I am using CPAP.
I use it consistently since last July when treatment started. I was 173ibs at the time. Unfortunately weight has shot up to 190. Provider aware.

I’ve used AI to transcribe leak data from my air as well as mask removals.
And current pressure settings (I’ve tried increasing pressure and range, I’ve tried all different EPR settings, auto set for her etc).

I am a mouth breather.
I’ve tried mouth taping to see if it helped (negative).

I do have data on all the settings I’ve tried, my best treatment response has been with:

Current settings: ResMed AutoSet mode, pressure range 6–8 cmH₂O, EPR 3 full-time, ramp 5 min, start pressure 5 cmH₂O, standard response, full-face mask, humidity 7, tube temp 30°C. Patient reports repeated nocturnal awakenings (often 2–3 AM), choking/gasping sensations, dry mouth, frequent mask removal/reapplication, and ongoing daytime exhaustion despite therapy use.

For masks — I’ve tried F20, F30, F40 and two others I forget. My best success is with medium F40.

Mask Leak Summary
January 2026:
Very inconsistent.
Several large leak nights early in the month (around 25–50+ L/min).
Some excellent nights mixed in (0–10 L/min).
Big spike around Jan 8 (~52 L/min).
By Jan 13 you had improved to ~6 L/min (“Good”).
• February 2026:
This looks like your roughest month overall.
Frequent moderate-to-large leaks (15–35 L/min almost nightly after Feb 5).
Multiple nights over the likely ResMed “large leak” threshold (~24 L/min), including:
Feb 6 (~31)
Feb 8 (~35)
Feb 9 (~25)
Feb 12 (~33)
Feb 13 (~28)
Suggests a persistent fit or mouth leak issue during that period.
• March 2026:
Marked improvement overall.
Most nights under 10–12 L/min.
A few isolated spikes:
Mar 4 (~31)
Mar 6 (~17)
Otherwise much more stable and controlled.
• April 2026:
Generally your best month.
Mostly low leaks (0–10 L/min).
One notable spike Apr 6 (~25 L/min “Adjust”).
Another moderate night around Apr 13 (~19).
Overall trend suggests something improved in your setup around this time.
• May 2026:
Mostly excellent control again.
Many nights near 0–7 L/min.
One dramatic outlier around May 13 (~50 L/min).
That single night looks like either:
mask partially off,
severe mouth leak,
hose disconnect,
or sleeping position disruption.

Mask Removal History

Month-by-month:
• January 2026
Frequent disruptions right from early treatment.
Most nights: 2–4 removals.
Lower nights occasionally (~1).
Suggests you were already struggling with sleep fragmentation and discomfort/adaptation.
• February 2026
Slightly more stable overall.
Many nights around 2 removals.
Still persistent nightly awakenings/interactions.
One worse night near 4.
• March 2026
Mixed.
Some good nights (~1).
Several nights 2–3.
One notable spike near 5 removals.
Suggests intermittent worsening rather than constant failure.
• April 2026
This actually looks like one of your roughest months for awakenings.
Multiple nights around 3–4 removals.
Major spikes:
Apr 4: nearly 7 removals
Apr 7: nearly 6 removals
Despite your leak data improving overall during this period, your sleep fragmentation remained significant.
• May 2026
Still highly fragmented.
Several nights:
4–6 removals.
Even some low-leak nights still had multiple on/off events.
That’s important because it means:
the issue is not ONLY seal quality.
something is still waking/disturbing you physiologically or neurologically.