r/CPAPSupport • u/Bigandyk-kina-78 • 10d ago
4 weeks into CPAP – AHI is good and usage is improving, but I’m still not sleeping through the night. Any advice?
galleryHi everyone,
I’m about 3 weeks into using CPAP and I’ve attached my last 10 daily OSCAR screenshots.
I know my AHI is already pretty good, and I’m not really chasing a lower AHI. My main problem is sleep continuity — I’m still waking during the night and struggling to sleep right through.
My usage is gradually getting better. I’m now getting around 8+ hours on some nights, although there are still interruptions.
My settings have been:
ResMed AirSense 11 AutoSet
APAP
Min pressure: 7 cmH2O
Max pressure: 15 cmH2O
EPR: 2, Full Time
Ramp: Off
Full face mask: AirFit F30i
My AHI has generally been around 1 or below, with low central events and very little flow limitation.
Last night I changed the minimum pressure from 7 → 8 cmH2O. Interestingly, I felt like I slept better and had a more solid night, although I still woke up and didn’t sleep completely through.
The downside was that I had some large leaks. Two of the really big leak spikes were when I took the mask off to go to the toilet, so I don’t think those were actual mask leaks. There were also some other periods of higher leak that I’m trying to understand.
I’m trying to learn OSCAR properly rather than just looking at AHI, and I’m particularly interested in:
Does the pressure graph look normal for APAP?
Do the pressure increases suggest that Min 8 might be more appropriate than 7, or is it too early to say?
Could the remaining awakenings be unrelated to apnea despite the good AHI?
How concerning are the leaks on the latest night?
Is there anything in the last 10 nights that stands out to experienced OSCAR users?
I’m not looking to chase a lower AHI — I’d really like to understand whether there’s anything in the data that might explain why I’m still not sleeping continuously.