CPAP product reviews and other helpful tips for CPAP users!

If you’ve been diagnosed with Obstructive Sleep Apnea, you should either be seeking treatment or on CPAP therapy already. Let me paint you an all too common scenario - you’ve got your machine and mask purchased and after a couple of weeks on therapy, you stop using it. You see it on your bedside table every day but ignore it. Days turn to weeks and weeks turn into months. Sounds familiar? This scenario happens too often.

What happens if you leave your Apnea untreated?

Surprisingly, a couple of nights off your CPAP is actually okay. The benefits of consistent use persist for a couple of days. For example, if you’re travelling or have a cold and took a couple of nights off, you’ll be happy to know that there is still residual benefit when you are not using it for a few days. Continued therapy reduces swelling of soft tissues during sleep making it easier for you to breathe when you are taking a break. However, danger lurks when it’s left long term.

Some would argue you won't die from Sleep Apnea, but like smoking or AIDS - people won't die from it, but likely from the complications that come from smoking or AIDS. Keep reading to find the effects, risks and possible consequences are if you don’t use your CPAP as directed.

Return of common symptoms

Not using your therapy means the return of the classic symptoms  - constant fatigue, low energy, headaches and lethargy. It's only a matter of time these dreaded symptoms will creep back into your day to day life.  It will affect the way you carry out work and social activities and limit your capabilities and negatively impacting your overall quality of life.  

Risk of sudden death

Untreated Sleep Apnea will increase the risk of sudden death or sudden cardiac arrest and the consequences are not reversible. The sudden death is caused by abnormal heart rhythms or arrhythmia which are erratic and disorganized impulses from the heart's ventricles. This means the heart is unable to pump blood and death can occur. 

Risk of premature death

Those who leave their OSA untreated for 10 years or 30 years will lead to shorter lives. Lack of treatment means you'll face more than 3 times the risk of premature death.

Risk of stroke

The low levels of oxygen available to the body and brain and the high blood pressure of the heart working harder put you at 2-3 times higher risk for having a stroke. 

There are endless reasons why doctors prescribe CPAP - they know what they're talking about and it works. No matter how uncomfortable it is, give it a second, third or fourth try. The take-home message here is that untreated OSA produces long term, cumulative exposure to advert effects that is harmful to your health and may cause death.

There are heaping benefits of being on therapy and it shouldn't be ignored. Speak to your health professional for more information or guidance to get the proper care you need to adhere to CPAP therapy.

Whether you're new to CPAP therapy or a seasoned vet, we can all agree: finding the perfect mask isn't easy!  Short of having plastic surgery to fit into one of the hundreds of generic masks out there, you're probably going to have to try on a few before you find one that fits your face comfortably.  Today, we've lined up our favourite CPAP masks and some best sellers that are $100 or less.

AirFit™ P10 & P10 For Her CPAP Masks (Fitpack), $97.98

This super-light and sleek CPAP mask is made by Resmed and may be one of the quietest masks on the market. The AirFit™ P10 has a Standard and a "For Her" version, each with various size nasal pillows. The Standard version has blue and grey headgear and comes with small, medium and large size cushions. The For Her version has soft pink and grey headgear and comes with extra small, small and medium-size cushions. The exhalation port, designed with QuietAir woven-mesh vent system minimizes any disturbances to your bed partners.

Dreamwear & Dreamwear Gel CPAP Masks (Fitpack), $97.98

Made by Philips Respironics, the Dreamwear and Dreamwear Gel masks have a unique frame design. Air flows through a flexible silicone frame that sits across your face and airflow to the main tubing is connected from the crown of your head. This design has a claim to support various sleeping positions - side, back or stomach for comfort. This mask comes with a standard size frame (additional size frames sold separately) and 3 or 4 size nasal cushions in the package (depending on which Dreamwear) for easy fitting. 

AirFit™ N10 & N10 For Her CPAP Masks, $94.98 

The AirFit™ N10 series, manufactured by Resmed has garnered a huge fan base. It's a nasal style (around the nose) mask with an under-eye frame that improves sightlines (for reading/watching TV) and provides comfort and wear-ability with their SpringAir™ cushion.  The head straps are significantly slimmer with SoftEdge™ technology to provide excellent stability throughout the night. The Standard AirFit™ N10 comes with a standard size headgear in classic blue and a choice of small, standard and wide sizes. The For Her version is equipped with small headgear and only one small size nasal cushion finished in soft pink. 

