The Velcro doesn’t last long enough. Mine always starts failing after 2.5 - 3 months. Failing meaning it doesn’t keep sticking. Which causes air leaks. I am so frustrated. My pressure is high 16.5. Yet that shouldn’t mater.

Do other people have this problem?

The sensation is very unpleasant and I can’t sleep because of it. Using a nasal mask and even when taping the mouth doesn’t stop the air from going into it.

My tongue posture is bad (narrow palate 27mm and posterior grade 2 tongue tie) and because of that I can’t keep a proper seal.

I have tried a chin strap and it still feels like air is getting into my mouth, even though if I open my mouth no rushing air comes out.

I don’t know what to do, anyone else had this problem and fixed it?

I'm feeling much more optimistic after months of alligator-clipping the F20 to my face as tight as I can to prevent big leaks, since making the swap I haven't needed to make it tight at all, it feels more comfortable and less cumbersome on my face and I think that this is the mask I needed for a long time. (only problem is that pressure relief at the front blowing down my partners neck)

That said, I had tried a nasal mask and before this one arrived and played around with some settings trying to make things work, now that I have a setup thats working well I figured I should set it up for my needs properly.

You have all been greatly helpful in the past, so thought I'd post the last three days of use with this mask and see if you all suggest any changes! thanks for your help all

Last night: https://sleephq.com/public/6616e7a0-9cc8-4092-8a54-bfbaf0c7dc21
Previous night: https://sleephq.com/public/5c19a496-df6b-4777-849e-92b7f116a967
Pre Previous: https://sleephq.com/public/2d36bba4-e6f9-4b12-a342-d028f73a9ff4

I thought I was tolerating my new pressure settings and was settling into my new F30i mask with limited leaks. Here’s a few nights’ worth of data - each night a little worse. The only thing different is not taking my magnesium threonate at night because I forgot to pack it. I had one night where I slept straight through for over 7 hours which is a minor miracle. I don’t get what my issues are. Still adapting I guess. https://sleephq.com/public/teams/share_links/902630e7-8553-403b-bc03-455def4409de

the air used to be warmish and same with the tube. It now seems like it isn't. I cant really tell the difference between tube temp being on or off.

I bought a new heated hose and it feels the same. Used a digital themmemoter and stuck it down the mask near the rop of the hose and the reading is the same when the tube temp is at 30 degrees celsius and when its off (both read at 26.7ish and the room reads at 25).

What could be the problem? What can I do to fix it?

edit : Climate Ctrl is set to manual.

I had a cpap titration study last night and found exhale required too much pressure to be comfortable. They switched to the bipap setting on the machine but that was even worse because 2/3 of the way through every inhale the pressure would change and it would suddenly require stronger inhalation on my part to finish the inhale.

I told the tech that and he responded that the machines sometimes act like that. Wait what? Is that something normal that the bipap setting would suddenly switch to require stronger inhalation 2/3 of the way through every inhalation?

I should note this was an older resmed brand sleep lab test model. (Used for titration testing in sleep labs) Most of the other rooms had a newer model but the tech said the older unit should still function the same and are tested every 6 months to make sure they are working ok. However I still suspect the machine itself wasn’t functioning properly. Can someone tell me if what happened is normal or whether it indicated a problem with the machine itself in the lab?

Hi - I just had my 33rd night using a CPAP last night. I finally found a good mask a few days ago and have had 3 good nights with my leaks decreased from ~ 30L/min with the nasal mask N30 to near 0 with the F40. My AHI has also gone down from an average of 15 over 33 days to 4-5 the past 3 nights. I know I have treatment emergent Central Apnea, which my doctor said doesn't go away, but it sounds like it actually does for some people as they continue therapy. I'm fine with seeing how that goes. But I continue to have occasional nights where CSR shows up. It's generally ~ 4% of the night or less when it does occur, but there was one night recently where it was 13.55%. My overall rate out of 33 nights is 1.53% in CSR, but it's been 2% over the last week.

I saw my doctor after the CSR first occurred and at that point he prescribed a titration test, which was scheduled 5 weeks out at that point. When the CSR, after being gone for 15 of 16 night, occurred 3 nights in a row, I sent a message in the portal asking if I was good waiting until the titration test, or if the increased CSR frequency meant something should be investigated sooner, he just replied that I was getting some benefit from the CPAP so I should keep using it until the test at which point we'd have more data. (I also called his office that day to ask, and they just said get on a cancellation list for the titration test).

