Download our new SleepHQ iOS app for iPhone and iPad - Download our brand-new SleepHQ iOS app! sleephq.com is available for ResMed & Philips Respironics CPAP users. Free to use, it's super easy to upload, review and share your cpap therapy data charts. We're adding new CPAP machines to the platform every month, so join our mailing list, and we will let you know when your CPAP is compatible cpap.review/sleephq-newsletter I'm currently beta testing a new RemSleep 02 Ring app that will enable SleepHQ members to automatically upload their 02 Ring data. The testing is going extremely well and I anticipate this will be available for download August/Sept 2022. If you would like to order a SleepHQ O2ring - cpap.review/sleephq-o2ring International DHL Express shipping available for $30 - 5 Days Express Free Shipping Australia Wide
Thank you so much for your brilliant explanation, I surely understood why I feel so dizzy sometimes when I wake up and yet app is awesome, I just past another sleep test at home(with oxymeter machine) and I am quite sure about what the results will be... I think I will have to readjust the pressure
I have fell out with my sleep nurses. I was having 25 per hours they said that was normal. Without machine it is 60 per hours. Was stable when I learnt to do the setting but now 15 to 30 plus. Dont know whats going on so tired at wits end! What is the oxygen sensor how much. See one as a watch worn on wrist (with app) on Amazon £100 and the ring one with a wrist box for £160. Which do you use
I am just seeing this video and know its been 4 months or so, but I am new CPAP user. I am in the US and am wondering if the Wellue O2 ring and app are compatible with sleephq? Thank you in advance for your help
Hi Nick I was just recommended your channel today after asking a question on flow limitations. Never heard of it before but I’ve just used Oscar to read my data on my F&P machine and I’m having FL of over 200 closer to 250 or more every night. Is this something I need to be concerned about? I’m waking up exhausted and my recent sleep study said that my AHI has increased to 23 more during REM and oxygen levels go down to 70s. But looking at the Oscar data other then the FL everything else looks good. Hope you answer 🙏🏼 Glad I was able to find your channel. So much useful info and I’m definitely following 😊
Thanks so much Nicko. ResMed should hire you as a consultant to overhaul their practice. This is insane that a user of CPAP is having to change the model from the ground up. Maybe you should design a CPAP/APAP/BiPAP/ASV all-in-one and blow ResMed out of the water.
I bought a Resvent machine from China with an Auto F feature (monitors breathing rate and tidal volume). Very helpful for me and my AHI was at 0, still felt crappy. I'm sure there are other great machines out there.
I've just hit my five year mark for my AirSense 10 and found your channel while researching the AirSense 11. I spoke with my sleep doctor today and mentioned that I'm not feeling that great and I couldn't understand why because the MyAir app shows that I'm consistently hitting 100. After watching your videos, I'm now inclined to review my own data and see what is going on. Thank you so much for taking the time to make these videos. Looking forward to analyzing my data on Sleep HQ!
Hi, I saw Nick’s review of the AirSense 11 after I had already ordered the machine from USA to Australia. I was worried that I had made a huge mistake. However I have found the AirSense 11 to be fantastic. It’s quieter than my old AirSense 10. I haven’t had any problems with the water chamber. Good luck to you.
@@harpreet8963 Hi mate, I bought my AirSense 11 for AU$1307 from CPAP Specials. They’re based in Las Vegas. I received my machine about 7-10 days after ordering it. I had to pay about AU$220 import tax as it was over AU$1000. You can’t use MyAir with it in Australia but I didn’t care. Very happy with CPAP Specials and the machine. Cheers and good luck.
I started monitoring my blood 02 prior to using the cpap. The 0x ring was how I figured out I had sleep apnea. So I have been confused about the AHI and why it would be important to monitor if my 02 sats are dramatically improved. I went from continuously dropping into the 80'-70's to maintaining even between 95-97 all night. HR dropped as well. It is a great tool. My AHI is always between 2-4. I put the ring on my cousin the other night. She has been on cpap for 5 years. Her 02 sats were horrible! So now she has that info and can go back to the doctor for a increasing her pressure. Thanks for bringing this to light for clarification! I also find the need to monitor times I took the mask off very irritating...of course need to go to the bathroom and/or let a cat out or whatever...geez....
I can relate to this 100%. I used to go to my sleep doctor and he would say I was doing a great job with using the cpap. I would tell him I was still tired and didn’t feel rested. He would pretend like everything was ok.
Great feedack and video. I am 65 years old, and I am now using the O2 ring and on a CPAP with oxygen, I am NO longer tired but totally pumped all day long. My thought processes have improved considerably. My AHI was very low, but my O2 was dropping to 87-78%. Last night, my average O2 was 97%. This technology is a game changer supporting excellent health and vitality. I used the O2 ring data files to convince my doctor that I needed O2.
My AHI is low too, but my sats still drop on Cpap. I had a 73% recently and the last week has been 81-85%. I just started back on Cpap about 1 month ago. Did the doctor explain why you still had low sats? I can't get an appointment to see my doc till July!!
Gotta get an O2 ring. Information on the meaning of flow limit data is pretty lacking I had to dive down the scientific literature rabbit hole to get an understanding of why it was important and this video just confirmed my understanding in a much more simple and straightforward manner so thank you. Can the sleep hq FAQ be updated to include an overview of what flow limits are with an embedded RUclips link to this video?
G'day bro, i think it's not talked about much because people (including doctors) don't really understand it. Regarding the SleepHQ FAQ stuff, we're launching a complete forum soon which will have 100x more info. Cheers
nah you won't need a magic uploader for O2 ring integration mate. You will just need to download the iphone app we're making which should be available soon. Cheers
Hey Nicko, that was a very good presentation and explanation so thanks for that. I came to the same conclusion myself about a year ago that AHI and in particular myAir was quite meaningless and stopped monitoring those. Instead I got the O2 ring and nightly monitor my pO2 levels which I figured is what my body is actually experiencing. This data also impressed my Cardiologist who was enthusiastic in his support.
Hey mate, thanks for the kind words. Sounds to me like you're ahead of the game! Congrats . There's plenty more cool stuff we can do with the ring. Check this out - sleepimage.com/
Thanks for this informative video! You give so much more info than my doc. I have the ring - it’s great but I didn’t know getting into the “green zone” on the graph is the goal. This might explain why I’m still tired! You are a star!
CPAP therapy can be summarized in a nut shell for optimal results: 1.) Get a nasal mask. Might have to try several before finding your personal favorite. Everyone's face shape is different. 2.) Get some mouth tape from Hostage Tape and tape your mouth while you sleep. Don't ask questions, just do it. 3.) Climateline. My sweet spot is level 4 @ 27 deg C. and finally 4) Start low and keep increasing every night until you finally feel good. AHI, flow rate, O2 levels....at the end of the day the only solution to your problems is to increase the pressure. If you don't have the time to track or dig deep into your data, increase by 0.2 every night. You'll just know you found your sweet spot, trust me. Forgot 5.) Less is more. When you found your sweet spot, stay there. Don't increase the pressure more. Forgot 6.) DONT USE EPR. The pressure fluctuations mess things up regardless which machine you have
This is useful content. I have never had an AHI above 2 in my life (I'm more of the upper airway resistance patient) but believe me you can still feel super crappy with an AHI of 0
Hi Lisa, he knew he need to increase his pressure because of his low blood oxygen levels. Knowing how much to increase just comes down to trial and error. Most people will just go up by .5cm every couple of days. Some people like to do a big jump in the beginning just to see if indeed it improves 02 levels etc. Cheers
@@CPAPReviews is this still relevant if you use an auto set machine? As you would expect the machine to adjust the pressure automatically? Your thoughts?
I bought that O2 ring to find out if I should schedule an appointment with a sleep specialist. I spend hours sub 90% every night. I compared the results with my at home sleep study and they were basically the same. The differences in the data were so small that I am loving this ring. I am getting my CPAP on Wednesday. I can't wait to see what happens. I've had no energy my entire life and I have been successful in anything I set my mind to in spite of that, until I reach something I call "Burnout". If this can cure my chronic fatigue, depression, and anxiety I will be an unstoppable force on this world. I pray to Jesus this works. I will do everything I can to make this work. This is the first time I have felt real excitement about anything since I was a small boy. The possibility I might be able to live life like a normal person without medication actually has me feeling something. I have been emotionally dead since I was a child. Probably puberty. I don't remember most of my life. That could be as a result of this sleep issue too.
Reading your comment made me cry. I’m bedridden with severe sleep apnea for 25+ years. Have never been able to fall asleep with pap therapy. But reading your comment made me have a little hope. I wanna buy a o2 ring and if my blood oxigen levels go down I’ll try pap once more.