Mirage Activa™ LT Nasal CPAP Mask, $94.98

Also by Resmed, the Mirage Activa™ LT has been on the CPAP scene for quite some time as the successor of the original Mirage Activa™. The revamped MicroFit dial provides a more secure fit along the forehead and dual-wall cushion makes it a favourite among many CPAP users. The Mirage Activa™ comes in 4 sizes-small, medium, large and large-wide and performs comfortably - even for restless sleepers. 

Meridian CPAP Mask, $79.98

Last, but certainly not least, the Meridian nasal mask by Resmed is the lowest priced CPAP mask on our list. It's one of Resmed's longstanding classics; a simple nasal mask providing effective treatment. The headgear features 3 fastening points for easy on-and-off maneuvering and a 360-degree swivel elbow to allow a range of movement for users. The cushion is fitted with a silicone pad that contours the face with minimal leakage. Though it comes in small, medium and large, finding your size can be challenging - and with so much new mask technology coming out every few months, many CPAP vendors have stopped stocking this oldie but a goodie.  

While many CPAP users tend to push their mask's lifespan to over a year, it's recommended we replace our CPAP masks every 6 to 8 months, as your mask can get gross and its materials begin to break down.   We hope this list helps you find a well-fitting and budget-friendly mask that'll bring you a restful night's sleep.

True or false?

Compared to younger individuals, older adults need less sleep?

If you answered true, you are incorrect! Older adults need an average of 7 to 9 hours of sleep a night - the same as their younger counterparts. Contrary to many misconceptions, the amount of sleep required to stay healthy does not decrease as we age. However, it may be a challenge to obtain all those hours all in a night.

There are notable changes to our sleep as we get older. 50-60% of older adults report they have problems sleeping. In addition to changes in how much we sleep, our patterns of sleep also change. 

As we age, our bodies start to produce less melatonin. Melatonin is the hormone that controls the body's natural sleep/wake cycle. It is released in high doses into the blood in the evening to help you feel sleepy and will remain high until the morning. 

As we age, we experience a shift in our internal clock and how our body regulates sleep. The window in which our internal clock enables sleep narrows. This can mean we fall asleep earlier in the evening and wake up much earlier than we want to.

Older adults spend less time in rapid-eye-movement (REM) deep sleep and more time in non-rapid-eye-movement (NREM) sleep, specifically in the N1 stage, the lightest phase of sleep.  This means, as we get older, we may experience less satisfying sleep.

Insomnia is common in adults 60 and older. Insomnia includes trouble falling asleep, waking up several times a night or waking up too early altogether. This can be due to the lack of time spent in REM sleep and also as a side effect caused by other chronic conditions such as arthritis. 

The most common sleep disorders that affect ageing adults include Sleep Apnea and Restless Leg Syndrome. Sleep Apnea causes you to momentarily stop breathing - sometimes dozens of times an hour - which prevents the body from entering a deepened state of sleep. Restless leg syndrome is an uncomfortable and uncontrollable leg tingling sensation while you're trying to fall asleep.

Sleep problems often arise, go undiagnosed and untreated simply because many of us believe sleep problems are a normal part of ageing. Luckily, by prioritizing underlying medical conditions, understanding how our sleep changes, and strategizing a good sleep routine and environment, we can all positively improve sleep. It's not all bad news when we age. Sleep improves with retirement. A French study found people were 26% less likely to report sleep problems in the first 7 years of retirement. Vive la difference!

If you're shopping for a CPAP machine, this blog post is a great place to start. Treating your Sleep Apnea can significantly improve your quality of sleep because life is too short to be tired all the time. To avoid unnecessary stress and buyer's remorse, follow these 5 suggestions to help make your CPAP shopping experience an educated and positive one.  

1. See A Doctor

• What type of Sleep Apnea you have (eg. Obstructive Sleep Apnea or Central Sleep Apnea).
• The CPAP pressure or pressure range you require (prescribed in cmH20).
• What type of CPAP machine is required to treat your Apnea (CPAP, APAP, BiPAP, VPAP etc).

2. Do Your Research

Read and learn as much as you can about Sleep Apnea; the types of treatments available, what type of funding is available from your healthcare system, private insurance policies and how to qualify for them.  Identify popular CPAP brands and the newest CPAP models available. Research different styles and sizes of masks and read up-to-date product reviews on the products you are interested in. Make a list to help you narrow down your search. Arming yourself with knowledge about CPAP helps make informed treatment and buying decisions.

3. Visit Your Local CPAP Vendor

Whether you decide to purchase your CPAP machine in-store or online, visit your local CPAP vendor and browse through displays of various machine and mask selection. Take advantage of the ability to physically see, touch and test features of the potential products you are buying. Ask questions and utilize sales associates for their expertise. Ask for a demonstration to check for the noise level of a machine or to try on a CPAP mask to make sure the fit is right for you.

