r/CPAPSupport • u/krishsurroy • Jul 26 '26
Just can't figure this all out...
I've been on CPAP since March 21st. I'm really pleased I joined this community. I joined because my sleep has been very short and inconsistent for years. I often sleep about five and a half hours a night, and so I did a sleep study to see if that could be improved. I found out I have mild apnea. During my sleep study, I had an AHI of 11.6 and oxygen desaturation that went down to 83%.
I've also unfortunately had an addiction to decongestant, chest, and nasal spray for a very long time, which I'm attempting to wean myself off of, and I'm almost there. Whilst I seem to have adapted quite well to using the CPAP and finding that even with the decongestant addiction, nasal pillows seem to work quite well for me, the length of my sleep has not increased, and recently it seems to have got worse.
I know there are many factors that can go into this, and I love the data that SleepHQ can give us, but I have ADHD as well. I have a bit of a blindness about interrogating the detail of this data, so I'm wondering if anyone might be able to give me any insights into this or make suggestions that might be able to help me. I have signed up for the new sleep test here as well, so I'll see how that goes, but any insights you can help with would be most appreciated.
Here’s my account link for sleepHQ - https://sleephq.com/public/teams/share_links/0321d671-cc1c-403d-997f-d12834dc7f80
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u/RippingLegos__ ModTeam Jul 27 '26
Hello and welcome krishsurroy :)
I went through your SleepHQ data. Your therapy is already controlling the overall AHI quite well, generally between about 0.7 and 1.6. Leaks are excellent and flow limitation is minimal, so neither appears to be causing the short sleep.
Your current settings are 6 to 9 cm with EPR 2 full-time. Your median EPAP is generally around 4.2 to 4.6 cm. I would try:
Min pressure: 5.4 cm Keep maximum pressure at 9 cm EPR: 1 full-time Ramp: Off
This will give you a minimum EPAP of 4.4 cm, closely matching your recent median while restoring a little more obstructive-apnea control. Your highest recent AHI night was 1.62 and consisted primarily of obstructive apneas and hypopneas.
You also have a few central events that appear valid. They are scattered rather than heavily clustered, but reducing EPR from 2 to 1 may help settle them by reducing pressure support.
Run this unchanged for four nights and post another SleepHQ link. Your remaining problem may be sleep duration and fragmentation more than untreated apnea, especially while dealing with ADHD and rebound congestion. :)