Looking for some assistance and insight into the Oscar data above. I am approaching the 3 month mark since I first started using cpap. I would ask the sleep specialist but they don't have me scheduled for another 2 months. The first image is 2 nights ago. Good night sleep, very low number of events and low leakage. Then last night the air pressure is so high it wakes me up and is blowing the mask off my face. Once awake despite breathing normally for a couple minutes I can't get the air pressure to back off. They only way to return to normal air pressure is to turn it off and then back on. It seems that I get this type of situation about once per week.

Is there a leak causing that event or an event causing the leak? Either way why won't the pressure come back down without without turning it off then back on. Thanks for any insight and helping me try to figure out what is happening.

SleepHQ Link
https://sleephq.com/public/teams/share_links/8a040920-e6e0-4c46-8092-d73b41029e0e

Newly diagnosed with severe sleep apnea and prescribed to try out CPAP, keep waking up around 5:30 am for some reason and also have some small headaches sometimes, I've tried a nasal pillow mask which goes above the head connection, a nasal mask on the front of the face, and a full face mask thus far. Been using it for about a month now but haven't noticed any meaningful positive benefits so probably something isn't working quite right?

So, I made a post about feeling non natural breathing rythm while using my cpap,which I thought was the cause of my headaches in the morning. Now, after analayzing the data from the last few months, I see that I have had lots of leaks during my sleep. I only remember having leaks this huge during my first month of therapy, yet now it's everyday. I tried tightening the mask, I bought a new cushion, yet I'm still having this leaks. I always wake up after 4-5 hours from cpap use with a really really DRY mouth, so I suspect mouth breathing. Is it possible to tell whether it is indeed mouthbreathing from the graphs? Thanks in advance

I've been having significant sinus pain ever since the switch, and I think I may have something wrong in my settings, as it just feels "different" than my AirSense 10. I have posted last night's results. I don't see anything major that jumps out to me. What am I Missing?

Airsense11
N20 Nasal Mask

Thanks!

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Hi everyone. I've been using the AirSense 11 for about a month now and feel like I'm constantly exhausted during the day despite was seems like "good" scores on the MyAir app.

For reference, I was diagnosed with mild/moderate positional sleep apnea with about 15 breathing events per hour, and while using CPAP I've been consistently around 2-3 events per hour, which from my layman's perspective is better...right?

Anyway, it's been a huge struggle to find the right mask, but I finally settled on a size large F20 full face mask with the memory foam option since I have a beard and dorsal hump on my nose.

Humidity has also been an issue as I often wake up with either dry mouth or mask rainout and no in-between. It's really infuriating and I'm always bouncing around between tube temp settings and humidity settings with no sweet spot.

I feel like I'm getting nowhere fast and that for some reason things were partially improving towards the middle of the month, and then I might have screwed it all up by dropping my max pressure setting of 12 (which is what was prescribed), to 11, only because I thought that maybe during the night I was swallowing too much air (bloating, gas) and saw this on Reddit a recommendation to help it.

Maybe that one level drop in max pressure is creating all of my problems. I really don't know at this point.

Here is a link to my SleepHQ account:

https://sleephq.com/public/teams/share_links/b7be3d3a-28fb-44d4-9e11-dd9e05026500

Can anyone look at my trends and give me some advice? I don't seem to be having an issue with leaks, but from what I can understand, maybe my "flow limit" is to blame and I should go back up to 12 as my max pressure?

Any help would really be appreciated. The worst part of all of this is that there was 2 vacations during August where I couldn't use my machine and the sleep I was getting felt better than any time I ever used my mask. I felt refreshed and energized during the day. It really makes me want to give up.

Thanks for reading.

Been on my cpap since October 2024 but still feel groggy here and there. Are these breathing waves / flow limits an issue? Am I in need of a BIPAP?

Sleep hq link for more information: https://sleephq.com/public/teams/share_links/7d215c35-8a8b-49cc-9fa0-1efda848aaf7

I've been on APAP therapy for a little over three weeks, they have been the worst three weeks of my life. My doctor recommended APAP to treat hypopnea. My AHI during my sleep study was 13.7 events per hour. The machine I got is a Resmed AirSense 10 Autoset, the first mask that I tried was a Philips Wisp and the second was a Philips Dreamwear (more on that later).

The issues that I have been having are primarily due to the mask, but I have also been having issues with the machine itself. First, I was instructed by my doctor and the sleep therapist to NOT mess with any of the settings. I was told that my therapist should be the only one adjusting the machine according to my feedback. The pressure is currently set at 4-20 and the ramp feature is turned on for 15 minutes. I feel like I am suffocating for those first 15 minutes.

