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If you have irregular breathing during sleep, wake up gasping for breath, or feel excessively sleepy during the day, you may experience symptoms of sleep apnea. There are three types of sleep apnea. The most common form of sleep apnea is obstructive sleep apnea (OSA). OSA affects 2 to 9% of US adults and about 2% of children. When you suffer from this respiratory disease, your breathing is disrupted during sleep. You may snore, gasp, choke, or gasp while you sleep. These body reactions can wake you up from sleep. Central sleep apnea (CSA) is a much rarer form of sleep apnea. Difficulty breathing does not come from the airways themselves, but from the part of the brain that controls breathing. The main symptom of CSA is a repeating cycle where your breathing gradually slows until you stop breathing completely for short periods of time. If you have been diagnosed with obstructive sleep apnea, your doctor may recommend a continuous positive airway pressure (CPAP) device for treatment. A CPAP device provides you with compressed air while you sleep to keep your airways open. Patients using CPAP devices consistently experience better quality of life and less cognitive impairment. CPAP treatment can also lower blood pressure. However, CPAP machines are not the only treatment for OSA. Your doctor can help you determine which treatment is best for you. People with OSA seek CPAP alternatives for several reasons: Cost: The cost of the device itself starts around $250 and can reach $1,000 or more. Getting insurance to buy a CPAP machine often requires you to enroll in a rental plan with strict compliance requirements. Compliance Requirements: Insurance companies such as Medicare require CPAP device users to adhere to a 30-day compliance period and use the device for at least 4 hours a night 70% of the time. Patients may find it difficult to comply with these requirements and may perceive it as an invasion of privacy. Side Effects: Side effects vary depending on the CPAP user. Some people find the mask uncomfortable or experience dry mouth, red or itchy eyes, and a dry, stuffy or runny nose. CPAP users and their sleeping partners may also be affected by noise from a leaky mask. All these side effects affect treatment compliance. Adherence: Adherence rates for CPAP machines can be as high as 50%. Many lifestyle options, devices, and surgical procedures can serve as alternative treatments for sleep apnea for people who choose not to use a CPAP device. Weight loss and exercise Obesity is a risk factor for OSA. Research shows that significant weight loss reduces the severity of OSA. An OSA weight loss intervention study found that dietary changes combined with at least three hours of moderate physical activity per week were effective. Another study found that bariatric surgery is also effective in reducing the severity of OSA. Patients should consult an obesity specialist or endocrinologist for help with obesity management. Patients whoIf you have irregular breathing during sleep, wake up gasping for air, or feel excessively sleepy during the day, you may be experiencing symptoms of sleep apnea. There are three types of sleep apnea. The most common form of sleep apnea is obstructive sleep apnea (OSA). OSA affects 2% to 9% of US adults and about 2% of children. If you suffer from this respiratory condition, your breathing is disrupted during sleep. You may snore, gasp, choke, or hum while you sleep. These body reactions can wake you up from sleep. Central sleep apnea (CSA) is a much rarer form of sleep apnea. Breathing difficulties are not related to the airways themselves, but to the part of the brain that controls breathing. The main symptom of CSA is a repeated cycle in which your breathing gradually slows until you stop breathing completely for short periods of time. If you have been diagnosed with obstructive sleep apnea, your doctor may recommend continuous positive airway pressure (CPAP) machines for treatment. A CPAP machine supplies you with compressed air while you sleep to keep your airways open. Patients who use a CPAP machine continue to have an improved quality of life and less cognitive impairment. CPAP therapy can also lower blood pressure. However, CPAP machines are not the only treatment for OSA. Your doctor can help you decide which treatments are best for you. People with OSA seek alternatives to CPAP for several reasons. Cost: Equipment costs start at $250 and can reach $1,000 or more. Purchasing insurance to purchase a CPAP machine often requires signing up for a rental plan with strict eligibility requirements. Eligibility Requirements: Insurers such as Medicare require CPAP users to meet a 30-day eligibility period by using the device at least 4 hours a day 70% of the night. Compliance with these requirements can be difficult for patients and may be perceived as an invasion of privacy. Side Effects: Side effects vary by CPAP user. Some people find the mask uncomfortable or experience dry mouth, red or itchy eyes, and a dry, stuffy or runny nose. CPAP users and their sleeping partners can also be affected by noise from mask leaks. All these side effects affect the grip. Liability: Liability rates for CPAP machines can reach 50%. Many lifestyle choices, devices, and surgeries can serve as alternative treatments for sleep apnea for people who choose not to use a CPAP machine. Weight loss and physical activity Obesity is a risk factor for OSA. Research shows that significant weight loss reduces the severity of OSA. One study of an OSA weight loss intervention showed that dietary changes combined with at least three hours of moderate exercise per week were effective. Another study found that bariatric surgery is also effective in reducing the severity of OSA. Patients should seek advice from an obesity specialist or endocrinologist to help manage obesity. patients who

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