Your therapy is doing the apnea-control part very well: AHI 0.23 with essentially no OA/H, minimal CA, and leaks mostly under control (only 0.27% over redline). The reason you’re still waking up multiple times is almost certainly sleep fragmentation/arousals, and your charts show the most obvious “fix-me-first” lever: you’re running APAP 4.8–10 with EPR 3, which effectively parks your EPAP at ~4.0 a lot of the night, then the machine has to chase instability (you can see those pressure surges early on). That “chase” is a classic recipe for micro-arousals even when AHI looks pretty. I would tighten and lift the floor: set min pressure to 6.2cm (keep max 10.0 for now), set EPR to 2 full-time initially, and run that 3 nights to see if wakeups drop and the pressure graph smooths out. If you still wake a lot despite a steadier baseline, then trial EPR 1 or OFF (some people sleep better when exhale pressure isn’t dropping as far, especially with a moderate baseline AHI like yours). Next step (if you want targeted help): post a couple 2–3 minute zoom-ins right before a wake-up (Flow Rate + Pressure + Leak), because that’s where we can usually see whether it’s flow limitation/RERA breathing, a leak arousal, or just awake breathing getting flagged.
Hello itsalwayssomething55 :)
Your therapy is doing the apnea-control part very well: AHI 0.23 with essentially no OA/H, minimal CA, and leaks mostly under control (only 0.27% over redline). The reason you’re still waking up multiple times is almost certainly sleep fragmentation/arousals, and your charts show the most obvious “fix-me-first” lever: you’re running APAP 4.8–10 with EPR 3, which effectively parks your EPAP at ~4.0 a lot of the night, then the machine has to chase instability (you can see those pressure surges early on). That “chase” is a classic recipe for micro-arousals even when AHI looks pretty. I would tighten and lift the floor: set min pressure to 6.2cm (keep max 10.0 for now), set EPR to 2 full-time initially, and run that 3 nights to see if wakeups drop and the pressure graph smooths out. If you still wake a lot despite a steadier baseline, then trial EPR 1 or OFF (some people sleep better when exhale pressure isn’t dropping as far, especially with a moderate baseline AHI like yours). Next step (if you want targeted help): post a couple 2–3 minute zoom-ins right before a wake-up (Flow Rate + Pressure + Leak), because that’s where we can usually see whether it’s flow limitation/RERA breathing, a leak arousal, or just awake breathing getting flagged.