[Pressure] Not sure if I should adjust pressure?

[Nucks]

    So I seem to be all over the map with a good night here and there.  Random large leaks, some nights are pretty ok and almost no leaks.  I do tape my mouth.....honestly tho, after 2.5 months of consistent use, I don't feel any better.  Still tired during the day, defiantly could nap, given the opportunity! ?  Thanks for any advice.....

[DaveSkvn]

Hi Nucks,

Your AHI looks pretty low but the "flow limitations" may be bit more of an issue.

If you haven't already you might want to have a look into UARS - a kind of umbrella term for sleep disordered breathing caused by "flow limitations".

https://www.youtube.com/watch?v=sa9zNYpTWlM

It quite possible to have OSA and UARS. OSA is easy to spot (breathing stops / blood oxygen falls).  "Flow limitations"/UARS has no equivalent tell-tale sign.

From my own personal journey, increasing pressure has minimal impact on them. The thing that makes the difference is the difference between inhale and exhale pressure. I see you've already set EPR to 3 - which is as far as a normal CPAP machine will go. The next step would be a couple of nights with EPR 0 to see if your flow limits get worse (that is the 95% number of 0.10 goes up). If it does then you can consider heading towards a bilevel machine which allows a greater difference between inhale and exhale pressure.

Good Luck

[Dormeo]

In addition to Dave's excellent comments, I would just add that most people need at least 7 hours of actual sleep, which usually means at least 7.5 hours in bed. You may actually need more sleep to feel rested. I certainly do.