I have UARS and I am a very sensitive sleeper. A while back, I got a two-week CPAP trial from a sleep doctor and found it super uncomfortable, so I was pulling it off after a couple of hours and feeling worse than without it. He retired before I could follow up and I got daunted and gave up on the whole topic.
I have decided to pursue treating my SDB again since I feel so awful. I am waiting for an appointment for a new sleep study ordered by a new sleep doctor. Meanwhile, I came into a ResMed Airsense 10 For Her and I am restarting my CPAP trial DIY while I wait. (I have done a ton of research and I feel comfortable going rogue, but I know it is not ideal. My rationale is that my CPAP trial was really meaningless because it was too short for me to become acclimated and feel the effects of therapy. I am hoping to acclimate myself over a longer period of time and then get accurate subjective evidence of the effects of CPAP.)
At the moment, I am leaving my pressure constant at 4 with the goal being to become acclimated to the machine and be able to leave it on more than a couple hours. I find higher pressure very hard to tolerate, even with EPR.
In the meantime, I have been looking at the data and I noticed that my AHI is fine but as soon as I fall asleep, my flow limitations go wild. (Basing my estimate of when I fell asleep on the very obvious regularization of my breathing.) The night posted here is representative of the usual pattern. From what I have read, one approach to UARS is treating flow limitations. When I can tolerate it, I plan to raise the pressure and see if that reduces those flow limitations.
I don't even know what my question is... I guess, do folks think these flow limitations could be meaningful? Is it possible that could be (at least part of) why I feel awful? Is there room for improvement here? (I know the real question is whether any of this is actually waking me up, and unfortunately, my new doc ordered a Type 3 HST, so I am not sure that will actually tell me the answer to that question... ugh.) And I guess... am I missing anything that I should be paying attention to? (I know just enough to be dangerous at this point

FYI, for the night shown here, I took the mask off at 1:20 a.m. and then put it back on for a few minutes around 4:30 a.m. but I didn't fall back asleep until I took it off again. That is why I selected the portion of the night that I did.