Treatment options help

Im seeking help on what to try next. Ive seen 4 sleep doctors but nothing works so far. Im diagnosed with moderate sleep apnea (AHI ~15) and my sleep tracker shows interrupted REM sleep. I wake up exhausted. Ive tried CPAP on and off for several months, but even when i can get it to stay on the whole night, a pressure upwards of ~14 still shows hypopneas near REM stages. Anything over that causes me to shallow air. I also use a bite and boil device and this occasionally helps me get more REM sleep. Ive tried weighted blankets and several different types of supplement (latest is lavender WS). I could continue to try more regular CPAP but it feels like its not working. Im at a lost for what to try next and hoping my experience is shared by someone in the group.

Ive cataloged more of my data here if it helps

Thank you

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Hi Travelmail! So sorry to hear about your unresolved trouble! Sleep struggles can feel overwhelming! I am not a Dr, but as a sleep apnea patient I can relate. Something I noticed in my own sleep was that I was not relaxing enough to allow the CPAP and such to do its work. A friend of mine suggested to try CBD oil/gummies. I did not put a lot of hope in them, but it was worth a try if it would help me wake up feeling more rested. Bottom line is, they worked to help me relax and be able to get some restful sleep. I have several other medical issues that have an impact on my sleep, but i am convinced that the CBD gummies were a solution for me to help get my body relaxed so the CPAP could work. GOOD LUCK in your journey to get a restful night sleep.

I totally agree with AliceR’s advice about CBD oil. It certainly helps me! Another avenue that you could follow is to give up trying to micro-manage things. Try to avoid looking at your sleep patterns. You might be extremely intelligent but you cannot be your own doctor. This could be the most difficult thing for you. Certain types of meditation, particularly Tibetan Buddhist traditions, could help you let go of things you can’t control. Good luck!

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I went undiagnosed for years. I developed other health related issues too. Once I got situated my health didn’t feel better over night or even in a week. However, over time I began to realize improvements and now after 3 years my CHF, A-fib and COPD are controlled and I am able to move around which means I can start some exercise trying to address my over weight problem. It’s not a quick fix thing but it does make a difference if you stick to it. Stop and go works against you because any progress you make gets erased. Work with your doctor and give your treatment a fair chance and I think you will have better results.

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Rather than CPAP have you discussed using BIPAP with a sleep specialist?

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Hi Travelmail, I agree with afrontive. Stop and go erases any progress, and so does dare I say, switching doctors, although you may have many reasons for this. My pulmonary/sleep apnea guy considers anything over a 5 AHI not good for me. Not a failure, because success with this therapy is relative for all of us depending on our health overall and other conditions that we may have. I’m 6’ and 190 pounds and walk almost every day for 40 minutes to an hour. My sleep apnea was discovered after I got afib from breathing too shallow at night for many, many years. Seems like my entire adult life I’ve always awakened tired and I could only sleep 4 to 5 hours per night. I I attributed it to my always very stressful jobs in the magazine business.
It took no less than 3 months for me to see progress from using my bipap machine, but now, two years down the road I’m sleeping much better. This morning I got up after 8-1/2 hours of great restorative sleep—straight through. My sleep successes built on one another as I started with four hours straight through then five hours, six hours, etc. I still hate wearing the mask (haven’t really found a great one for me), and the cleaning is endless, as is the ordering of new masks and supplies (the rubber piece around the mask seems to wear out in less than six months). I still have a problem with dry mouth. Overall, it’s a pain in the butt! But the restorative sleep, and the deep breathing I get throughout the night is wonderful. Keeps me breathing beautifully throughout the day. My pressure is 12/8 (unlike the CPAP which is one constant pressure, the BiPAP is two pressures, one inhaling and one exhaling). My advice would be to give it a try for six months or more and see what happens.

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In the beginning I experienced the same problem. Perhaps you need a different fitting mask. Ask your doctor. It worked for me. Dan

Excellent feedback and encouragement by all!! While the chosen sleep therapy is as individual as our fingerprint, the one constant is good restorative sleep is priceless!!! Be safe and sleep well!!