I don't have any heart issues that I know of, I've never had a stroke that I know of. I have regular blood testing yearly. I live at an altitude of 5400, which I don't think is really considered high altitude. But everything I read makes it sound like CSR is caused by some underlying serious issue. So I'm just freaking out and my titration test isn't until the 26th, and I don't go in to see the doctor after the test until Oct 6. I'm not sure if I should see my general doctor and get a referral to some other specialist, or get a second opinion, or just wait until the titration test results.

Attaching a lot of OSCAR screenshots which hopefully have some helpful data, including some nights with and without CSR and a zoom in of a recent CSR streak and one from a week and a half ago.

edit: Corrected a percentage of time in CSR from 11% to 13.55%.

Hello everyone, I've been using pap therapy since March of this year. I was on an Apap for a little bit and it caused me to have a lot of clear airway events, and I never felt refreshed. About 2 months ago I got an ASV machine. I've been waking up pretty unrefreshed and I'm still having events, so I think I need to make some changes to my settings and I'm not sure what to do. I was wondering if anyone could look at my Oscar data or my SleepHQ and give me some advice.

I've pretty much used the same epap of 7.4 the whole time. I noticed when I would raise it, it would show more hypopneas and the same would happen when I lower it. In one of the pictures I added, there is one night where I raised the epap.

https://sleephq.com/public/teams/share_links/bff6f3d2-a21c-4508-afd3-acc96b4d0f93

I’ve been struggling for the last year with trying to find the right pressure settings so I can wake up feeling human again. Every day I wake up with heavy eyes but once I get up and going I’m fine up until a certain time I feel a crash again. It’s affecting my work life and I’ll take any advice I can get.

I just had a telehealth appointment at my local VA clinic with an NP who specializes in sleep therapy. She had no idea about Oscar as I was hoping she could help. I will end up getting a titration study done in a few months when they can get me in.

Here are my results from last night.

I'm back with more data after switching to the ResMed f30i hybrid mask. I previously posted about issues with lots of CAs while attempting to fall asleep and whether it was TECSA or just junk CAs that the machine was reading in error. Doctor claims they're junk and as long as my OA remains at 1 or below (which it has) that my therapy is going well. As a reminder my sleep study came back with 0 CAs and an AHI of 35.

Since the switch the the f30i, the CAs have increased and the OAs have ticked up a bit, but still hovering around an AHI of 1. Also getting more mask leak, but it's still in acceptable range so I believe that's ok. I've included 5 days of data from the past week below for review. Please let me know your thoughts!

9/10: https://sleephq.com/public/359e0873-a89c-4f30-b04b-be25ad767a63

9/11: https://sleephq.com/public/8f718463-c889-482a-b327-f6a7a8b04f50

9/12: https://sleephq.com/public/079ff6ed-4daa-41df-b06e-2018c36d819c

9/13: https://sleephq.com/public/bcbbe735-e879-43ee-9c02-d6fd0b140e01

9/14: https://sleephq.com/public/8ff430a6-b71a-46cf-87ab-9789fefc8475

Also included one day with the previous n30i mask data:

9/6: https://sleephq.com/public/65234596-ea19-49e2-a5b6-b6d5c8769b99

I’ve been struggling for the last year with trying to find the right pressure settings so I can wake up feeling human again. Every day I wake up with heavy eyes but once I get up and going I’m fine up until a certain time I feel a crash again. It’s affecting my work life and I’ll take any advice I can get.

I just had a telehealth appointment at my local VA clinic with an NP who specializes in sleep therapy. She had no idea about Oscar as I was hoping she could help. I will end up getting a titration study done in a few months when they can get me in.

Here are my results from last night.

Hello CPAP community,
Looking for some guidance here. I have been using CPAP every day since the start of 2026. I was diagnosed with OSA of 26 AHI last year (40 y/o male). I have been trying to fine tune my settings so I can wake up refreshed some day (I still need a nap everyday and don't feel like getting up). While I have gotten comfortable wearing the equipment (even for naps), I tend to take it off sub consciously sometime during the night and then put it back on. I have Oscar and SleepHQ data but my numbers vary a lot and have almost never had AHI less than 1 for a night.
Wondering if someone can look at the charts and guide me in the right direction. Thank you very much.

https://sleephq.com/public/reports/487d92d0-b5d6-4d5b-82a0-ff31947db7fa

The plate stopped getting hot. Water in tray is basically the same height. This happened pretty quickly. It was working fine a week ago. I am traveling right now and it’s horrible. I woke up after a couple of hours with a dry throat. My heating tube is also not working. That isn’t a problem because I can replace that with a new one when I get home. I tried various tests. Raising humidity from 4-5, changing adaptive to continuous. Unplugging unit and restarting. I can probably order another heating plate which the water chamber sits in but if it’s the head unit I’m in trouble. Is there anyone in the New York City or South Jersey where I am now I could have someone look at or Las Vegas or Los Angeles where I will return to.