Greetings from the US of A....I really like these videos. I have had to become my own Dr. when it comes to a lot of these things. So...started using mouth tape with the help of nasal tape to open the sinuses. currently using a face mask with the nasal pillows (the kind with a slit and not the nubby things that go into the nose). this seems to have helped dramatically. AHI numbers dropped to below 2 and I am sleeping through the night...despite some bizarre dreams. Never considered blood oxygen levels. I still feel sleepy when i wake up...naturally and no alarm. I am considering one of these O2 rings and see what's really gong on. I have not uploaded my data to your site yet but will do. Thanks gain. Cheers!
WOW! you just described my situation to a T! I wondered what those sawed off looking flow rate graphs of mine meant. My AHI is below 5. Titration study in April, the Doc said CPAP of 5. I thought that was OK. I have been using the other Wellue pulse oximeter (the SleepU), which can be imported into to OSCAR and my O2 graphing is similar to you the one you shared. But I still feel kinda tired. I'll experiment with edging the pressure up and see what that brings. Thanks a MILLION, Nick!
As always, a brilliant video that explains a critical aspect of measuring treatment more effectively and something most of us haven't given any thought to. I am better educated for the time and effort you've put into preparing and delivering an easily understood explanation of blood oxygen levels. Thanks for posting!!
Looking forward to integrating this data! I have a feeling that my O2 sats are dropping as all my other numbers appear good but I still feel tired. Awesome work uncle nicko!
Thanks brother, we've got so much great stuff planned! Before the end of the year we should have sleephq integrated with apple/google health so you'll be able to bring lots of great health data into the platform. Cheers
Very Interesting. I'd love to check my O2 stats to verify that my CPAP setting are correct. $250 shipped (USA) for the O2 ring is too steep for me at the moment. I hope in the future that insurance will either cover such a device or that the cost of the device becomes cheaper. I might have to try and make my own from one of the cheap chinese bluetooth pulse oximeters and a bluetooth arduino module. I've seen a couple such projects. I'd just be interested in using the device for a couple nights. You would think that CPAP therapy would include a trial period where they let you use a pulse oximeter to verify that your therapy settings are correct.
Great video and insight to new perspective, for me atleast. I don't have O2 ring but I checked my sleephq data for last 1 year almost and flow limit is 99% under 0.5, this is perfect I guess, but the question is, I still get up not refreshed and mostly tired during the day. Should I get a O2 ring? OR its not required in my case since my flow limit is all good.
I have the O2 ring and love it. My problem is neither my cardiologist or pulmonologist will even look at the printouts I try to show them. Do you have any source to site about its accuracy? On my next doctor visit I plan to wear my O2 ring when they use the office oximeter to see how they compare.
Hi, i've had experience with LOTS of Oximeters over the years. Certainly the best place to take an 02 reading is at the fingertip however they're not enjoyable to wear over long periods of time. The 02 rings are the next best option and they're very comfortable to wear so you can get a really good sample of data over many nights. Cheers
@@CPAPReviews I think the finger tip one would work for me if it connected wirelessly to the recorder. I think the wire would bother more than having my finger pinched. Do they work as well on a toe? I saw a video where one was used like that.
My Garmin watch picked up my O 2 rather than the sleep center routinely ever checking oxygenation over the 3 years of therapy I’ve had. Mid 80’s for years and I’m not happy to learn this. Why is overnight oximetry not standard in the first few weeks of therapy as well as at least twice a year. I complained of not feeling rested and still nothing. Only paying attention to AHI is not good practice!
I really appreciate these videos. I still don't understand most of it, but each video gives me a little more information that starts to sink in to this 69 year old head. I have tried quite a few different headgear and mask since the end of Feb. and think I finally found the right one. Some days I'm more tired than others. I have signed up for Sleep HQ and have uploaded my info. I am still trying to understand it all, little by little it will start making more sense to me. Thank you for all the information you are sharing with us.
This is exactly what i like to read mate. I'm sure it's complex for most but let it wash over you and eventually the lessons will be learned! Best wishes. Nicko
G'day Nicko and greetings from Brisbane I'm now also a member of the (I guess mostly) older men & CPAP club, have been following your channel and have to say you're really doing a great job, very helpful. I'm still struggling with getting everything right in regards to my APAP stuff. My chin strap (which I need as I'm a mouth breather) keeps falling off during the night, my nasal pillow type mask does the same and so I wake up many times every night, afraid of a very uncomfy looking full face mask :-( Do you have any tip for good chin straps? Also tried a neopren type --> was itching like hell when the beard was growing and also stretched - so was quite useless...
I went through similar trials when I was on CPAP. I was a side sleeper and started with a nasal pillow. I had to learn to sleep on my back to use the therapy. I tried specially shaped and all kinds of other stuff, but each time I tried, either the pillow would move and leak badly, or the mask would get very noisy because one of the side tubes would have to pass the entire volume of air needed. Then I started opening my mouth when sleeping. I tried using several chin straps and dental guards. Even if they kept my moutn closed. I never got satisfactory results. I decided to try a full face mask and I wish I had done that sooner. I now eleep exclusively on my side. A full face mask works much better for this. I can no longer sleep on my back, as I would have to use a chin strap and dental guard. That is just too much effort when I can simply sleep on my side. In my opinion, chin straps work only for some people and are too much extra work. The full face mask is just as comfortable for me as the nasal pillow was and made getting to bed a simpler process. Best of luck.
I've been thinking about this same thing over the last week or so. I even told my girlfriend we should each get an oxygen monitor to track our sleep levels. I use bipap, but she's never had a sleep study done. I was thinking it could be an easy, inexpensive way to see how well we are breathing at night. It's nice to have my suspicions confirmed, and even better to know if can improve me sleep therapy as well. Thanks!
I've had an AHI as low as 0.12 this week at a range of 8-10cm and guess what, I'm still tired. AHI would appear to be useless. O2 "ringing-it" to see where I go from here.
I been getting "good results" under 6, but still feeling tired. Not as tired as tired as I used to be, it used to be easy to doze off whilst waiting at the traffic lights. I don't doze off any more, just feel a bit tired. This oxygen level sounds interesting, and when you think about it, it makes sense. Thanks for the update and looking forward to seeing this integrated onto SleepHQ.
Hi John, we all feel tired from time to time but if you're struggling to get to 5pm without needing a lie down or like you said 'dozing off at the traffic lights' then thats a red flag! Especially if you're using cpap and getting a 'normal' amount of sleep each night. Cheers mate. Nicko
While addressing cpap settings don't forget to address environmental factors. Clean filters, tubes, humidifier. A then check out the dust road your machine and in your bedroom. Vacuum floors, wash curtains, bedding, pillows etc. We always assume we've done these things. Yet just as often we think we have but haven't! Are your pets hanging out in your bedroom? Shut them out day and night! Are you eating things you're only mildly allergic too? How's your diet? If your not eating enough fruits and veg your not going to eat getting enough vitamins c a natural antihistamine and anti inflamatory. Tea coffee tea is especially good for asthma coffee as an emergency treatment for a full blown asthma attack while gettingto the hospital... Anyway remember the basics as I have revised myself recently
Just trying to start the sleep HQ app. Do t have data yet as I just put an so card in the 11. Curious tho what is a magic uploader ? Also what is the best o2 ring option. I don’t think my sleep therapy doctor is really too concerned with my progress so it’s time to look out for my self 🙂
Hey brother, when you put the SD card into the machine it will automatically copy some summary data across but it will only record DETAILED data (like the flow rate etc) if the SD card is in the cpap whilst you are using it. The Magic Uploader is a device we created that automatically sends the SD card data to SleepHQ via home wifi (so you don't need to take the SD card out of your device and do uploads manually). It should be available soon for purchase. Cheers mate. Nicko
Can the latest Apple Watch (which I'm considering for various reasons) be used to track oxygen levels during sleep? i.e., can it be used in similar fashion to the ring?
Hi Barry, it can but it has a really low sampling rate otherwise it drains the battery quickly. In the coming years i think we will see Apple introduce 02 functionality at a fast sample rate. Cheers
I'm new to the channel and truly appreciate the information you provide! My question has to do with HR. Last night I had 0 drops, 96% avg. O2, lowest O2 level 92%. All great! But my HR always averages 50bpm, good or bad sleep. I set my alarm to go off if it drops below 45bpm. Last night it went off 14 times because of low HR. I'm curious if this considered normal? Do others have similar results without issues? Any insight would be greatly appreciated. Also not sure if Sleep HQ supports Resvent iBreeze 20A.