4. Do A CPAP Trial

Most CPAP vendors offer a 2-4 week trial period, allowing you to rent a CPAP machine and try out the therapy in your own home (for a nominal fee). This trial is tremendously helpful because it allows you to learn how the therapy works, how the equipment functions and what features the best help you adapt to your therapy. You will also quickly learn if a mask is fitting right -- you may switch a few times until you find a suitable face mask that is comfortable for you. At the end of the trial period, you'll have a better idea of purchasing a particular CPAP machine is right for you.

5. Set A Budget

In Canada, CPAP machines often range from $500 - $3000.  The more you are willing to pay the wider range of options: machines, masks, accessories, warranty and aftercare service provided by your CPAP vendor.  But paying more for some bells and whistles doesn't always get you better treatment.  Setting a reasonable budget helps narrow down must-haves and accessories you can forgo.

TIP: Opt for a good quality CPAP main unit with good reviews and take a pass on the travel battery until you have more experience with your starter package.  

Follow our 5 suggestions when you're ready to make a CPAP purchase and you'll have a stress-free buying experience.

If you read our previous blog on the AirMini™ then welcome to part 2 of that discussion!  For those of you who didn't: in a nutshell, we highlighted the AirMini™ travel-specific unit and listed some of the accessories and add-ons we found to be the most impressive. The goal is to help savvy customers like yourself customized a travel unit to best fit your adventurous needs.

Next up on the list, (also the last) quickly became a bestseller in the travel category - the Dreamstation Go Auto CPAP. Continue reading to learn more on which accessories are worth buying and which ones to pass on.  

Dreamstation Go

A relatively new release, the Dreamstation Go by Philips Respironics made its way onto the Canadian market (and into our hearts), spring of 2018. It was designed to be a direct competitor to the beloved and highly buzzed about AirMini™. The Dreamstation Go is a small, sleek and compact, but don't be fooled by appearances:  it weighs more than it looks.

Notable differences between the Dreamstation Go and the AirMini™ - the Dreamstation Go has a touch screen, full compatibility with all CPAP masks and compatibility to various heated and standard tubing!

Sounds good so far doesn’t it? Let’s move on to it’s accessories.

Heat/Moisture Exchanger (HME) Filter

As mentioned in our look at the AirMini™, travel units do not come with built in humidification chambers. Travel units use a waterless technology in the form of dry filters or tablets that provide moisture and heat. But Respironics does not make a waterless solution exclusive to the Dreamstation Go.  You can get a third party heat/moisture exchanger.  The HME filter accessory from the Z1™ Auto travel CPAP by HDM works pretty well on the Dreamstation.  Those filters are  certified for 7 full days of use.

Small or Medium Travel Kit

Personally, I am at the mercy of any attractively designed case or bag.  Philips Respironics has travel cases for the Dreamstation.  The smallest (below, on the left) is sturdy, stylish and rugged enough, but it is big enough to fit only the Dreamstation unit itself.  

There's a medium size case (above, centre) that's more robust and can store both the main unit and the optional battery (which we'll talk about next). Both Small and Medium Travel Kits have a zipper closure and come with a separate washable canvas bag (top, right) to house your mask and tubing.   

Dreamstation Go Overnight Battery

One of the core features of the Dreamstation Go is it’s exclusive overnight battery. Weighing in at 1.53lbs, it’s designed to match the look of the Dreamstation Go. First, remove the panel on the unit to reveal the battery port.  The overnight battery connects seamlessly to the unit, giving you about 13 hours of uninterrupted therapy (at 10cmH20 pressure) on a 4-to-5 hour charge.  

Medistrom™ Pilot-12 Lite Battery & Backup Power Supply

Although Philips Respironics makes a cordless backup and overnight battery exclusively for the Dreamstation Go, there are other options. Choice One Medical released the Medistrom™ Pilot-12 Lite as an alternative portable battery for the Dreamstation Go (also compatible with other CPAP brands and devices). A 3-hour charge with the Dreamstation AC Adapter can power up to 2 nights of therapy (on average pressure of 10 cmH20) with humidification and heated tubing disabled if using with main units.  

There you have it, that’s a wrap on the Dreamstation Go. Completely in love? We know, we are too. We hope you enjoyed our informal “part one” and “part two” ongoing discussion of the tech- filled travel CPAPs and all their accessories.