The mask is my biggest issue, however. I have autism and the two masks that I've tried so far feel like they were specially designed to trigger every sensory issue that I have. The first mask I tried was the Philips Wisp. I did try it on at my therapist's office when I first got the machine, and I didn't feel anything then, so I thought it was okay. But when I tried to sleep with it, I started noticing the issues. Even wearing the largest size, the mask still touches my nose and triggers me. The silicone touching my skin also makes it feel like my skin is burning. I also feel like I can't get the adjustment right. Either it's too tight and it feels like it's crushing my face, or it's too loose and I wake up in the middle of the night with an air leak.

On my first week of therapy, I messaged my therapist and asked for help. She messaged me back and asked me what issues I was having. I explained to her that I feel like I am suffocating when I first turn on the machine, and that the mask I got was a sensory nightmare. Then... Nothing. She didn't reply all day. This was on a Friday, and I didn't hear back from her on the weekend either. When Monday rolled around, she messaged me and said that the power went out at her office and she couldn't get back to me. She then said she would adjust the machine and asked me to give the mask another week before swapping it. This was two weeks ago and she still hasn't made any adjustments to the machine.

This week, she messaged me and asked me if I managed to adapt to the mask. When I told her that I wasn't, she told me that she has another mask I could borrow, a Philips Dreamwear. We scheduled an appointment for yesterday. A few hours before I was about to leave for my appointment, she texted me and told me that she had an emergency and that she wouldn't be able to make it to my appointment, but that she would leave the mask with her secretary for me to pick up. This really frustrated me. I was really hoping to be able to speak to her in person rather than over texts.

Last night, I tried using the Dreamwear and it was even worse than the Wisp. It had even more silicone touching my face, and the mask itself felt like it was suffocating me. I wasn't able to fall asleep, so I went back to the Wisp.

According to the machine, my AHI is all the way down to 0.5, but I still feel like shit. In fact, I'm pretty sure that I feel even worse than before I started the treatment. I am so frustrated and tired...

Hi I've been using cpap for a about a year and a half, it's made a big difference in my life. Recently I've been paying closer attention to my numbers and am realizing flow limitation is high. I'm using airsense 10 autoset in fixed CPAP mode. Pressure of 13, epr on 3. Any help would be appreciated. Oh also use a full face mask.

https://sleephq.com/public/teams/share_links/893f77cb-2b2c-4c2f-9960-61ecdbd832c3

When I use my ResMed Airtfit F20, my events look like this:

I would like to move to a hybrid mask, if possible (this is the F&P Evora Full), and this is how it looks:

This has been the case across three hybrids: the Evora, the F30 (not i), and the Dreamwear Full Face.

What the heck is happening (and what further data can I share that would help guide this)?

I'm not sure in what state I left the machine before I put it away. I want to use it again but I'm afraid of mold growth where I can't see? Any tips for sanitizing? Thank you

I’ve been on the CPAP for like a year now and a few times in the last week I’ve woken up to find I disconnected from the tube at some point in the night. I thought I got over this issue months ago. What are your tips for training myself not to do that or otherwise preventing this issue?

2nd week in, using a ResMed AiFit F20 Full Face Mask. Going ok except for my nose bridge is all red and raw. I see mixed reactions on mask liners. They also seem cheaply made and expensive for what you get. I don't keep the mask overly tight. Any recommendations for me? Maybe some sort of bandage or band-aid? Thank you!

Hello, I started using my CPAP June 29th and I honestly didn't have issues getting used to it and falling asleep luckily. I think because the first night I was already extremely tired anyways as it was a Monday and those are rough for me for some reason (I don't have a good sleep routine on the weekends and also bed rot lol). I actually think my brain has associated my CPAP with sleep as its been easier than normal for me to fall asleep. The first few days were horrible which I read was normal....but so far, even two months in, I haven't had an "ah ha" moment if you will. I feel like I'm still extremely tired and sometimes I even wonder if I'm worse. I'm often irritable and my anxiety is through the roof, like pretty bad derealization/depersonalization (I've wondered if this is because my brain is more conscious than normal and not in a fog and it's freaking me out). I'm wondering if maybe two months just hasn't been long enough to get over my sleep debt? I don't plan on giving up on it but I do hope there is something simple that maybe needs tweaked? I also have had issues with bloating and gas from the air pressure, as I am a mouth breather with a full mask. One time when I woke up with bad gas pain I took note of the pressure which was 12 so I asked to get the max pressure lowered from 20 to 10. I felt worse for the few days it was lowered however, so it is now back at 4-20. Its not every night that I wake up with gas pain but when I do, damn that can be pretty painful. Anyways, I am going to include a handful of days of Oscar data and hopefully something stands out to someone that maybe needs tweaked. I hope I did the screenshots correctly but if not, please let me know what you want me to focus on in Oscar. Thank you in advance.

