I'm beginning to think that drs, especially specialists, just tell us that we're really bad with our COPD just so they can sell us equipment and meds to get a kickback from Big Pharma. I've had COPD for 18 years and do have problems with my breathing, of course. I am on oxygen, dr says to use it 24/7, but I don't believe I could sleep with something on my face, so don't use it at night. I don't have all that equipment to keep track of any numbers or anything and I'm beginning to think I'm dealing with this better than others who do all of that. The bad signs from the equipment seem to cause anxiety and stress for those who keep track. I don't have all that. Since I've been on this site, what anxiety and depression I was dealing with is gone, now. I still have the usual daily stressors, finances, too many demands from my animals, etc., but none from my COPD. I was planning to start seeing a pulmonologist, but think I might put that off a while and see what happens.

I see a consultant every 6 months have lung function test at same time

Get a referral and see a pulmonary dr right away.
Good luck

Easy breathing

Go see your doctor and ask for referral to see a consultant.

I would request to see a Consultant in light of the changes you're experiencing. You need t have someone really experienced and skilled to review your situation, give you a diagnosis and prescribe appropriate medications. How often you should see a Consultant may not be as important as seeing one NOW when you need to know what's going on, what can be done and what your options are.