The take home message? Regardless of which travel CPAP you invest in, both machines offer consistent and reliable therapy. It truly comes down to personal preferences in brands, look, compatibility and accessories. Now leaving your CPAP therapy at home is a thing of the past.

Often when we get busy with our lives, our sleep tends to be one of the first thing that suffers. Work, family life and social commitments seems to come first and sleep falls to the wayside. Did you know your sleep health is vital to being healthy and is just as important, if not more than diet and exercise?  When we sleep, our bodies are regenerating, repairing and healing itself. Prolong lack of sleep will spread and erode your health in the form of chronic illness and diseases. The brain alone requires sleep to function properly – to maintain body temperature, our immune system and to keep our hormones balance. If you wake up each morning not feeling refreshed and energized, suffer from morning headaches and a constant state of excessive daytime sleepiness, have difficulty concentrating, you should consider speaking to your physician to see if a sleep test is right for you. If you have the  following symptoms and on top of that are overweight and have heart issues or family history of sleep apnea, consult your doctor immediately about getting a sleep study.

What is a sleep study? A sleep study is an overnight sleep study at a sleep clinic or a take home device that electronically records the body's activity during sleep. A report is generated on your brain activity, eye movements, heart patterns, oxygen and carbon dioxide blood levels, major muscle movements as well as breathing and snoring activity. This test can detect common sleep disorders and treatment are available.

If left untreated, sleep disorders can result in a growing number of other health issues:

• High BP
• Depression
• GERD
• Diabetes
• Frequent urination at night
• Multiple Sclerosis (MS) - Sleep apnea is very common in people with MS for another reason. MS attacks myelin -- the coating that surrounds and protects nerve cells. It leaves behind scars called lesions in your brain and spinal cord. Damage from MS can make it harder for your brain to control your breathing while you sleep.
• Chronic Pain

It is imperative to start a discussion with your physician if any of the signs and symptoms apply to you. Eating well and exercise won’t matter if your sleep health is deteriorating.

SoClean 2 CPAP Equipment Cleaner Review

One of our very best sellers to keep our client's CPAP equipment in tip-top shape would hands down be the SoClean 2 CPAP Cleaner made by BetterRest Solutions. Whether you're using a ResMed or Respironics CPAP machine, this specially designed apparatus is compatible with most CPAP manufacturers. The SoClean 2 uses an activated oxygen technology to keep your CPAP equipment safe and germ-free. The activated oxygen technology, also known as ozone eliminates 99% of germs and bacteria that may be lingering in your CPAP equipment. 

The SoClean 2 is a waterless one-step cleaning system for your CPAP's main unit, water chamber, hoses and CPAP masks. The filter and check valve in the unit requires replacement approximately every 6 months.

SoClean 2: What Are The Pros And Cons?

As with all CPAP cleaning equipment, there are advantages and disadvantages. Below, we list the highlighted pros and cons of the SoClean 2 CPAP Sanitizer.

List Of Pros:

• QUICK: A sufficient 10-minute cycle is all that’s needed to destroy most bacteria and mould in and around your CPAP equipment after usage.
• SMART: Auto-Start function is available for users to set a specific time where the unit will start automatically. Simply wake up, put accessories in the SoClean 2 and go.
• COMPLETE SANITIZATION: SoClean 2 not only sanitizes your mask, tubing and water chamber, but the ozone also penetrates deep into your CPAP machine (all the crevices)  to kill 99% germs that are trapped inside the machine motor.

List Of Cons:

• REPLACEMENT: It is required to replace the filter and check valve approximately every 6 months. This is an added cost to maintaining the unit.
• EXTRA PARTS: You can only sanitize the water chamber if you purchase the appropriate adapter for your model of CPAP machine.
• LAG TIME: If using SoClean 2 prior to CPAP therapy, it’s required to wait 4-6 hours following sanitizing to using your CPAP equipment for the ozone to dissipate.
• ODOUR: Clients report there is a mild ozone scent that quickly dissipates once the cycle has completed.

Our Final Verdict: What We Really Think Of This CPAP Cleaner

The SoClean 2 delivers on its promises - it's reliable and easy to use. We highly recommend the unit. Many of us are unaware CPAP equipment is a breeding ground for microorganisms. Water and soap are effective for cleaning facial oils and dirt, but won’t suffice for germs and bacteria. 

If you find you’re getting sick frequently or suffer from a lingering sickness, contaminated CPAP equipment could be the source. Weigh the pros and cons and consider investing in a CPAP sanitizer to keep germs at bay. A CPAP sanitizer will ultimately improve your experience with CPAP therapy and enhance your overall sleep health.