Question
What does it mean if my CD4 count is 166?
29 January 2007. Related: All topics, CD4 and viral load.
Answer
I have a couple of questions in order to answer you properly:
– Are you currently on treatment?
– Do you have access to treatment?
– What has your doctor recommended?
– Which country are you emailing from?
This general information though may be useful.
Your CD4 count is a results from a blood test that show how many cells were found in a cubic milimetre of blood – ie 166 cells/mm3. It gives and idea of how strong your immune system is. For someone who is HIV-positive the CD4 count is a very useful marker for the amount of damaged caused by HIV, and after starting treatment it is used to see how the immune system improves. The lower the CD4 count, the higher the risk of HIV-related illnesses.
For an HIV-negative person, a normal CD4 count can be anywhere between 400-1600.
Treatment guidelines recommend starting treatment before your CD4 count drops below 200 cells/mm3. Some guidelines recommend starting treatment even earlier.
Even if you start treatment with a lower count though, you can still expect to get a good response to treatment.
If you are not already a member, you may also want to contact the Treatment Action Campaign for advice and information about accessing treatment.
Dear Osie, thanks for sending an email. It is difficult to answer without knowing if you are now taking HIV treatment. Also, do you know your viral load now and last November.
A CD4 count is quite low and shows that it is very important to start and continue HIV treatment. This will usually cause your viral load to go down, hopefully to become undetectable. It should also cause your CD4 count to go higher and becomes stronger.
It is very unlikely that either test would be the same after starting treatment. Please let me know more info but also please talk to your doctor.
My cd4 count it’s the same since Nov last year what does it mean 108
Hi Cliff,
A CD4 count tells you how strong your immune system is. A count of 251 is on the low side. But do you have access to HIV treatment?
HIV treatment (ART) can reduce HIV in your blood to such tiny levels that it can’t be detected. And this can give your CD4 count the chance to recover.
Please let us know what HIV meds you are taking. Do you have access to your viral load results?
What does it mean if my cd4 count is 251
Hi Nunu,
You’re already doing the best thing possible, which is being on meds. This and only this, will improve your CD4 count. For more info please see question 2 here:
http://i-base.info/qa/what-are-the-most-asked-questions
What can I do to improve my CD4 count because its 166 and I started treatment.