Daily Report — 2026-08-04

Sleep & CPAP Report — Night of 2026-08-04

Sources: health-report-2026-08-04-to-2026-08-05.json (Apple Watch sleep stages, exported 05:43 on 08-05) + OSCAR_Greg_by_Day_2026-08-04.csv (ResMed AirSense/AirFlow 11 via OSCAR). Matched by calendar date of sleep-session start (22:22 on 08-04).


⚠️ Flags


1. Summary Table — Night of 2026-08-04

Metric Value
Bedtime (session start) 22:22
Time in bed 7.06 h (423.5 min)
Total sleep duration 6.46 h (387.9 min)
Sleep efficiency (TST/TIB) 91.6%
Awake time 35.6 min — above 7-day (24.7) and 30-day (18.2) averages
Core sleep 4.54 h (272.5 min) — 70.2%
Deep sleep 0.55 h (33.1 min) — 8.5% — 3rd-lowest of 44 matched nights
REM sleep 1.37 h (82.3 min) — 21.2% — below 30-day average (24.6%)
CPAP usage 6.85 h
AHI 3.07 — highest since 07-11, above 7-day (1.74) and 30-day (2.05) averages
RDI 3.21
OA / H / CA / UA / RERA 14 / 5 / 2 / 0 / 1 — OA count 2nd-highest in two weeks
Pressure avg 7.38 cmH₂O
Pressure 90th %ile 9.14 cmH₂O
Leak avg 0.43 L/min — moderate, below the 7-day average (0.70)
Leak 90th %ile 0.0 L/min (Leak max hit 16.8 briefly but didn't sustain to the 90th-percentile threshold)

2. 8-Night Trend & Leak Context

Date AHI OA H CA RERA Leak avg Deep % Awake (min) Efficiency
07-28 2.01 8 5 0 2 0.77 17.8% 11.5 97.2%
07-29 1.62 7 2 1 2 1.52 17.8% 4.0 98.9%
07-30 1.98 13 0 1 0 0.08 11.3% 27.6 93.3%
07-31 1.51 7 1 4 0 1.03 17.9% 24.1 94.9%
08-01 0.58 2 2 1 0 0.40 5.8% 66.7 86.8%
08-02 1.16 3 3 1 4 0.72 14.8% 4.5 98.7%
08-03 2.24 5 8 3 2 0.70 12.1% 10.5 97.5%
08-04 3.07 14 5 2 1 0.43 8.5% 35.6 91.6%

Leak vs. sleep architecture — 44 matched nights (all available history through 08-04)

Split at leak ≤ 0.30 vs > 0.30 L/min (08-04's leak of 0.43 falls into the higher-leak bucket):

the user r (leak avg vs. deep %): −0.24 (n=44). the user r (leak avg vs. awake min): +0.01. the user r (AHI vs. awake min): +0.03. the user r (AHI vs. deep %): +0.03.

Interpretation: Tonight falls in the higher-leak bucket by classification, but its deep% (8.5%) is far below even that bucket's already-lower mean (15.0%) — the leak↔deep% relationship (r = −0.24) only explains a small slice of tonight's shortfall. Historically, AHI has essentially no linear relationship with either awake time or deep% (r ≈ 0.03 for both) across the full dataset, so tonight's simultaneous AHI spike and deep-sleep collapse is more likely two separate things happening on the same night than a demonstrated causal link — worth watching together going forward rather than assuming one drove the other.


3. Comparison to Trailing Averages

Metric Tonight (08-04) 7-day avg (07-29–08-04) 30-day avg (through 08-04)
AHI 3.07 1.74 2.05
Leak avg (L/min) 0.43 0.70 0.60
Pressure avg (cmH₂O) 7.38 7.03 7.85
Usage hours 6.85 7.12 6.77
Deep sleep % 8.5% 12.6% 15.5%
REM sleep % 21.2% 23.2% 24.6%
Awake time (min) 35.6 24.7 18.2

AHI, deep sleep %, and awake time are all on the unfavorable side of both trailing averages tonight — the broadest set of simultaneously-unfavorable metrics of any recent night. Leak, pressure, and usage hours remain unremarkable and in line with recent norms.

Weekly AHI/Leak trend

Week AHI avg Leak avg n
06-17 to 06-23 1.32 0.36 4
06-24 to 06-30 3.74 1.99 7
07-01 to 07-07 2.92 1.27 6
07-08 to 07-14 2.78 0.52 7
07-15 to 07-21 1.66 0.45 6
07-22 to 07-28 1.68 0.87 7
07-29 to 08-04 (complete, 7 of 7) 1.74 0.70 7

The weekly average (1.74) looks unremarkable next to the prior week (1.68) — but that's because the first four nights of this week were low (0.58–2.01) before the sharp climb into tonight. The week-over-week average masks a real acceleration in the back half of the week that the nightly trend table above captures more clearly.


4. Outlook

The AHI rise that was flagged as tentative last night is now a confirmed 4-night trend, and tonight's 3.07 is the highest in nearly a month. With OA (not leak) driving the increase, and deep sleep simultaneously hitting a near-record low, this is the most notable pattern in the dataset in several weeks. It's not yet at a level that would typically be considered clinically concerning on its own (AHI < 5 is generally "normal" on therapy), but four consecutive nights of near-doubling AHI plus a sharp deep-sleep drop on the same night as the peak is worth flagging to a sleep clinician or physician if it continues into a 5th or 6th night, or if AHI crosses 5.

No leak, pressure, or compliance issues to report — those all remain within normal recent ranges, reinforcing that tonight's disruption is physiological (more obstructive events) rather than equipment-related.


5. Caveats

See all past reports →