Well, I think things can be a lot more complex than a simple 'one size fits all' NICE guidline!!!
I apparently only have 10 episodes per hour, but I'm very symptomatic. However, the results from the sleep study indicated not a lot happened in the first two hours and almost all the apnoeas happened in the last 4 hours

I feel that just dividing the apnoeas by the hours of sleep is very simplistic and unrepresentative way to make a clinical dxescision. Rather, it should be symptom led too.
Since I have...erm....self treated with CPAP I am a lot better, so it certainly works for me. Proof of the pudding and all that:)
Interestingly, I recently found out a semi-retired colleague that works in my dept occasionally, has had OSA for at least 3 decades. He has only ever 'scored' a max14 AHI, and his studies usually come out at around 10 AHI. He is also highly symptomatic. So there are people out there that don't fit into the one size fits all model of OSA/ sleep disorders.
Glad you got a CPAP anyway. Seems your consultant is sensible enough to help you based on your symptoms

Well, I think things can be a lot more complex than a simple 'one size fits all' NICE guidline!!!
I apparently only have 10 episodes per hour, but I'm very symptomatic. However, the results from the sleep study indicated not a lot happened in the first two hours and almost all the apnoeas happened in the last 4 hours :? I feel that just dividing the apnoeas by the hours of sleep is very simplistic and unrepresentative way to make a clinical dxescision. Rather, it should be symptom led too.
Since I have...erm....self treated with CPAP I am a lot better, so it certainly works for me. Proof of the pudding and all that:)
Interestingly, I recently found out a semi-retired colleague that works in my dept occasionally, has had OSA for at least 3 decades. He has only ever 'scored' a max14 AHI, and his studies usually come out at around 10 AHI. He is also highly symptomatic. So there are people out there that don't fit into the one size fits all model of OSA/ sleep disorders.
Glad you got a CPAP anyway. Seems your consultant is sensible enough to help you based on your symptoms :)