My Latest HIV Labs 19 Months Post HIV/HCV Diagnosis
I wanted to share with you my latest HIV labs in hopes of familiarizing those newly infected with HIV to the kind of tests that may be performed at your check up every 3-6 months. I'll also explain some tests, and point you in the direction of resources to help you interpret your results. Please comment, I love comments!!
I was diagnosed with HIV March 3, 2010 (19 months ago) and a month later was told I also contracted hepatitis C through sexual intercourse, not IV drug use. These labs are 18 months into ART (Anti Retroviral Treatment) for my HIV which consists of the medications Truvada and Isentress. I was also treated for hepatitis C genotype 1a for 6 months using interferon and ribavirin, and these test results below are nearly 1 year POST hepaitis C treatment.
|HIV Tests||My Value||Normal Range|
|HIV-1 Viral Load||<20||<20|
|ABS T Helper||382||480 - 1700|
|% T Helper||28||33 - 65|
My viral load was orginally 1 million and went undetectable within 6 weeks after starting ART and has remained undectable since. An undetectable viral load means you are surpressing the virus; the virus is not replicating, invading and attacking your immune system.
Before going into these labs I told my doctor I was going to be upset if my CD4 was below 400 again. Since my diagnosis I have only seen my CD4 above 400 just once. The lowest it got was 250 at the height of my hep C treatment. My doctor called me about these results and told me my bone marrow/T-cell generating sites still have not completely recovered from the interferon and that some take longer than others, but that I am in safe range.
A normal CD4 cell count in an HIV-negative man is between 400 and 1600 per cubic millimetre of blood (but doctors normally just give a figure, e.g., 500). CD4 cell counts in HIV-negative women tend to be a little higher, between 500 and 1700.
CD4 %: A normal result in a person with an intact immune system is about 40%, and a CD4 cell percentage below 20% indicates the same risk of becoming ill with an AIDS-definining illness as a CD4 cell count of about 200.
|Hepatitis C Test||My Value||Reference Range|
|HCV TMA (IU)||<5||<5|
I learned of my hepatitis C diagnosis in April of 2010. Once my CD4 reach the 400s I started hepatitis C treatment which consisted of interferon and ribavirin. Because I caught my hepatitis C in the acute statge my doctor was comfortable with 6 months of treatment vs the standard 11 months. I went from a 7 million hep C viral load to undetectable by week 6, which is considered an RVR (Rapid Virologic Response). Six months post treatment I was still undetectable and remain so today, nearly 12 months post hep C treatment. This means I have CURED my hepatitis C. I cannot infect anyone with hep C and it will not come back, unless I become re-infected.
|CBC Tests||My Value||Normal Range|
|ALBUMIN||4.8||3.4 - 5.2|
|BILIRUBIN TOTAL||0.5||0.1 - 1.2|
|CALCIUM||9.8||8.5 - 10.5|
|CHLORIDE||103||96 - 108|
|CREATININE||1.06||0.70 - 1.20|
|GLUCOSE||83||65 - 139|
|ALK.PHOSPHATASE||104||30 - 110|
|POTASSIUM||4.6||3.5 - 5.0|
|PROTEIN TOTAL||8.1||6.0 - 8.3|
|SODIUM||139||135 - 145|
|AST (SGOT)||25||1 - 50|
|UREA NITROGEN||16||11 - 25|
|CO2 TOTAL||27.3||22.0 - 32.0|
|ALT(SGPT)||20||1 - 53|
This is a basic panel of tests that are common in annual physicals. In people who are HIV positive and HIV negative. The tests I am concerned with most in this panel is the glucose test to tell if I may be diabetic, also sodium, and AST and ALT tests. You cannot tell from a CBC test that you have HIV. The AST and ALT tests are your liver function tests and most telling. These are indicators of how well your liver is functioning. If these numbers are above normal it could indicate liver disease such as hepatitis. When I found out I had hepatitis my AST was over 200 and my ALT was above 600!! With the cure of my hep C my Liver Function Tests (LFTs) are back to normal.
|CBC+PLT+DIFF Tests||My Value||Normal Range|
|WHITE BLOOD CELL||3.7||4.5 - 11.0|
|RED BLOOD CELL||4.27||4.50 - 6.00|
|HEMOGLOBIN||13.7||13.9 - 16.3|
|HEMATOCRIT||39.2||42.0 - 52.0|
|MEAN CORP. VOLUME||91.8||80.0 - 98.0|
|MEAN CORP. HGB||32.1||27.0 - 32.0|
|MEAN CORP. HGB CONC.||35||32.0 - 35.0|
|RED DISTRIB. WIDTH||13.1||11.5 - 15.0|
|PLATELET||174||150 - 450|
|MEAN PLT VOLUME||8.6||7.4 - 12.0|
|NEUTROPHIL %||50.8||40.0 - 78.0|
|LYMPHOCYTE %||36.5||15.0 - 50.0|
|MONOCYTE %||10.3||2.0 - 11.0|
|EOSINOPHIL %||1.9||0.0 - 5.0|
|BASOPHIL %||0.5||0.0 - 1.0|
|NEUTROPHIL #||1.9||1.9 - 8.0|
|LYMPHOCYTE #||1.3||1.0 - 4.5|
|MONOCYTE #||0.4||0.2 - 1.0|
|EOSINOPHIL #||0.1||0.0 - 0.6|
|BASOPHIL #||0||0.0 - 0.2|
When look at these tests I look to my WBC and RBC, platelets, as well as the "percentage" tests and "#' tests. These are indicators of infections, cancers, anemia, and so much more. People infected with HIV tend to have WBC and RBC on the lower side of normal as well as low platlets. If WBC and platlets are too low it may point to anemia and possible infection. You may need a transfusion if the numbers stay very low. For the percents the higher to normal the better, for the #'s the lower the better. A low percent or higher # could indicate a cancer risk.
|Miscellaneous Tests||My Value||Normal Range|
|VITAMIN D, 25 HYDROXY||46.2||30.0 - 100.0|
|INTACT PARATHYROID HORMONE||68||16 - 87|
|GAMMA GT||12||1 - 54|
|EGFR AFRICAN AM||<60.00||ml/min/1.73m|
|EGFR NON-AFR AM||<60.00||ml/min/1.73m|
With these set of tests vitamin D has become increasingly important in HIV positive and non infected individuals. Normal to high levels of vitamin D have shown to decrease heart disease risk and shows bone loss, so the higher the better. If you live in the sun and are in the sun year round your number will tend to be high. I live in the North and am barely in the sun. I take 50,000 IU weekly of vitamin D to keep this number up. Non-Reactive means - not infected. Gamma GT is another test for liver damage the lower the number the better. EGFR is a kidney function test and anything over >60.00 is good!
To read more about the above lab tests and what they mean I've compiled a list of a few resources including the ones above.
HIV LAB Result Meanings:
On your smart phone check out the app LABGear.
NOTE: Different labs may have different reference ranges and taking certain medications can affect your test results.