Hi Ruben, welcome to the channel mate. I have to be honest here, i don't have a lot of experience in the field of cardiology. Over the last three nights my resting heart rate has averaged 52, 49, 53. I believe 'normal' resting heart rate is anywhere from 40-100bpm. Currently the SleepHQ is only compatible with ResMed/Philips but we are adding lots more machines in the coming months and ResVent will be one of them. Cheers
G'day i have both an Oura and 02 ring. The 02 ring is a medical grade oximeter. It has TGA & FDA registration. The sampling rate is very fast and when worn properly is very accurate. My Oura doesn't have 02 integration yet but i believe it should have a firmware update within a few months which is exciting. Cheers
This is fantastic information that I wish our doctors provided to us. I'm going to share it with mine, for better or worse. My ring is arriving so I'm excited to see that integration into sleep hq. You're so informative. No one else helps us like you do!!
Hiya Nick very interesting vid. The missus who works in pharmacy sleep apnea clinic had no idea that the AHI modelling that they are taught was so floored, as usual it looks like I'm going to be the test case so she can show her bosses so it looks like I'm buying an oximeter ring. My AHI has been way below 5 for a few yrs and yet I rarely feel well rested so fingers crossed we get an answer. Keep up the good work mate.
Just had a sleep study done by using a wrist device overnight. It confirmed the events per hour and the O2 level. Had to do it because I now have a severe case of the AFib that was mostly brought on by a COVID booster shot. I wanted to rule out my CPAP machine as the doctors are telling me the booster shot has nothing to do with my condition. But why after two weeks, I started having AFib incidents where I felt like I was having heart attacks. It is so political that they would put people's lives on they line, just to say, "Look what we did".
G'day mate, thanks for sharing your experience. Sorry to hear about your Afib mate. I know a lot of people who have had a lot of heart issues after the V. I'm not surprised your doctor is trying to down play this. It's all political BS
Im tired all the time still, so i decided to get a venue 2 garmin watch that has a 02 sensor and shows lots of ups and down but my average is 95%. My doctor said thats normal and it cant be trusted because its not a medical device please help im tired of being tired.
I’ve used this for over a year. Amazing! What’s the best is when I leave the ring on but accidentally take off the Cpap equipment in my sleep. The real truth gets revealed by the ring! Last time, the ring had to wake me 27 times! In a typical night, with ring and Cpap, the ring has to wake me 2-3 times when my sp02 drops. I never go without the ring.
I’m just starting CPAP and suffering from low Sp02. My doctor says I’m fine because my AHI is low but I’m still tired. I just bought the ring and my levels are all over especially early on in my sleep. What should I do?
Why doesn't the medical world know all this and help people? GP's didn't consider sleeping tests when I was constantly fatigued. It took nearly two years till I suggested it myself. But blood oxygen levels don't seem to be on the agenda.
What does it mean if your flow limitation is not a line but a periodic spike to either .5 or 1.0? They are pretty far apart. Like 10 minutes. Does that mean I'm 0 all the rest of the time? Aircurve 10 ASV.
Hey, will the Wellue O2Ring work with your Sleephq software? It appears to be the exact same ring as the RemSleep O2 but relabeled. Both companies use the same marketing images/software. I can get the Wellue much cheaper where I am.
Very good explanation. My question is did that patient ACTUALLY experienced improved quality of life at the higher pressure or was it only you expected him to be doing better based on graphical presentation? If he did feel better, to what degree?
This is a freat question! I remember it took 7 months for me to even notice a difference after starting treatment. But i didn't know anything about o2 levels at that point. I kind of wonder if the o2 would be felt immediately as opposed to the AHI.
@@gardengrower7633so he might be trying to optimize something unnecessarily, am I right? I started tracking spO2 only and from there adjusting low and high pressure levels.
My Samsung Galaxy smart watch said that my o2 was 71% last night. Wondering if that's even possible... I'll have to look into the ring and sleephq some more today. Thanks!
im abit confused, when i did my sleep study i had 49 AHI, but my oxygen was a stable 98/99 ish through the night. But i feelt like a freaking zombie. I fell asleep sitting atleast 1 time per day aswell. with a cpap im at 7-10 AHI and i feel so much better.
So how much longer will he have to stay on a CPAP machine if his air pressure is now risen to 10. I am on automatic adjusted air pressure from level 4 to 10 . I initially sat on 8.4 for a few months. I have lost a considerable amount of weight and my air pressure has now dropped down to 7.4 . My AHI levels have sat under 5 since I began CPAP. My therapist said I will have to stay on my current auto pressure until my oxygen levels get down to 4 . Is there any other way I can help lower the pressure level to reach this goal ?
I have a dream station , the new ones they sent to replace old, every time I start treatments I wear it for 3 days no problem with good sleep. Then I start ripping off in my sleep no matter what mask I wear . The Sleepcenter is not much help . Any idea why I rip it off ? Could it be the dream station ?
Could this explain hell situation I have been facing and struggling against past 8 months , as I m about to give up , daignosed with sever sleep apnea 2 yrs ago , got my dreamstation CPAP , first 8 months , my AHI was not perfect (6-10 ) but I was Hella full of energy and brain fog is gone , my memory went back to excellent as it used to be b4 I m daignosed with apnea, recently , past 8 months, my AHI is amazing , sometimes it's
Doctor trust signature pulse oxymeter with audio visual alarm is right oxymeter to buy for my father ....because i can't afford wellue o2 ring please reply
Woo Hoo, thanks again Nicko, great vid. I have ordered my O2 ring today. Have a suspicion that my O2 sat is too low. Have needed oxygen at night during last few hospital admissions. Can't afford to knock off any more brain cells at my age. Cheers Jeanette.
Well that certainly explains a lot. Last night I scored an AHI of 0. for the first time, so i should be feeling great, but I've been better. Checking my flow limit tells a different story. It was always under 0.5, but it was highly volatile within that range. Guess I'd better order a ring and get the full story. Thanks "uncle Nicko". 🤠
@@CPAPReviews OK, that custom emoji is *chef's kiss*. As a fellow Melburnian, a long-time Akubra wearer (the Traveller is my go-to choice) and a well-known beer aficionado (and sometime brewer), I'm into it. You are now my spirit animal. Sorry, but you don't get a vote. But seriously, thanks for all the helpful content. I discontinued therapy over a year ago. Basically rage-quit when I couldn't get mask leakage under control. I'm well able to pay for good advice, but none of the providers I dealt with could be arsed to provide more than a cursory service. Maybe lockdowns were partially responsible, but I suspect complacency and poor training were at the heart of it. Anyhoo, with the guidance of your videos, I've taken back control of my clinical settings, reduced my fixed pressure from 14 to 11, and I'm contemplating changing my mask. Oh, and I've ordered an O2 ring using your voucher code, for which thanks. Things are looking up, and I have you to thank for it. Also, I've got some of my neighbours in my sights. Gonna try the O2 ring out on them and see what we learn. Oh, I should add that your mate is doing a stellar job with the website. I'm a (backend) developer, and he's obviously the real deal.
What is the correlation between improved oxygen levels and increased AHI? Anecdotally I've noticed the same in my treatment when switching from a full face mask to nasal mask and increasing pressure settings. The flow limitation also appears to have decreased as a result. Initially this gave me some cause for concern as the AHI went up.
I am a brand new CPAP user after discovering that I had 294 AHI events in a 7 hour sleep study test period. I am now on a ResMed Autosense 11 and I'm trying to learn all I can about this condition (just FYI, my sleep disorder doc and team are awesome.) I have to say that your information is INVALUABLE!!! Thank you SO much for putting this info out there. All the best!
I have a Garmin watch that tracks my oxygen saturation and overnight I frequently drop down into the mid 80% level. I have been doing CPAP therapy for about nine weeks now and, just like in your example, my AHI is in the range of 1.8-2.8. My sleep quality doesn't seem any better with CPAP and the "Body Battery" on my Garmin watch rarely shows that I have good recovery over night. Do you know how accurate the Garmin watches are at monitoring oxygen saturation and whether the algorithm for their "Body Battery" is actually giving me any good information? Thanks. PS: I just went onto your site and established an account in the last couple of days.
