Sleep apnea: why eight hours of sleep leave you tired
Obstructive sleep apnea can stop or sharply reduce your breathing dozens of times an hour without you remembering it, which is why eight hours in bed can still leave you foggy, with morning headaches and blood pressure that is hard to control.
- What to do: Do not diagnose yourself from a podcast or a smartwatch. If you snore loudly, wake with a dry mouth or headache, or feel exhausted after eight hours, ask your doctor for a home sleep test or a night in a sleep lab.
- Why it matters: Untreated apnea is associated with high blood pressure, atrial fibrillation, heart failure, coronary disease, stroke, insulin resistance, type 2 diabetes and trouble with memory and focus. Mark Hyman describes a patient who lost 50 pounds without trying after starting treatment.
- How to apply it: Use CPAP now and investigate causes at the same time. If the mask leaks or dries your mouth, try a nasal mask or pillows, heated humidity, a heated tube or a different pressure setting. Limit alcohol, stop smoking, review medications such as opioids and treat nasal congestion.
- Metrics: Doctors track the AHI, the apnea hypopnea index, which counts breathing events per hour of sleep. Retest after weight loss or surgery to confirm it improved.
- Tools: Function Health offers over 160 lab tests for $365 a year, including insulin and glucose, useful because thyroid and metabolic problems can contribute.
- Risks: Mouth tape is not a treatment for suspected sleep apnea, and stopping CPAP because you feel better can hide a problem that is still there.
- Exceptions: Being thin or fit does not rule it out, and women often show fatigue, headaches or insomnia instead of loud snoring.