Wired and Tired. Waking up at 3am with or without CPAP.

Added: 2026-05-09

[00:00:00]Hey there, Per people. My name is Jason.

[00:00:01]I'm a registered polyomographic technologist, otherwise known as a sleep pimp. This is one of those things that a lot of people suffer from, and I don't know why I didn't do a video of it sooner. Um, have you ever heard the term wired and tired? Well, wired and tired is something when when you wake up in the middle of the night, typically people notice like, "Hey, I always wake up at 3:00 a.m., hey, I always wake up at 2 am."

[00:00:28]One of my questions to them is, "Well, what time do you go to bed?" And usually, if you're saying like that 3:00 a.m. time, people are going to bed close to midnight, sometimes 10:30. Those are very specific times. So, what happens is you have uh REM. So your normal progression of sleep is stage one for a very brief period like 5 minutes at the absolute most and then you're going to transition into stage two stage three sleep for about another hour 20 minutesish and then at that 90 minute mark or hour and a half you're going to have a REM period. Um in these people this population that I'm talking about I'll show you an example here in a minute in those people you have severely fragmented REM sleep. Your non-REM might be bad also, but people generally wake up a lot easier during REM. And I'll tell you bit about that in a second, but you wake up during REM during the first REM period, back to sleep, and now you're another hour and a half out from there. So, if you went to bed at 10:30, uh you're looking at midnight is going to be your second one. U but basically, you're going to wake up again. You have that same thing, but you're so tired, you don't really generally remember it.

[00:01:36]You don't really wake up. But during these periods, you're probably having little spooky dreams and you're and you're waking up a lot. You're getting a cortisol dump or adrenaline. Uh you're getting a little hyped up and hiy and you don't even know it. So then you come to your third REM period. So sometimes it's second REM period, sometimes it's third REM period. It's like always third REM period I would say is generally uh when people wake up out of it. But you have REM again really bad either mouth leaking or oxygen detach mouth leaking or sleep disordered breathing events such as obstructive sleep apnneas or obstructive hypopnas even with CPAP or B level uh or mouth leaking and it caused you to wake up during those REM periods and now you're quote unquote wired and tired. You're super sleepy but yet you can't fall back to sleep and this is a really common problem. So let me show you a little bit about what that looks like. Here we have Mr. Wired and Tired. Now, Mr. Wired and Tired. Uh, very much linked to the NFL.

[00:02:38]Doesn't that get you interested? By the way, if you want to have one of these meetings with me, this is my This is Oscar, but I have a a web page called axglediagnostics.com.

[00:02:47]If you want to have a one-on-one papy analysis, we can get to the the heart of your your problems and get you resolved as we did this dude. Um, but speaking of wired and tired, I don't know why I didn't do this before. Are you wired and tired of paying high prices? Check out the sponsor of my videos, cpsupplies.com, and look at this. You can go into like literally anything. Uh, don't don't do machines, but you can go into mass parts, whatever, and you can get just put any like literally any mask. I will say everyone knows my favorite is the Fisher and Ple Nova Micro. Phenomenal nasal pillow mask. I typically don't like nasal pillows, but I love that mask. Anyway, you can shove this big bad beast in your cart. Use discount code lefty spring because it's spring and you don't have to be tired of paying high prices because you get a discount of 25% off. So, this becomes my math is so bad. Like 50 Let's say 54 bucks. Let's say 54 bucks. All right, hold me to that. 54 bucks. We're doing 54. I I This is not pre-planned.

[00:03:55]54. Oh god, I added stuff. So now my math's gonna be bad. Okay, never mind.

[00:03:59]Scratch that. Don't hold me to it. You know what? No. Here's what we're doing.

[00:04:03]I already said 50. I already said I already said 54. So we're going to take that off because that's that's what I was looking at. So now we're going to put that in our cart. God mother. Oh, it's the same price. Okay, we're good.

[00:04:14]We're good.

[00:04:16]Okay, there we go. We're good. We're good. Remember cpapsupplies.com. All right. discount code right here. You can't see it because my giant head is in the way. Let's slide that over. So, we're going to go left spring and let's see what we What does it come out to be? I said, come on.

[00:04:41]I definitely said $58.50.

[00:04:45]Spot on. Anyway, check out the sponsor of this video, cpapsupplies.com, if you're wired and tired of paying high prices. Okay, back to Mr. Wired and Tired. Okay, this person always wakes up basically after about 3 hours of sleep.

