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Author Topic: CD4 Count Frequency  (Read 1172 times)

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Offline PozBrian

  • Member
  • Posts: 200
CD4 Count Frequency
« on: September 29, 2013, 09:19:26 PM »
I just had my quarterly visit with my ID Dr. Until this visit I had been getting CD4 count and percentage every quarter, along with viral load and a bunch of others.  This time there was no CD4. I asked about it and she told me that for people who are compliant with there treatment and have an undetectable viral load, that the thinking is that every 6 or 12 months are ok. Keep getting the viral load quarterly but the CD4 can be less frequent.

It kinda makes sense indd that CD4 is going to be a lagging indicator. Viral load will likely go up before CD4's go down. At least that's the way I understand it.

I looked around and couldn't find anything that talked about this, though I'm sure it's there somewhere. How often do you all get CD4 counts measured?
3/8 CD4: 495, 31%, VL UD
2/1 CD4: 564, 20%.VL UD, switching to Issentress & truvada
10/11 CD4: 446, 29%, VL UD
7/11 CD4: 873, 35%, VL UD
4/11 CD4: 573, 34% VL 0
12/10 CD4: 405, 30% VL UD
9/10 CD4: 416, 31% VL UD
5/10 CD4: 393, 29% VL: UD
02/10 CD4: 423, 37% VL: UD
11/09 CD4: 379, 25% VL: UNDETECTABLE!!
10/09 CD4: 245, 25% VL: 87
9/09 CD4: 246, 24% VL: 49!
8/09 CD4: 277, 26% VL: 115
7/09 CD4: 346, 24% VL: 221
6/09 started Atripla
5/09 CD4: 326, 16%  VL:125000
4/09 HIV +, CD4: 397, 16%  VL:195000, PPD reactive

Offline leatherman

  • Member
  • Posts: 6,053
  • Google and HIV meds are Your Friends
Re: CD4 Count Frequency
« Reply #1 on: September 29, 2013, 10:46:44 PM »
for yrs and yrs (well almost two decades) while I was sick and aidsy, I got vl and cd4s checked every 6 weeks. Now that I'm mucho better, for about 3 yrs I've gotten both checked every 6 months.

since HIV is a much more manageable disease these days, spacing tests out nearly 6 months saves resources and time. Plus it's nice to only have test-anxiety twice a year. LOL
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline Tool man

  • Member
  • Posts: 37
Re: CD4 Count Frequency
« Reply #2 on: September 30, 2013, 09:55:15 AM »
Due to us not living in Panama where we are insured, we are lucky to get our tests once a year. Sometimes there is just not that much choice.
My husband will be on medicaid in a few months and I hope he gets better treatment. Last CD4s were in the 700 and VL was UD for both of us.

TM
Like I tell my husband, "I would agree with you but then we would both be wrong."

Offline buginme2

  • Member
  • Posts: 2,834
Re: CD4 Count Frequency
« Reply #3 on: September 30, 2013, 11:26:13 AM »
Once your undetectable, compliant, stable and happy getting your viral load done every six months is the standard.  Cd4 count can be done every 6 months or yearly.   Pretty much exactly what your doctor said.

Offline J.R.E.

  • Member
  • Posts: 7,095
  • Joined Dec-2003 Living positive, since 1985.
Re: CD4 Count Frequency
« Reply #4 on: September 30, 2013, 06:52:29 PM »



 How often do you all get CD4 counts measured?

Hello,..

Toward the end of 2003, I was having viral load, CD4 and %, checked about once a month.

Once I was somewhat "stable", those tests ( along with other blood chemistry) were changed to every three months.

Currently, I get viral load, CD4, and % checked once every 4 months.  It looks like this will be the plan, for the unforeseeable future.

Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 6/4/14,  t-cells are at 423, Viral load <40

 Current % is at 13% 

  
 62 years young.

Offline jkinatl2

  • Member
  • Posts: 6,007
  • Doo. Dah. Dipp-ity.
Re: CD4 Count Frequency
« Reply #5 on: September 30, 2013, 07:14:27 PM »
I am still at the three month stage here, though occasionally things come up and appointments have to be changed, so it is often four months. There si buzz about eventualy moving to a once a year model for those whose treatment has rendered them undetectable and stable.

Hopefully at that point they will factor in things like psychological, substance abuse, and socioeconomic issues that might require more frequent monitoring as access to meds and adherence is important.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline phildinftlaudy

  • Member
  • Posts: 2,959
  • sweet Ann what you think babe...
Re: CD4 Count Frequency
« Reply #6 on: September 30, 2013, 08:33:31 PM »
For most of the time I was at 3 months -
Doc tried a switch to 6 months -
But other issues warranted setting it back to 3 months....

September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline leatherman

  • Member
  • Posts: 6,053
  • Google and HIV meds are Your Friends
Re: CD4 Count Frequency
« Reply #7 on: September 30, 2013, 08:56:13 PM »
Hopefully at that point they will factor in things like psychological, substance abuse, and socioeconomic issues that might require more frequent monitoring as access to meds and adherence is important.
with the "treatment cascade" demonstrating adherence as a major problem, I'm afraid this rush to save resources might/will result in more problems; but hopefully the "treatment as prevention" paradigm will twist this back around to make sure people really are being treated and monitored  ;)
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

 


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