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Prior to starting on CPAP therapy I would wake up as many as 5 or 6 times a night to urinate and sometimes had great difficulty getting back to sleep. Thanks to this forum and other research, I understand the relationship between untreated sleep apnea and frequent nocturnal urination. I started on therapy about three weeks ago and on my bipap auto, am down to 3 AHI or less, from a sleep test of 73 AHI.

However, I am still waking up 2-3 times a night, and for the last two nights I know that it took way more than an hour to fall back asleep one of those times. (the other times I was able to get back to sleep in probably 15-20 minutes).

I'm pretty comfortable with my Swift for Her nasal pillows and the pressure etc. so I am not suspecting that is waking me up. Although I didn't have the full test for diabetes, the blood/urine tests I did have did not indicate further investigation warranted in that area.

Prior to starting CPAP therapy, my sleep hygiene was pretty bad. Someone once said that "sleeping with me was like sleeping in the middle of a disco"...lights on, tv on etc. I've cleaned up my sleep hygiene since starting on therapy...darkened silent room, tv off, computer off etc. No caffeine past 11 am ish, infrequently drink alcohol in the evenings (just socially and only once in the last week). Am starting to eat lighter meals and earlier in the evening...though not perfect on this point vastly improving. I work out at least 5 times a week, always in the morning or very early afternoon. I do have two medium sized dogs and I know that I would be better off with them out of my room...but they are generally pretty quiet and still.

Anyway, as a result of all of this wakefulness in the middle of the night, I still wake up tired and am yawning throughout the day.

Any suggestions for what might be going on-- where to look or research? What to try next?

Thanks all,
Jan

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Jan I think you should just keep doing what you are doing. The progress that you are making is astounding. Your body is slowly unlearning bad habits. You slept bad for years. Going from an AHI of 73 with 5-6 wake ups, and bad sleep hygeine to where you are now has put your body into a little bit of a shock. Your subconscious mind is having trouble letting down it's guard. On top of that now you are sleeping with a mask strapped to your face. Give the adjustment a little more time. You are so close!
should you do take a diabeties test there is a small window for the test

make sure that the test is taken after 12 but before 16 hours is up before food and after food there is a 4 hour window unless you are told otherwise

also do not take vitamine c as it alter the result or if you do take vitamine c tell them
See Jan? Right here is the essential Rock--as kind and caring as can be........

Rock Hinkle said:
Jan I think you should just keep doing what you are doing. The progress that you are making is astounding. Your body is slowly unlearning bad habits. You slept bad for years. Going from an AHI of 73 with 5-6 wake ups, and bad sleep hygeine to where you are now has put your body into a little bit of a shock. Your subconscious mind is having trouble letting down it's guard. On top of that now you are sleeping with a mask strapped to your face. Give the adjustment a little more time. You are so close!
Yes-- I can see that. Rock you are very sweet. (and not a misanthrope by any stretch of the imagination)! Thanks for the encouragement. I think I'm having a difficult day-- tired, grouchy, teary, yucky...and all the extra encouragement and support I am getting on here is really helpful.

susan mccord said:
See Jan? Right here is the essential Rock--as kind and caring as can be........

Rock Hinkle said:
Jan I think you should just keep doing what you are doing. The progress that you are making is astounding. Your body is slowly unlearning bad habits. You slept bad for years. Going from an AHI of 73 with 5-6 wake ups, and bad sleep hygeine to where you are now has put your body into a little bit of a shock. Your subconscious mind is having trouble letting down it's guard. On top of that now you are sleeping with a mask strapped to your face. Give the adjustment a little more time. You are so close!
Now that your sleep is better you are gonna have bad days. Just like you had good days when your sleep was bad. Baby steps the small things have to be your rewards until you get to 100% compliance. It will come.