Thank you so much for your content!!!! Your channel has been a life saver. I received the new Res med 11 a week ago, after being on an old Phillips for nearly 8 years. I have had to try to adjust the Res med 11 nearly every night to figure this out on my own as my Nurse Practitioner had it set on 6 and it is hard to get ahold of her. Tried that one night and felt horrible. I watched your video on 5 of you reviewing someone's data and used your suggestions for them to put mine on auto, limit the variations and raise the pressure. I used 10-13. I also had to change mask back to my regular nasal mask as the nasal pillow was oddly causing slight nose bleeds. Changed the setting on machine to nasal mask as well. I am still a bit tired so I'm concerned about my blood oxygen levels and can't afford the magic ring and not sure my California state insurance will pay for that. All in all I just wanted to say thank you for putting out this so important information. If the people from my sleep lab know of all of this, they are sure not telling me about it and I'm not even sure that the data they gathered from my last two sleep studies were accurate. All the more reason to be grateful for you and your content here. Much gratitude!!!
Hi Nicko, thanks for the video. Good and informative as always. I just get a look to my data at SleepHQ and mentioned that I don't have Flow Limit data on the timeline. 'Sorry, there's no flow limit data for today' but maybe this is because I use Dreamstation1 I suppose. Maybe DS1 doesn't provide information about flow limit. Maybe it doesn't have such sensor or the software does not provide data for this important thing. Also about all these O2 rings. I am confused which one is good, which one gives enough precise and consistent data. All of them hust don't provide with information about accuracy. Maybe this will help me to make a decision which brand CPAP machine to buy. I almost decided to get Lowenstein, but not sure about Flow Limit and also not sure if SleepHQ supports Lowenstein's Prisma. While a Resmed AS11 is too expensive yet or not available to all providers, and AS 10 is at the end of it's life as you say. And I am wondering why the manufacturers of CPAP machines don't integrate SpO2 monitoring in their machines as a standard or maybe optional feature. Maybe too much pain in the ass with registering as medical device etc.
Great vid Nick - just wondering how the O2 sensor creates the O2 graph you showed? Does the O2 sensor connect to the Resmed 10 via radio signal or what? My AHI has been reasonable but I am feeling very tired lately - got a new mask cushion and AHI went down a bit. But don't know how to read the Resmed chip memory graphs - for some reason my PC won't read it after I plug it in.
Hi! Thanks for your information. I had an at home sleep test snd have mild sleep apnea. Is it common to have a BPM of 129 with sleep apnea. That was alarming to find out. Im waiting on c pap approval
@@Jackie1111 I don't think any form of sleep apnea would cause high heart rates like 129bpm on its own but it may be triggering an underlying cardiac condition.
That's exactly what I'm going through I just bought the 02 ring I'm trying to get my oxygen to stay at a decent level is there anything you can do to help or give me some advice thank you
Thanks for all of your great information. I bought the ring device back in February. I've since had a sleep study and was told I have mild sleep apnea. I've been debating a dental device vs cpap. So I've really appreciated all your videos. I asked my doctor...if I'm able to maintain my oxygen above 90% without any intervention (side sleeping)...is medical intervention with cpap or dental device necessary? They said yes but didn't really provide me with an explanation. Any thoughts or explanation you might be able to share with all of your knowledge and experience? Thanks!
I might also add that I got the ring when I had covid because I noticed I wasn't breathing as I was falling asleep and it scared me. My data from the first 2-3 months healing from covid (I have long covid) was much worse and I had many drops per night in oxygen. As I'm healing more and more...I seem to have far less drops and when I have one...it rarely drops below 90 (maybe 1-4x a week) before self correcting. All very interesting. I track my O2 nightly with the ring.
Hi Amanda, my advice would depend on how lethargic you are. If you're feeling okay and your 02 sats are above 90% then i'd advise you to just stick to side sleeping and perhaps elevate a little. If you are always tired then it might be worth checking out a MAS (Dental device) especially if you are young and dating etc. All the best my friend
G'day mate, as far as consumer health wearables go it's pretty damn good. From memory it's got a 4% potential variance. I've tried lots of them and this is by far the best. Cheers
thank you. Exactly what my flow rate looks like. (all flat on top) Makes much more sense now. I have just been playing around with pressure and changed to cpap mode because AHI are great but still so tired. Might turn pressure up another notch.
Hi Lesley, i had a quick look at your SleepHQ profile. You could certainly benefit from a little bump in pressure but overall i think you're doing very well. Congrats
oh wow. Thank you Uncle Nicko . Fantastic to get some feedback and know how I am heading. I bumped up to 14 last night, so will give it a couple of days then download data.
Hi Lesley, I know you commented this quite a while ago but it sounds like I'm in a very similar situation. May I ask, how were your results after increasing the pressure a bit? I'm at APAP mode currently, (range 6-15) but still pretty tired most days. My AHI is super low (1.9) so I'm curious how your O2 levels were after this pressure increase. Thanks in advance!
@@phildimopoulos6010 Hi. Unfortunately I havent purchased an o2 ring or apple watch yet so no way of telling what o2 levels are.It is on the list of things to get. I think that info would be really helpful. Still tired but nowhere near as bad as i was without therapy.
@@lesleyschultz9247thanks for replying Lesley, really appreciate it. I feel the same basically.. although I’m still tired, it’s definitely not even close to how bad it was prior to CPAP. I think I’m going to invest in an o2 ring in the next month or so just to see if I can dial this in further.
Hi , i was consistently on 99-100 , and all of a sudden i’ve been having a few weeks on 92-94-96 at most. I don’t understand what’s going on. I’ve been doing everything to raise my oxigen but levels haven’t gone up
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I'm currently beta testing a new RemSleep 02 Ring app that will enable SleepHQ members to automatically upload their 02 Ring data. The testing is going extremely well and I anticipate this will be available for download August/Sept 2022.
If you would like to order a SleepHQ O2ring - cpap.review/sleephq-o2ring
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Thank you so much for your brilliant explanation, I surely understood why I feel so dizzy sometimes when I wake up and yet app is awesome, I just past another sleep test at home(with oxymeter machine) and I am quite sure about what the results will be... I think I will have to readjust the pressure
I have fell out with my sleep nurses. I was having 25 per hours they said that was normal. Without machine it is 60 per hours. Was stable when I learnt to do the setting but now 15 to 30 plus. Dont know whats going on so tired at wits end! What is the oxygen sensor how much. See one as a watch worn on wrist (with app) on Amazon £100 and the ring one with a wrist box for £160. Which do you use
I am just seeing this video and know its been 4 months or so, but I am new CPAP user. I am in the US and am wondering if the Wellue O2 ring and app are compatible with sleephq? Thank you in advance for your help
Hi Nick
I was just recommended your channel today after asking a question on flow limitations.
Never heard of it before but I’ve just used Oscar to read my data on my F&P machine and I’m having FL of over 200 closer to 250 or more every night.
Is this something I need to be concerned about?
I’m waking up exhausted and my recent sleep study said that my AHI has increased to 23 more during REM and oxygen levels go down to 70s.
But looking at the Oscar data other then the FL everything else looks good.
Hope you answer 🙏🏼
Glad I was able to find your channel. So much useful info and I’m definitely following 😊
Air mini is not supported to SleepHQ ?
Thanks so much Nicko. ResMed should hire you as a consultant to overhaul their practice. This is insane that a user of CPAP is having to change the model from the ground up. Maybe you should design a CPAP/APAP/BiPAP/ASV all-in-one and blow ResMed out of the water.
G'day brother, I agree! They definitely should . Manufacturing is a tough gig mate, even when own the market. Cheers
I bought a Resvent machine from China with an Auto F feature (monitors breathing rate and tidal volume). Very helpful for me and my AHI was at 0, still felt crappy. I'm sure there are other great machines out there.
I've just hit my five year mark for my AirSense 10 and found your channel while researching the AirSense 11. I spoke with my sleep doctor today and mentioned that I'm not feeling that great and I couldn't understand why because the MyAir app shows that I'm consistently hitting 100. After watching your videos, I'm now inclined to review my own data and see what is going on. Thank you so much for taking the time to make these videos. Looking forward to analyzing my data on Sleep HQ!
Hi, I saw Nick’s review of the AirSense 11 after I had already ordered the machine from USA to Australia. I was worried that I had made a huge mistake. However I have found the AirSense 11 to be fantastic. It’s quieter than my old AirSense 10. I haven’t had any problems with the water chamber.
Good luck to you.
@@protenski777 hi mate, where did you the Airsense 11 from? I'm looking to order one for myself too. Thanks
@@harpreet8963 Hi mate, I bought my AirSense 11 for AU$1307 from CPAP Specials. They’re based in Las Vegas. I received my machine about 7-10 days after ordering it. I had to pay about AU$220 import tax as it was over AU$1000. You can’t use MyAir with it in Australia but I didn’t care. Very happy with CPAP Specials and the machine.
Cheers and good luck.