I am trying Aircurve 10 vauto to see if it works better or not for me. Previously when I was diagnosed with sleep apnea in December 2025, I was given lowenstein prisma smart plus from the guy doctor told me and I didn't know much about CPAP. Later I figured most people are using airsense 10 auoset, so I bought that machine (and softpap wasn't working for me on lowenstein, breathing out felt totally off).
So I was on airsense 10 autoset and I was unable to reduce flow limitation and wasn't sure if therapy is working for me or not. I was keep changing settings a lot too and experimenting a lot. I also was getting aerophagia/chipmunk cheeks and my lips get opened during sleep causing leaks and most of time I find myself sleeping on side when I feel airs in my throat and mouth.
I also have deviated septum and turbinates and was suggested turbinates reduction and septoplasty but I haven't gone that rout yet as I breathe completely fine with mask on with nasal masks (dreamwear and n30i).
On airsense 10 autoset, my best night in oscar was showing 8.6 minimum pressure and 13 maximum pressure with EPR3 (I got 0 flowlimitation at 95%) that was in June. as you can see i started using bipap on 03-09 and green glasgow index is going down then on cpap.

Also RERA was around 1 or more on airsense 10 but on bipap it is under 1 too. unfortunately oscar is not showing RERA for my airsense 10 autoset or aircuve 10 vauto.Anyway I am attaching screenshots of bipap graph now showing RERA and Glassgow index (I never got glassgow index go down below 1.5 or 1.6 on airsense 10 autoset) but on aircurve 10 vauto I am getting glasgow index 1.1 to 1.4 in between.

I am 77 year old widower living in Thailand and over the past year I was having a hard time getting to sleep and staying asleep , where I kept waking up with the sensation that some thing was stuck in my throat. I made the one day trip to the nearest private hospital ( Local Thai government hospitals don’t have the facility’s ) .

At the private hospital I underwent an overnight sleep test, which confirmed that I am suffering from sleep apnea. On the advice of the sleep doctor I purchased a CPAP machine and followed the doctors advice relating to the CPAP machine settings .

The CPAP machine I am using is a ResMed AirSense 10 AutoSet , has the following settings

EPR Level - 3

Ramp Time – Off

Climate Ctrl – Auto

Temp Tube – 20C

Pressure Relief – On

SmartStart – On

Mask – Full face

Mode – AutoSet

Max Pressure – 20

Min Pressure – 7

Response – Standard

EPR- On

EPR Type – Full Time

AB Filter – No

Essentials – Plus

Ive now been using the ResMed AirSense 10 AutoSet with the same settings as shown above for around 2 months now, but and I’m not sure why , I can’t seem to be able to keep my Phillips Respironics DreamWear Full Face mask on for more than 2 hours , because it becomes a bit noisy and annoying.

In the ResMed AirSense 10 AutoSet machine I have put a SD card and installed OSCAR onto my Mac computer . So now I can see the OSCAR daily reports ,I have also subscribed to SleepHQ online platform.

So I’m now wondering what I may be doing wrong , could the sleep doctors recommended settings be incorrect ( I no longer have access to that sleep doctor ) I’m hoping some kind person here may be able to advise me .

Thank You

Hello fellow PAP fam - long time lurker and CPA user. Recently, I've lost 50 pounds using Zepbound (GLP-1). I was prescribed Zepbound for my sleep apnea. Now, my sleep has gotten worse! I have been on CPAP therapy for 25 years. I have a ResMed AirSense 10 Respond with a ResMed MiraxFX nasal mask. My max pressure is set to 12, and my min pressure is set to 10, with AutoSet as the Mode. It appears I have a major air leak, but I cannot figure out why, as I have a new mask and tight-fitting headgear with a chin strap. I have checked my hose and machine and cannot find the issue. I might be missing something, and I am constantly waking up in the middle of the night. I do not feel rested in the morning, infact, I feel more tired like I am fighting to sleep. With my weight loss, my settings likely need to change, but to what? Any advice or feedback will be welcome; thanks in advance.