[00:05:00]You can see right here, 3 hours, go from 8 to about 11.

[00:05:06]Super high leaking. So, that's that's definitely part of it. But, this is REM breathing. Very easy stage to wake up out of. And that's going to be dreaming.

[00:05:14]That's when you're going to be getting that cortisol dump into your bloodstream that look at this.

[00:05:21]That keeps you awake. Wakes you up. And then you have this period of what the hell just happened right there. That's that whoa I dude I can't get back to sleep. And then you go back to sleep eventually. All right. Let's look at the next day. Let's see what happens. Ah, another one. Look at that. This is about two. Well, if we go from here.

[00:05:42]So, sleep onset is roughly I'm going to call that 9:30 and they wake up at 11:40.

[00:05:56]Pretty close-ish.

[00:05:58]Is this REM?

[00:06:02]You know, I'm going to be honest.

[00:06:04]Actually, don't think that's REM.

[00:06:07]Yeah, I don't I don't think that's it.

[00:06:09]Looks like it's trying to be REM. I I don't feel comfortable saying it's REM.

[00:06:13]Anyway, let's move on to the next one because that one not good. Okay, didn't sleep. Woke up again. Okay, so now severe mouth leaking that pops up right there. And we do have REM breathing right there. So, probably undertitrated during REM, but definitely mouth leaking during REM. Wakes up, cannot get back to sleep. Do you have this? Ah, another night. Look at that.

[00:06:40]We have like four hoursish REM right under REM mouth leaking.

[00:06:46]Doesn't look horrible during non-REM, but all of a sudden REM occurs.

[00:06:54]Doesn't look I wouldn't say great before the the mouth leaking shows up, but mouth leaking just jacks it. He wakes up. Can't get back to bed.

[00:07:02]Look at this. Night after night. Here's another one. Is this REM just prior to the awakening?

[00:07:09]God, we have another embarrassing moment. Okay, we do have REM right here though. We're gonna count that. We're count that as a win. This might be REM.

[00:07:17]I just it's not easy to tell because there's sleep disorder breathing occurring prior to that. This one, not enough sleep really. And then this one definitely we already looked at this definitely REM prior. So pretty much all of those examples there's some form of something occurring and REM is typically right there. So, it can be mask leak from a jaw drop leak with a full face mask. It can be a mouth leak using a nasal or nasal pillow mask. It can also be you're undertitrated. You're on a pressure that's not enough and possibly a mode of therapy that's not quite right, which kind of equates to the pressure is not right. So, uh or in this case, it can be both of them. Uh undertitrated, a pressure that's too low, and a mouth leak that occurs during REM. So, I would say probably a good indication of this is you're waking up a lot. Like this is without looking at any data whatsoever. If you're waking up a lot and you're waking up about the same times and you always seem to remember dreams that are very stressful, anxiety ladden dreams, that's really a pretty good indication that you need to take a look at your data and do something to resolve one of those problems. All right, do me a favor. Let me know in the comments section if you've ever had that wired and tired feeling. if you have taken my advice whether it worked for you or not. And I want to I want to do a little something here. I want to pat myself on the back. You want to know why I want to pat myself on the back?

[00:08:39]Because look at this. I'm showing you this is freaking solid advice I'm giving you for free. Solid advice.

[00:08:48]And I'm asking nothing in return other than just share with me that the these tips actually helped you out quite a bit and now you're sleeping better because you're resolved the pressure issues or the leak issues that you're having.

[00:09:01]Wired and tired has been resolved. It's been it's been solved. It's no longer a mystery. So do me a favor. If this did in fact help and you like these types of self self-help videos, uh subscribe to the channel. It's absolutely free for just this week only. Uh like the video.

[00:09:17]Give it a thumbs up, comment, and then share it with all of your buddies, especially the one with thick necks.

[00:09:24]Thick. All righty, pals. I really appreciate you guys watching. Go ahead and join the cult now. Subscribe to the channel and you too can be in the world's fastest growing Christian cat channel, CPAP cult club. Thanks for joining.

[00:09:41]You can never leave. Bye. And time for an extra thick thanks buddy to my top level supporters Doug Tombs tombs >> Jason Georgiotti Patricia Espelong Steuart Heatherington Alan Lou Edward Steiner and like to say thank you also to these people as well as those other people of the Annie you get a shout out. Thanks for watching.

[00:10:07]Bye-bye. Barely even on screen but still appreciate the support.