Why have prescription maximums (at least initially)?

[xyz]

> I am hitting the maximum each night - not much, but every night.

Raise it by 1. Watch it for a week. Read the card.
See how the avg AHI for the week compares with before the change.
See how often you reach the max.

Iterate if necessary.

[PEF]

Some really strange things have been happening since my sleep onset insomnia has been resolved for almost 2 weeks now. But, I am so grateful for sleeping longer and better and I DO feel better.

last night, I slept deeper than I ever remember. I remember waking up 3 or 4 times (more than normal for me). One time, I woke up with my mask off and lying next to me on the pillow. I have no idea if I took it off in my sleep or if it just came off (which is unlikely). I don't remember at all why it was off. I just put it back on, but was so groggy I had trouble getting it on right, then went back to sleep. I find this upsetting because, in 15 months of xPAP, I have never taken the mask off in my sleep. I hope this doesn't get to be a habit. In fact I looked at my Sleepyhead report this morning to be sure it wasn't just a dream. It was not, there was a break of about an hour and forty-five minutes.

The other 2 or 3 times I woke up, I remember having some large leaks and extremely dry mouth and throat and probably woke up because I needed to swallow and wet my mouth.

My sleepyhead reports are a little different when I don't have the sleep onset insomnia. The AHI is a little higher, usually between 1 and 2. I have many more large leaks. But I feel a lot better and have been able to get into a better sleep cycle. But I do seem to wake up a lot more after I fall asleep with problems like leaks, reflux in my throat, and needing to swallow and wet my mouth. When I have sleep onset insomnia, I may lay awake (or sometimes get up several times) for about 3 hours, but do not wake up once I have fallen asleep.