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Re: Why Am I Waking Up??

Posted: Tue Jul 29, 2025 3:41 pm
by musculus
sleepyZach wrote:
Mon Jul 28, 2025 7:26 am
ChicagoGranny wrote:
Thu Jul 24, 2025 2:39 pm
sleepyZach wrote:
Tue Jul 22, 2025 7:23 pm
Thanks for the suggestion: https://sleephq.com/public/teams/share_ ... 16d30a5779
Your breathing data looks decent. I would like to look at your most recent night. Can you upload again to SleepHQ and post the link to your latest night?

1. Assuming you had a sleep study, can you post a copy of the summary? Redact personally identifying information.

2. Why did you get a sleep study?

3. Please list all drugs and supplements you are taking.
This link includes last night: https://sleephq.com/public/teams/share_ ... 0e6d454b3d
1. Sleep studies summary below.
2. I got a study due to severe daytime sleepiness.
3. None.

Polysomnography Report:
Interpretation:
1. This sleep study was performed to evaluate this patient with reported symptoms of snoring, hypersomnia, and prior diagnosis of obstructive sleep apnea
2. No evidence of sleep initiation or sleep maintenance insomnia
3. Sleep architecture demonstrates all sleep stages, though with an increase in percentage of light sleep and decrease in percentage of REM sleep
4. Somewhat prolonged REM latency of unclear clinical significance
5. Mild obstructive sleep apnea with a component of upper airway resistance (AHI of 6, total RDI of 19)
6. No significant nocturnal hypoxemia
7. No significant periodic limb movements of sleep
8. This study was followed by an MSLT


MSLT Report:
This study demonstrates this patient to have a mild case of objective daytime hypersomnia. Mean sleep latency time was 14.4 minutes. There were no sleep onset REM periods seen to suggest presence of narcolepsy. Patient's hypersomnia could in part be related to the mild obstructive sleep apnea and upper airway resistance syndrome, noted on previous night's polysomnographic study. Clinical correlation is suggested.
I think your sleep doctor's diagnosis was correct. mild OSA also with UARS (sensitive to airway resistance, i.e. arousals responding to airway collapses). And you had bad flow limitations with high pressure suggest tongue base as the likely point of airway collapse.

my suggestions:
1. try higher starting and max pressures if you could tolerate and manage the leaks, such as 10cm with max 18 or 20.
2. try to control sleep position to reduce your sleep duration in supine position.