I started monitoring my blood 02 prior to using the cpap. The 0x ring was how I figured out I had sleep apnea. So I have been confused about the AHI and why it would be important to monitor if my 02 sats are dramatically improved. I went from continuously dropping into the 80'-70's to maintaining even between 95-97 all night. HR dropped as well. It is a great tool. My AHI is always between 2-4. I put the ring on my cousin the other night. She has been on cpap for 5 years. Her 02 sats were horrible! So now she has that info and can go back to the doctor for a increasing her pressure. Thanks for bringing this to light for clarification! I also find the need to monitor times I took the mask off very irritating...of course need to go to the bathroom and/or let a cat out or whatever...geez....
Hi Candace, thanks for the great comment! Glad you're enjoying the 02 ring
But increasing pressure may cause central apnea?
I can relate to this 100%. I used to go to my sleep doctor and he would say I was doing a great job with using the cpap. I would tell him I was still tired and didn’t feel rested. He would pretend like everything was ok.
So wt did you do eventually ??
So did you find a new sleep doctor?
And what next?
After that, he turned into a bird and flew away. And he lived happily ever after because birds don’t get sleep apnea. 🐦
@@RyanWilliams222😂😅
I bought one and was shocked to see how low my Oxygen levels drop while sleeping.
Can't wait to incorporate that with my SleepHQ stats
Hi Frits, it certainly can be a bit of a shock! Thanks for the support. Only a few days now until SleepHQ Pro is launched. Cheers
Great feedack and video. I am 65 years old, and I am now using the O2 ring and on a CPAP with oxygen, I am NO longer tired but totally pumped all day long. My thought processes have improved considerably. My AHI was very low, but my O2 was dropping to 87-78%. Last night, my average O2 was 97%. This technology is a game changer supporting excellent health and vitality. I used the O2 ring data files to convince my doctor that I needed O2.
I dont know what pressures my machine is set to, but my chinese made RESVENT machine is variable pressure.
My AHI is low too, but my sats still drop on Cpap. I had a 73% recently and the last week has been 81-85%. I just started back on Cpap about 1 month ago. Did the doctor explain why you still had low sats? I can't get an appointment to see my doc till July!!
@@PanamaRose did you see the doctor...??? Because my father is dealing with same problem
Gotta get an O2 ring. Information on the meaning of flow limit data is pretty lacking I had to dive down the scientific literature rabbit hole to get an understanding of why it was important and this video just confirmed my understanding in a much more simple and straightforward manner so thank you. Can the sleep hq FAQ be updated to include an overview of what flow limits are with an embedded RUclips link to this video?
G'day bro, i think it's not talked about much because people (including doctors) don't really understand it. Regarding the SleepHQ FAQ stuff, we're launching a complete forum soon which will have 100x more info. Cheers
makes sense. Ordered one today. Thanks Nicko.
forgot to ask how i set it up for sleep HQ. do i need the magic uploader ?
nah you won't need a magic uploader for O2 ring integration mate. You will just need to download the iphone app we're making which should be available soon. Cheers
@@CPAPReviews Any options for we Android users? Do not have an iPhone.
Hey Nicko, that was a very good presentation and explanation so thanks for that. I came to the same conclusion myself about a year ago that AHI and in particular myAir was quite meaningless and stopped monitoring those. Instead I got the O2 ring and nightly monitor my pO2 levels which I figured is what my body is actually experiencing. This data also impressed my Cardiologist who was enthusiastic in his support.
Hey mate, thanks for the kind words. Sounds to me like you're ahead of the game! Congrats . There's plenty more cool stuff we can do with the ring. Check this out - sleepimage.com/
Please send me the link to buy this O2 ring
@@classvamaths1666 Links to Nick's suppliers are provided in the video description both for USA and Australia.
Thanks for this informative video! You give so much more info than my doc. I have the ring - it’s great but I didn’t know getting into the “green zone” on the graph is the goal. This might explain why I’m still tired! You are a star!
Thanks for the lovely comment. I really appreciate it
CPAP therapy can be summarized in a nut shell for optimal results: 1.) Get a nasal mask. Might have to try several before finding your personal favorite. Everyone's face shape is different. 2.) Get some mouth tape from Hostage Tape and tape your mouth while you sleep. Don't ask questions, just do it. 3.) Climateline. My sweet spot is level 4 @ 27 deg C. and finally 4) Start low and keep increasing every night until you finally feel good. AHI, flow rate, O2 levels....at the end of the day the only solution to your problems is to increase the pressure. If you don't have the time to track or dig deep into your data, increase by 0.2 every night. You'll just know you found your sweet spot, trust me. Forgot 5.) Less is more. When you found your sweet spot, stay there. Don't increase the pressure more. Forgot 6.) DONT USE EPR. The pressure fluctuations mess things up regardless which machine you have
This is useful content. I have never had an AHI above 2 in my life (I'm more of the upper airway resistance patient) but believe me you can still feel super crappy with an AHI of 0
This is definitely happening to me. Is auto enough to stop my oxygen from dropping and my heart rate going up and feeling exhausted still.
If you could add in apple health data support that would be so cool!
We're doing that mate! It's going to be epic
I’m just curious how John realized he needed to jump from 5.8 to 10 on his pressure to get better oxygen flow? Any thoughts on this?
Thank you!!
Hi Lisa, he knew he need to increase his pressure because of his low blood oxygen levels. Knowing how much to increase just comes down to trial and error. Most people will just go up by .5cm every couple of days. Some people like to do a big jump in the beginning just to see if indeed it improves 02 levels etc. Cheers
@@CPAPReviews is this still relevant if you use an auto set machine? As you would expect the machine to adjust the pressure automatically? Your thoughts?
I bought that O2 ring to find out if I should schedule an appointment with a sleep specialist. I spend hours sub 90% every night. I compared the results with my at home sleep study and they were basically the same. The differences in the data were so small that I am loving this ring. I am getting my CPAP on Wednesday. I can't wait to see what happens. I've had no energy my entire life and I have been successful in anything I set my mind to in spite of that, until I reach something I call "Burnout". If this can cure my chronic fatigue, depression, and anxiety I will be an unstoppable force on this world. I pray to Jesus this works. I will do everything I can to make this work. This is the first time I have felt real excitement about anything since I was a small boy. The possibility I might be able to live life like a normal person without medication actually has me feeling something. I have been emotionally dead since I was a child. Probably puberty. I don't remember most of my life. That could be as a result of this sleep issue too.
Awesome mate, if you get a SleepHQ Pro account you can sync the ring data with cpap data. Very cool. Best wishes on your journey. Cheers
Reading your comment made me cry. I’m bedridden with severe sleep apnea for 25+ years. Have never been able to fall asleep with pap therapy. But reading your comment made me have a little hope. I wanna buy a o2 ring and if my blood oxigen levels go down I’ll try pap once more.
Greetings from the US of A....I really like these videos. I have had to become my own Dr. when it comes to a lot of these things. So...started using mouth tape with the help of nasal tape to open the sinuses. currently using a face mask with the nasal pillows (the kind with a slit and not the nubby things that go into the nose). this seems to have helped dramatically. AHI numbers dropped to below 2 and I am sleeping through the night...despite some bizarre dreams. Never considered blood oxygen levels. I still feel sleepy when i wake up...naturally and no alarm. I am considering one of these O2 rings and see what's really gong on. I have not uploaded my data to your site yet but will do. Thanks gain. Cheers!
Oxygen bounces from mid 90s to mid 80s many times a night
WOW! you just described my situation to a T! I wondered what those sawed off looking flow rate graphs of mine meant. My AHI is below 5. Titration study in April, the Doc said CPAP of 5. I thought that was OK. I have been using the other Wellue pulse oximeter (the SleepU), which can be imported into to OSCAR and my O2 graphing is similar to you the one you shared. But I still feel kinda tired. I'll experiment with edging the pressure up and see what that brings. Thanks a MILLION, Nick!
You're welcome Mark . Sounds like you're on the right track
As always, a brilliant video that explains a critical aspect of measuring treatment more effectively and something most of us haven't given any thought to. I am better educated for the time and effort you've put into preparing and delivering an easily understood explanation of blood oxygen levels. Thanks for posting!!
Hi Elwell, i'm glad you enjoyed the educational session mate. All the best. Nicko
Looking forward to integrating this data! I have a feeling that my O2 sats are dropping as all my other numbers appear good but I still feel tired. Awesome work uncle nicko!