Jan said:
Yes-- I can see that. Rock you are very sweet. (and not a misanthrope by any stretch of the imagination)! Thanks for the encouragement. I think I'm having a difficult day-- tired, grouchy, teary, yucky...and all the extra encouragement and support I am getting on here is really helpful.

susan mccord said:
See Jan? Right here is the essential Rock--as kind and caring as can be........

Rock Hinkle said:
Jan I think you should just keep doing what you are doing. The progress that you are making is astounding. Your body is slowly unlearning bad habits. You slept bad for years. Going from an AHI of 73 with 5-6 wake ups, and bad sleep hygeine to where you are now has put your body into a little bit of a shock. Your subconscious mind is having trouble letting down it's guard. On top of that now you are sleeping with a mask strapped to your face. Give the adjustment a little more time. You are so close!
Hey you guys--Rock said "baby steps" to me back when I was still so exhausted I couldn't even take a walk. His saying that turned the whole thing around for me. He's totally right about that, AND about the up and down days. I've just learned to give in to the crappy days and be quiet and gentle with myself. I figure, on those day, my body's saying "Stop".....I'm trying to listen carefully......

Rock Hinkle said:
Now that your sleep is better you are gonna have bad days. Just like you had good days when your sleep was bad. Baby steps the small things have to be your rewards until you get to 100% compliance. It will come.

Jan said:
Yes-- I can see that. Rock you are very sweet. (and not a misanthrope by any stretch of the imagination)! Thanks for the encouragement. I think I'm having a difficult day-- tired, grouchy, teary, yucky...and all the extra encouragement and support I am getting on here is really helpful.

susan mccord said:
See Jan? Right here is the essential Rock--as kind and caring as can be........

Rock Hinkle said:
Jan I think you should just keep doing what you are doing. The progress that you are making is astounding. Your body is slowly unlearning bad habits. You slept bad for years. Going from an AHI of 73 with 5-6 wake ups, and bad sleep hygeine to where you are now has put your body into a little bit of a shock. Your subconscious mind is having trouble letting down it's guard. On top of that now you are sleeping with a mask strapped to your face. Give the adjustment a little more time. You are so close!
Hi Jan,

I was so concerned with the time, when I'd wake in the middle of the night, that I now turn the clock off at night. I used to wake, look at the clock, and if it was, say, after 4, I wouldn't be able to sleep. Or I'd keep checking the time, and finding that only a few minutes had passed.

I've also learned deep breathing and relaxation therapy. I have a tape of breathing exercises and relaxation (now on my iPod) that runs about 15 minutes, and if I do that I'm asleep before it's done.

I also have a book by my bed, with a dim book light. If I awake at night, and stay awake more than a few minutes, I'll read. I've gotten that down to where I'm asleep after 6 or 8 minutes of reading.

I need lots of tricks to sleep properly!
Thanks-- these are all good tips and I will try them...especially the music. Thanks for posting these.

Jan
Hey Rock ~ How kind and gentle ~ you are nothin' but a big teddybear ! Renee

Rock Hinkle said:
Now that your sleep is better you are gonna have bad days. Just like you had good days when your sleep was bad. Baby steps the small things have to be your rewards until you get to 100% compliance. It will come.

Jan said:
Yes-- I can see that. Rock you are very sweet. (and not a misanthrope by any stretch of the imagination)! Thanks for the encouragement. I think I'm having a difficult day-- tired, grouchy, teary, yucky...and all the extra encouragement and support I am getting on here is really helpful.

susan mccord said:
See Jan? Right here is the essential Rock--as kind and caring as can be........

Rock Hinkle said:
Jan I think you should just keep doing what you are doing. The progress that you are making is astounding. Your body is slowly unlearning bad habits. You slept bad for years. Going from an AHI of 73 with 5-6 wake ups, and bad sleep hygeine to where you are now has put your body into a little bit of a shock. Your subconscious mind is having trouble letting down it's guard. On top of that now you are sleeping with a mask strapped to your face. Give the adjustment a little more time. You are so close!

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