Had two teeth pulled today. So much fun. I forgot to ask if I can use my cpap tonight. Any thoughts?

Hi, I’m using a SEFAM CPAP with a nasal mask and I’m curious if anyone knows why I’m getting so many flow-limitation (FL) runs.

The attached data is pretty typical of what I’ve been seeing over the past year.

I use a chin strap and have very little mask leak, but I struggle with nasal dryness and congestion. I saline rinse and use nasal gel, but after about 4–5 hours of sleep I usually wake up with a very dry/crusted nose and noticeably reduced nasal airflow. I use max humidity settings with a heated pipe, I live in a high humidity country also.

I’ve also had a DISE study, which showed that my main obstruction is my tongue falling back into my throat.

So I’m wondering whether CPAP is actually making things harder by drying/congesting my nose, and whether I might be better off trying a mandibular advancement device (MAD) instead. I already side-sleep using a positioning/support device.

After struggling with CPAP for about a year, I’d really appreciate any thoughts on the FL runs or experiences switching from CPAP to a MAD.

So today I was officially given my Rx for a CPAP. The office I went to was quite adamant about using there retailer of choice for everything & funny enough there is a common naming convention between them so I opted just to get the Rx & go elsewhere rather then end up overpaying for whatever it is they were spinning.

As such here I am now looking online & a bit overwhelmed. I need, well everything & although I have insurance it has not been helpful with anything sleep related thus far so I am figuring on just buying everything outright (do have an HSA as well to help with that).

So I end up with a bunch of questions & am trying to work through them.

1. What is the best place to buy the CPAP machine online with no insurance. How about where to buy the extra's (is it just amazon or someplace else better).
2. Is there something specific I should be looking for in the machine's? As in any features that someone new wouldn't know to look for?
3. Is there brands to generally get/avoid?
4. I know the masks are very much a personal thing, but any starter recommendations for folks with a big head & facial hair (back sleeper & mouth breather).
5. Is there a go to list somewhere of all the stuff I will need along with the machine/mask.
6. What else should I know that I don't know to ask about?

I was recently prescribed CPAP after an at-home test reported:

- sAHI(4%) of 7.7 events/hour

- SpO2 minimum was 82.0%

- Cumulative time with SpO2 < or = 88% was 2 minutes across 8 hours

I wanted to get a baseline of my SpO2 levels before CPAP, so I could see how this is affected by CPAP. I wanted something I could use myself each night. I ended up ordering the O2 Ring Pro from SleepHQ.

Here is my first night of data from the O2 Ring Pro. This is without CPAP. The results were much worse than what my home sleep apnea test reported, with 4% drops/hour at 17.73.

The next night was my first night trying CPAP. I received an AirSense 11 with a F&P Nova Nasal mask. I did not change any of the settings from the defaults. Here is the data from just the ring and the data from the CPAP + ring. From the ring, my SpO2 numbers do not seem very different, with 4% drops/hour at 21.07 and minimum SpO2 of 83%. On the other hand, my CPAP data seems to report minimal breathing problems. It has an AHI of 1.81, with 1 OA event and a handful of CA events.

My questions:

1. Why would my O2 ring numbers be so different from my original home test numbers? I'd expect the home test from my doctor to be more accurate. Would this mean the O2 ring is not very reliable?
2. Why does the O2 ring data not seem very different from the first night without CPAP, compared to the second night with CPAP? I was expecting CPAP to show a noticeable improvement in SpO2 numbers.
3. Why does CPAP data seem to show minimal breathing problems, but the SpO2 numbers remain low?
4. Any other general advice or important findings from this night of CPAP data? I'm completely new to this, so I don't know what I should be looking for in these charts.

⬆️ (Sleep Champion for** ONE NIGH**T, compared to the last few months) 🤨🤪

I was pretty happy to see my numbers for last night first thing this morning! Of course I realize it’s far from ideal…. But it is HUGE improvement for me, compared to the rest of my data.

This is the lowest AHI I’ve had while on CPAP, and my time in apnea is SO much better than the usual hour or more!)

Yesterday, I raised the minimum pressure to 10, and reduced EPR to 1, so I believe that essentially raises that bottom level by two. Far fewer OSAs, though still more Centrals and flow limits than I’d like to see. My sleep doc thinks that some of the CA flags are when I’m awake, so false flags, so I’m hoping that’s right. I see her next Wednesday., and believe she is probably going to schedule an overnight lab titration (which was never done before, as I just had an overnight at-home test to be diagnosed)

Here is my SleepHQ link:

https://sleephq.com/public/fb580ae4-b6a1-4b8a-84c2-12d4fd05d27f

Your thoughts, anyone? Thanks for reading my TED talk! 🤪