Thanks brother, we've got so much great stuff planned! Before the end of the year we should have sleephq integrated with apple/google health so you'll be able to bring lots of great health data into the platform. Cheers
Very Interesting. I'd love to check my O2 stats to verify that my CPAP setting are correct. $250 shipped (USA) for the O2 ring is too steep for me at the moment. I hope in the future that insurance will either cover such a device or that the cost of the device becomes cheaper. I might have to try and make my own from one of the cheap chinese bluetooth pulse oximeters and a bluetooth arduino module. I've seen a couple such projects. I'd just be interested in using the device for a couple nights. You would think that CPAP therapy would include a trial period where they let you use a pulse oximeter to verify that your therapy settings are correct.
Has any independent tests been performed to check the accuracy of the O2 Ring data?
My favourite children's TV presenter 🙂👍
I don't understand a goshdarn thing. Only reason why I'm here is to figure out how to use my galaxy watch 6 classic
I am really very interested by the O2 ring !!! How many charging cycles for the battery ? Can the battery be replaced ? Great videos ! Thank you.
Hi Gerald, i've had mine over a year now and it's still going great. Battery is not replaceable to my knowledge
dude you're a freakin legend, cheers from California
BINGO DINGO!
Thanks brother, cheers from Melbourne
Great video and insight to new perspective, for me atleast. I don't have O2 ring but I checked my sleephq data for last 1 year almost and flow limit is 99% under 0.5, this is perfect I guess, but the question is, I still get up not refreshed and mostly tired during the day. Should I get a O2 ring? OR its not required in my case since my flow limit is all good.
I have the O2 ring and love it. My problem is neither my cardiologist or pulmonologist will even look at the printouts I try to show them. Do you have any source to site about its accuracy? On my next doctor visit I plan to wear my O2 ring when they use the office oximeter to see how they compare.
Hi, i've had experience with LOTS of Oximeters over the years. Certainly the best place to take an 02 reading is at the fingertip however they're not enjoyable to wear over long periods of time. The 02 rings are the next best option and they're very comfortable to wear so you can get a really good sample of data over many nights. Cheers
@@CPAPReviews I think the finger tip one would work for me if it connected wirelessly to the recorder. I think the wire would bother more than having my finger pinched. Do they work as well on a toe? I saw a video where one was used like that.
My Garmin watch picked up my O 2 rather than the sleep center routinely ever checking oxygenation over the 3 years of therapy I’ve had. Mid 80’s for years and I’m not happy to learn this. Why is overnight oximetry not standard in the first few weeks of therapy as well as at least twice a year. I complained of not feeling rested and still nothing. Only paying attention to AHI is not good practice!
Now how are you...what action you take to increase o2 level
Thanks for valuable information!
What you call a RemSleep 02 ring is the same as Wellue O2 ring, right?
//A
I know AHI is useless, I have UARS. I don't even desaturate.
Spot on!
I really appreciate these videos. I still don't understand most of it, but each video gives me a little more information that starts to sink in to this 69 year old head. I have tried quite a few different headgear and mask since the end of Feb. and think I finally found the right one. Some days I'm more tired than others. I have signed up for Sleep HQ and have uploaded my info. I am still trying to understand it all, little by little it will start making more sense to me. Thank you for all the information you are sharing with us.
This is exactly what i like to read mate. I'm sure it's complex for most but let it wash over you and eventually the lessons will be learned! Best wishes. Nicko
The app has updated since this video. This is too confusing to me. Id rather just wear it on my finger.
This is so important!!!!!! Thank you! My doctor knew my oxygen goes low every night, but only cared about AHI !
Welcome
G'day Nicko and greetings from Brisbane I'm now also a member of the (I guess mostly) older men & CPAP club, have been following your channel and have to say you're really doing a great job, very helpful. I'm still struggling with getting everything right in regards to my APAP stuff. My chin strap (which I need as I'm a mouth breather) keeps falling off during the night, my nasal pillow type mask does the same and so I wake up many times every night, afraid of a very uncomfy looking full face mask :-( Do you have any tip for good chin straps? Also tried a neopren type --> was itching like hell when the beard was growing and also stretched - so was quite useless...
I went through similar trials when I was on CPAP. I was a side sleeper and started with a nasal pillow. I had to learn to sleep on my back to use the therapy. I tried specially shaped and all kinds of other stuff, but each time I tried, either the pillow would move and leak badly, or the mask would get very noisy because one of the side tubes would have to pass the entire volume of air needed.
Then I started opening my mouth when sleeping. I tried using several chin straps and dental guards. Even if they kept my moutn closed. I never got satisfactory results.
I decided to try a full face mask and I wish I had done that sooner. I now eleep exclusively on my side. A full face mask works much better for this. I can no longer sleep on my back, as I would have to use a chin strap and dental guard. That is just too much effort when I can simply sleep on my side.
In my opinion, chin straps work only for some people and are too much extra work. The full face mask is just as comfortable for me as the nasal pillow was and made getting to bed a simpler process. Best of luck.
Great video and information, Nicko. No doubt about it, you are an expert and I thank you. 🤠🍉🍺
Hi Phil, thanks brother! Always welcome
I don't know what the deal is but my 02 levels are extremely low while using cpap.
Love behind the scenes footage 😂
I've been thinking about this same thing over the last week or so. I even told my girlfriend we should each get an oxygen monitor to track our sleep levels. I use bipap, but she's never had a sleep study done. I was thinking it could be an easy, inexpensive way to see how well we are breathing at night. It's nice to have my suspicions confirmed, and even better to know if can improve me sleep therapy as well. Thanks!
G'day Wesley, yes you can also use the 02 ring as an apnea screening device - ruclips.net/video/N8FMw3CeDN0/видео.html
I've had an AHI as low as 0.12 this week at a range of 8-10cm and guess what, I'm still tired. AHI would appear to be useless. O2 "ringing-it" to see where I go from here.
I been getting "good results" under 6, but still feeling tired. Not as tired as tired as I used to be, it used to be easy to doze off whilst waiting at the traffic lights. I don't doze off any more, just feel a bit tired.
This oxygen level sounds interesting, and when you think about it, it makes sense. Thanks for the update and looking forward to seeing this integrated onto SleepHQ.
Hi John, we all feel tired from time to time but if you're struggling to get to 5pm without needing a lie down or like you said 'dozing off at the traffic lights' then thats a red flag! Especially if you're using cpap and getting a 'normal' amount of sleep each night. Cheers mate. Nicko
Have you ever had a Multiple Sleep Latency Test or Maintenance of Wakefulness test?
@@deyeaus no, I have not heard of the tests before.
Just ordered the remsleep O2 ring. I'm excited to see the extra data it will provide, thanks Unclenicko
While addressing cpap settings don't forget to address environmental factors. Clean filters, tubes, humidifier. A then check out the dust road your machine and in your bedroom. Vacuum floors, wash curtains, bedding, pillows etc. We always assume we've done these things. Yet just as often we think we have but haven't! Are your pets hanging out in your bedroom? Shut them out day and night! Are you eating things you're only mildly allergic too? How's your diet? If your not eating enough fruits and veg your not going to eat getting enough vitamins c a natural antihistamine and anti inflamatory. Tea coffee tea is especially good for asthma coffee as an emergency treatment for a full blown asthma attack while gettingto the hospital... Anyway remember the basics as I have revised myself recently
Does this app connect with the Oura Ring?
Just trying to start the sleep HQ app. Do t have data yet as I just put an so card in the 11. Curious tho what is a magic uploader ?
Also what is the best o2 ring option. I don’t think my sleep therapy doctor is really too concerned with my progress so it’s time to look out for my self 🙂
Hey brother, when you put the SD card into the machine it will automatically copy some summary data across but it will only record DETAILED data (like the flow rate etc) if the SD card is in the cpap whilst you are using it. The Magic Uploader is a device we created that automatically sends the SD card data to SleepHQ via home wifi (so you don't need to take the SD card out of your device and do uploads manually). It should be available soon for purchase. Cheers mate. Nicko
@@CPAPReviews brilliant idea, I’m in. 🙂
@@CPAPReviews Thanks for the videos. How many days should you leave the card in resmed 11 before taking it out and downloading to sleephq?
Is sleep HQ compatible with resmed ibreeze?
Is the 02 now available in sleepHQ and what device should I try?
Can the latest Apple Watch (which I'm considering for various reasons) be used to track oxygen levels during sleep? i.e., can it be used in similar fashion to the ring?
Hi Barry, it can but it has a really low sampling rate otherwise it drains the battery quickly. In the coming years i think we will see Apple introduce 02 functionality at a fast sample rate. Cheers
I'm new to the channel and truly appreciate the information you provide! My question has to do with HR. Last night I had 0 drops, 96% avg. O2, lowest O2 level 92%. All great! But my HR always averages 50bpm, good or bad sleep. I set my alarm to go off if it drops below 45bpm. Last night it went off 14 times because of low HR. I'm curious if this considered normal? Do others have similar results without issues? Any insight would be greatly appreciated. Also not sure if Sleep HQ supports Resvent iBreeze 20A.
