etc. let alone monitor their therapy. It drives me nuts. How can they not care?
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