These two people wants to get the root of the problem solved, instead of answer your question directly. I also feel that you need to find out what is the problem of the filter output, instead of just buying replacement DI again, again, and again.
>...how bad is it to let it get this high before replacement?
Addressing you concern, I will answer you this way: It really depends on what are those 19ppm. If it is 17ppm Ca, and 2ppm Mg, then you have nothing to worry about. However, it is most likely that it is not the case, and you really need to get the issue solved before you end up with a bad algae problem, or livestock dying without appearant reason. Doing regular water change will help you buy some time.
Let us know if you want anybody help you out in RO/DI trouble shooting... most likely, you will need to borrow a TDS meter....