Hi Ruben, welcome to the channel mate. I have to be honest here, i don't have a lot of experience in the field of cardiology. Over the last three nights my resting heart rate has averaged 52, 49, 53. I believe 'normal' resting heart rate is anywhere from 40-100bpm. Currently the SleepHQ is only compatible with ResMed/Philips but we are adding lots more machines in the coming months and ResVent will be one of them. Cheers
How are people finding accuracy for o2 of the o2 ring vs oura vs ?? My Garmin watch always reads a little low over professional equipment.
G'day i have both an Oura and 02 ring. The 02 ring is a medical grade oximeter. It has TGA & FDA registration. The sampling rate is very fast and when worn properly is very accurate. My Oura doesn't have 02 integration yet but i believe it should have a firmware update within a few months which is exciting. Cheers
Brilliant video Nicko! By chance does information from a smart watch like a Galaxy watch, apple watch, etc. Work with SleepHQ?
This is fantastic information that I wish our doctors provided to us. I'm going to share it with mine, for better or worse.
My ring is arriving so I'm excited to see that integration into sleep hq. You're so informative. No one else helps us like you do!!
Hi Tammy, that's a lovely comment. Thank you
Why does "science" not consider what CO2 levels are??
Hiya Nick very interesting vid. The missus who works in pharmacy sleep apnea clinic had no idea that the AHI modelling that they are taught was so floored, as usual it looks like I'm going to be the test case so she can show her bosses so it looks like I'm buying an oximeter ring. My AHI has been way below 5 for a few yrs and yet I rarely feel well rested so fingers crossed we get an answer. Keep up the good work mate.
Thanks for the great comment Mark. Good luck with your therapy mate
Just had a sleep study done by using a wrist device overnight. It confirmed the events per hour and the O2 level. Had to do it because I now have a severe case of the AFib that was mostly brought on by a COVID booster shot. I wanted to rule out my CPAP machine as the doctors are telling me the booster shot has nothing to do with my condition. But why after two weeks, I started having AFib incidents where I felt like I was having heart attacks. It is so political that they would put people's lives on they line, just to say, "Look what we did".
G'day mate, thanks for sharing your experience. Sorry to hear about your Afib mate. I know a lot of people who have had a lot of heart issues after the V. I'm not surprised your doctor is trying to down play this. It's all political BS
Im tired all the time still, so i decided to get a venue 2 garmin watch that has a 02 sensor and shows lots of ups and down but my average is 95%. My doctor said thats normal and it cant be trusted because its not a medical device please help im tired of being tired.
Did your sleepiness improve?
I’ve used this for over a year. Amazing! What’s the best is when I leave the ring on but accidentally take off the Cpap equipment in my sleep. The real truth gets revealed by the ring! Last time, the ring had to wake me 27 times! In a typical night, with ring and Cpap, the ring has to wake me 2-3 times when my sp02 drops. I never go without the ring.
Thanks for sharing this great info mate
so with flow limitation data, we can identify and solve the problem without the ring it seems
I’m just starting CPAP and suffering from low Sp02. My doctor says I’m fine because my AHI is low but I’m still tired. I just bought the ring and my levels are all over especially early on in my sleep. What should I do?
Please tell what you do to increase oxygen level
How can we increase the signal strength on the machine?. I have one bar and my data is not transferring as it should.
I don't think you can without changing it's location
Why doesn't the medical world know all this and help people? GP's didn't consider sleeping tests when I was constantly fatigued. It took nearly two years till I suggested it myself. But blood oxygen levels don't seem to be on the agenda.
Can these pap machines detect RDI's ? I feel like there are better metrics for treatment effectiveness vs AHI....
Any thoughts ...
Thanks
Thanks a lot!, I was adviced this video from apnea group, Best regards from Perú
Glad you enjoyed
What does it mean if your flow limitation is not a line but a periodic spike to either .5 or 1.0? They are pretty far apart. Like 10 minutes. Does that mean I'm 0 all the rest of the time? Aircurve 10 ASV.
Hey, will the Wellue O2Ring work with your Sleephq software? It appears to be the exact same ring as the RemSleep O2 but relabeled. Both companies use the same marketing images/software. I can get the Wellue much cheaper where I am.
Very good explanation. My question is did that patient ACTUALLY experienced improved quality of life at the higher pressure or was it only you expected him to be doing better based on graphical presentation? If he did feel better, to what degree?
This is a freat question! I remember it took 7 months for me to even notice a difference after starting treatment. But i didn't know anything about o2 levels at that point. I kind of wonder if the o2 would be felt immediately as opposed to the AHI.
@@caitm8209 no - studies have shown (and also my experience), higher O2 levels did NOT result in improved fatigue.
@@gardengrower7633so he might be trying to optimize something unnecessarily, am I right? I started tracking spO2 only and from there adjusting low and high pressure levels.
My Samsung Galaxy smart watch said that my o2 was 71% last night. Wondering if that's even possible... I'll have to look into the ring and sleephq some more today. Thanks!
Now what do you do if you o2 was 71%? Can you find the reason
im abit confused, when i did my sleep study i had 49 AHI, but my oxygen was a stable 98/99 ish through the night. But i feelt like a freaking zombie. I fell asleep sitting atleast 1 time per day aswell. with a cpap im at 7-10 AHI and i feel so much better.
This is proof to me that the whole CPAP thing with Drs.and Insurance companies is BS. I wish I knew how to read and use what you got here. Great job!
I signed up but because I’m using a airsence 11 and not using a sd card so can’t get the info to upload to your sleephq
Thanks for joining! yeah you'll need to order an SD card :)
@@CPAPReviews can it be any brand sa card or does it need to be from ResMed ?
So how much longer will he have to stay on a CPAP machine if his air pressure is now risen to 10. I am on automatic adjusted air pressure from level 4 to 10 . I initially sat on 8.4 for a few months. I have lost a considerable amount of weight and my air pressure has now dropped down to 7.4 . My AHI levels have sat under 5 since I began CPAP. My therapist said I will have to stay on my current auto pressure until my oxygen levels get down to 4 . Is there any other way I can help lower the pressure level to reach this goal ?
I have a dream station , the new ones they sent to replace old, every time I start treatments I wear it for 3 days no problem with good sleep.
Then I start ripping off in my sleep no matter what mask I wear . The Sleepcenter is not much help . Any idea why I rip it off ? Could it be the dream station ?
See the videos detailing limitations on the Dreamstation and the device recall
Could this explain hell situation I have been facing and struggling against past 8 months , as I m about to give up , daignosed with sever sleep apnea 2 yrs ago , got my dreamstation CPAP , first 8 months , my AHI was not perfect (6-10 ) but I was Hella full of energy and brain fog is gone , my memory went back to excellent as it used to be b4 I m daignosed with apnea, recently , past 8 months, my AHI is amazing , sometimes it's
Doctor trust signature pulse oxymeter with audio visual alarm is right oxymeter to buy for my father ....because i can't afford wellue o2 ring please reply
Woo Hoo, thanks again Nicko, great vid. I have ordered my O2 ring today. Have a suspicion that my O2 sat is too low. Have needed oxygen at night during last few hospital admissions. Can't afford to knock off any more brain cells at my age. Cheers Jeanette.
Hi Jeanette, great stuff! Let me know what your results are like . Thanks for your membership support my friend
Got to get a new machine soon. What's the best one to get currently?
I'm currently using an AirSense 11 mate and it's pretty cool. Cheers
@@CPAPReviews thanks got to get a new doc just moved what a pain lol
What do you feel about the Garmin Instinct watch PulseOx monitors?
Well that certainly explains a lot. Last night I scored an AHI of 0. for the first time, so i should be feeling great, but I've been better. Checking my flow limit tells a different story. It was always under 0.5, but it was highly volatile within that range. Guess I'd better order a ring and get the full story. Thanks "uncle Nicko". 🤠
Welcome Luke, cheers brother
@@CPAPReviews OK, that custom emoji is *chef's kiss*. As a fellow Melburnian, a long-time Akubra wearer (the Traveller is my go-to choice) and a well-known beer aficionado (and sometime brewer), I'm into it. You are now my spirit animal. Sorry, but you don't get a vote.
But seriously, thanks for all the helpful content. I discontinued therapy over a year ago. Basically rage-quit when I couldn't get mask leakage under control. I'm well able to pay for good advice, but none of the providers I dealt with could be arsed to provide more than a cursory service. Maybe lockdowns were partially responsible, but I suspect complacency and poor training were at the heart of it.
Anyhoo, with the guidance of your videos, I've taken back control of my clinical settings, reduced my fixed pressure from 14 to 11, and I'm contemplating changing my mask. Oh, and I've ordered an O2 ring using your voucher code, for which thanks. Things are looking up, and I have you to thank for it. Also, I've got some of my neighbours in my sights. Gonna try the O2 ring out on them and see what we learn.
Oh, I should add that your mate is doing a stellar job with the website. I'm a (backend) developer, and he's obviously the real deal.
What is the correlation between improved oxygen levels and increased AHI? Anecdotally I've noticed the same in my treatment when switching from a full face mask to nasal mask and increasing pressure settings. The flow limitation also appears to have decreased as a result. Initially this gave me some cause for concern as the AHI went up.
Dayuum...Amazon has the same ring for $1423.00
No. It was $175 , on sale 20% off
I am a brand new CPAP user after discovering that I had 294 AHI events in a 7 hour sleep study test period. I am now on a ResMed Autosense 11 and I'm trying to learn all I can about this condition (just FYI, my sleep disorder doc and team are awesome.) I have to say that your information is INVALUABLE!!! Thank you SO much for putting this info out there. All the best!
Thank you my friend and good luck on your journey! Finding a good sleep doc and team is half the battle so well done
I have a Garmin watch that tracks my oxygen saturation and overnight I frequently drop down into the mid 80% level. I have been doing CPAP therapy for about nine weeks now and, just like in your example, my AHI is in the range of 1.8-2.8. My sleep quality doesn't seem any better with CPAP and the "Body Battery" on my Garmin watch rarely shows that I have good recovery over night. Do you know how accurate the Garmin watches are at monitoring oxygen saturation and whether the algorithm for their "Body Battery" is actually giving me any good information? Thanks. PS: I just went onto your site and established an account in the last couple of days.
How do you know what pressure will fix the restriction?
I get an oximeter reading of 95, does that mean I'm getting oxygenated enough with my AirSense 10 settings?
What blood oxyen ring are you using? What is the best place to get it in Australia?
Thank you so much for your content!!!! Your channel has been a life saver. I received the new Res med 11 a week ago, after being on an old Phillips for nearly 8 years. I have had to try to adjust the Res med 11 nearly every night to figure this out on my own as my Nurse Practitioner had it set on 6 and it is hard to get ahold of her. Tried that one night and felt horrible. I watched your video on 5 of you reviewing someone's data and used your suggestions for them to put mine on auto, limit the variations and raise the pressure. I used 10-13. I also had to change mask back to my regular nasal mask as the nasal pillow was oddly causing slight nose bleeds. Changed the setting on machine to nasal mask as well. I am still a bit tired so I'm concerned about my blood oxygen levels and can't afford the magic ring and not sure my California state insurance will pay for that. All in all I just wanted to say thank you for putting out this so important information. If the people from my sleep lab know of all of this, they are sure not telling me about it and I'm not even sure that the data they gathered from my last two sleep studies were accurate. All the more reason to be grateful for you and your content here. Much gratitude!!!
Hi Nicko, thanks for the video. Good and informative as always. I just get a look to my data at SleepHQ and mentioned that I don't have Flow Limit data on the timeline. 'Sorry, there's no flow limit data for today' but maybe this is because I use Dreamstation1 I suppose. Maybe DS1 doesn't provide information about flow limit. Maybe it doesn't have such sensor or the software does not provide data for this important thing. Also about all these O2 rings. I am confused which one is good, which one gives enough precise and consistent data. All of them hust don't provide with information about accuracy. Maybe this will help me to make a decision which brand CPAP machine to buy. I almost decided to get Lowenstein, but not sure about Flow Limit and also not sure if SleepHQ supports Lowenstein's Prisma. While a Resmed AS11 is too expensive yet or not available to all providers, and AS 10 is at the end of it's life as you say. And I am wondering why the manufacturers of CPAP machines don't integrate SpO2 monitoring in their machines as a standard or maybe optional feature. Maybe too much pain in the ass with registering as medical device etc.
Great vid Nick - just wondering how the O2 sensor creates the O2 graph you showed? Does the O2 sensor connect to the Resmed 10 via radio signal or what? My AHI has been reasonable but I am feeling very tired lately - got a new mask cushion and AHI went down a bit. But don't know how to read the Resmed chip memory graphs - for some reason my PC won't read it after I plug it in.
There’s an app for the Wellvue devices that generates the 02 and pulse graphs he showed.
Would oxygen help with central sleep apnea?
Are the AHIs from the O2Ring and CPAP kind of close generally?
Loving your content man!
Thank you bro 🤙
ok mate how do I send you my sleep report? I'm always tired
Hi! Thanks for your information. I had an at home sleep test snd have mild sleep apnea. Is it common to have a BPM of 129 with sleep apnea. That was alarming to find out. Im waiting on c pap approval
129 is quite high for night time, you should be evaluated for arrhythmia / atrial fibrillation by a cardiologist.
@@stevehoge thank you will do. Im healthy otherwise do you think it is caused by the sleep apnea?
@@Jackie1111 I don't think any form of sleep apnea would cause high heart rates like 129bpm on its own but it may be triggering an underlying cardiac condition.
@@stevehoge thank you im going to follow up on that
That's exactly what I'm going through I just bought the 02 ring I'm trying to get my oxygen to stay at a decent level is there anything you can do to help or give me some advice thank you
Did you do something to keep oxygen high all night??
Hi mate
Mines an auto were does that tie in what do I do
May I ask are those CAs real? It seems this guy got more CAs at a higher level.
Thanks for all of your great information. I bought the ring device back in February. I've since had a sleep study and was told I have mild sleep apnea. I've been debating a dental device vs cpap. So I've really appreciated all your videos.
I asked my doctor...if I'm able to maintain my oxygen above 90% without any intervention (side sleeping)...is medical intervention with cpap or dental device necessary? They said yes but didn't really provide me with an explanation.
Any thoughts or explanation you might be able to share with all of your knowledge and experience?
Thanks!
I might also add that I got the ring when I had covid because I noticed I wasn't breathing as I was falling asleep and it scared me. My data from the first 2-3 months healing from covid (I have long covid) was much worse and I had many drops per night in oxygen. As I'm healing more and more...I seem to have far less drops and when I have one...it rarely drops below 90 (maybe 1-4x a week) before self correcting. All very interesting. I track my O2 nightly with the ring.
Hi Amanda, my advice would depend on how lethargic you are. If you're feeling okay and your 02 sats are above 90% then i'd advise you to just stick to side sleeping and perhaps elevate a little. If you are always tired then it might be worth checking out a MAS (Dental device) especially if you are young and dating etc. All the best my friend
@@CPAPReviews why the suggestion to elevate? How would that help with apnea?
question is how accurate is the o2 ring ? if you say its accurate what did you use as a standard to test it against $229 for a o2 sensor is steep
G'day mate, as far as consumer health wearables go it's pretty damn good. From memory it's got a 4% potential variance. I've tried lots of them and this is by far the best. Cheers
thank you. Exactly what my flow rate looks like. (all flat on top) Makes much more sense now. I have just been playing around with pressure and changed to cpap mode because AHI are great but still so tired. Might turn pressure up another notch.
Hi Lesley, i had a quick look at your SleepHQ profile. You could certainly benefit from a little bump in pressure but overall i think you're doing very well. Congrats
oh wow. Thank you Uncle Nicko . Fantastic to get some feedback and know how I am heading. I bumped up to 14 last night, so will give it a couple of days then download data.
Hi Lesley, I know you commented this quite a while ago but it sounds like I'm in a very similar situation. May I ask, how were your results after increasing the pressure a bit? I'm at APAP mode currently, (range 6-15) but still pretty tired most days. My AHI is super low (1.9) so I'm curious how your O2 levels were after this pressure increase. Thanks in advance!
@@phildimopoulos6010 Hi. Unfortunately I havent purchased an o2 ring or apple watch yet so no way of telling what o2 levels are.It is on the list of things to get. I think that info would be really helpful. Still tired but nowhere near as bad as i was without therapy.
@@lesleyschultz9247thanks for replying Lesley, really appreciate it. I feel the same basically.. although I’m still tired, it’s definitely not even close to how bad it was prior to CPAP. I think I’m going to invest in an o2 ring in the next month or so just to see if I can dial this in further.
Hi , i was consistently on 99-100 , and all of a sudden i’ve been having a few weeks on 92-94-96 at most. I don’t understand what’s going on. I’ve been doing everything to raise my oxigen but levels haven’t gone up
Now how are you??