Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 , Thank you for all the information. Hannah had high levels of acid at 12 hours after birth (now she gets weekly lactic acid checks) It was as high as over 300. Now she ranges around 20-25 with a very strict modified keto diet. It doesn't seem to me that the keto diet has helped her seizures, but then again, maybe her seizures would be 10 times worse without the diet. We wouldn't know because she has been on the diet " forever " - calories/ratio etc- No ketones showing at all after 4 mths ?? I really know nothing about how the keto diet is handled with little babies, so wouldn't really know where to start here, but as far as the basics go.....Calories and ratio are 2 sep issues on keto, the calorie amount is obviously how many calories per day she is allowed, usually calculated on about 75% of 'normal' recommended calorie intake. The keto diet as far as the body is concerned, 'mimics' starvation, sort of tricks it into thinking there are no cals available thru the process of ketosis - where the majority of sustenance is thru fat rather than usual staple of glucose. When insufficient glucose is available to burn for fuel, the body switches to the next alternative, ie - fat to fuel the body and brain. The ratio set is based on how many carbs are given in proportion to the fat content of the meal. It is thru metabolising caloric fat that the state of ketosis is maintained, so the higher the ratio, the more fat, and less carbs, and usually higher ketones are produced as you go up on the ratio. Protein amount is set as the recommended daily allowance for the child's age, carb then makes up the difference after the proportionate fat 'needed' has been worked into the daily calorie total. So if on a 4:1 ratio, that would be 4 parts fat in the calorie allowance to one part carbohydrate, 3:1 would be 3 parts fat to one part carb and so on... If there are insufficient calories, body fat will be burnt to 'top up' energy requirements. In non keto kiddies, stored glycogen (glucose) would be used first, but keto kids are not supposed to have any of this supply of glucose waiting in the wings. So it sounds like all may not be set correctly with her diet plan, but I am unsure as to how a baby's plan would actually be caluclated. Maybe checking glucose could tell you something about whether blood sugar levels are interfering with ketone production, or blood keotne tests rather than urine might show some ketones? Why are they concerned abut acidosis if she is not even ketotic? Is that an underlying problem unrelated to the diet? ----- Original Message ----- > I am new to the ketogenic diet. My daughter is 4 months old and has been on it since birth. Can someone explain what the calorie ratio is? I am confused because in the beginning, my dietician did not want my daughter to miss a night feeding because her acidosis might increase. Now she says let her go the night without a feeding because the fasting may have her spill ketones. So far, she hasn't spilled ketones. I check every morning and night. " The Ketogenic Diet....a realistic treatment option, NOT just a last resort! " List is for parent to parent support only. It is important to get medical advice from a professional keto team! Subscribe: ketogenic-subscribe Unsubscribe: ketogenic-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 , Thank you for all the information. Hannah had high levels of acid at 12 hours after birth (now she gets weekly lactic acid checks) It was as high as over 300. Now she ranges around 20-25 with a very strict modified keto diet. It doesn't seem to me that the keto diet has helped her seizures, but then again, maybe her seizures would be 10 times worse without the diet. We wouldn't know because she has been on the diet " forever " - calories/ratio etc- No ketones showing at all after 4 mths ?? I really know nothing about how the keto diet is handled with little babies, so wouldn't really know where to start here, but as far as the basics go.....Calories and ratio are 2 sep issues on keto, the calorie amount is obviously how many calories per day she is allowed, usually calculated on about 75% of 'normal' recommended calorie intake. The keto diet as far as the body is concerned, 'mimics' starvation, sort of tricks it into thinking there are no cals available thru the process of ketosis - where the majority of sustenance is thru fat rather than usual staple of glucose. When insufficient glucose is available to burn for fuel, the body switches to the next alternative, ie - fat to fuel the body and brain. The ratio set is based on how many carbs are given in proportion to the fat content of the meal. It is thru metabolising caloric fat that the state of ketosis is maintained, so the higher the ratio, the more fat, and less carbs, and usually higher ketones are produced as you go up on the ratio. Protein amount is set as the recommended daily allowance for the child's age, carb then makes up the difference after the proportionate fat 'needed' has been worked into the daily calorie total. So if on a 4:1 ratio, that would be 4 parts fat in the calorie allowance to one part carbohydrate, 3:1 would be 3 parts fat to one part carb and so on... If there are insufficient calories, body fat will be burnt to 'top up' energy requirements. In non keto kiddies, stored glycogen (glucose) would be used first, but keto kids are not supposed to have any of this supply of glucose waiting in the wings. So it sounds like all may not be set correctly with her diet plan, but I am unsure as to how a baby's plan would actually be caluclated. Maybe checking glucose could tell you something about whether blood sugar levels are interfering with ketone production, or blood keotne tests rather than urine might show some ketones? Why are they concerned abut acidosis if she is not even ketotic? Is that an underlying problem unrelated to the diet? ----- Original Message ----- > I am new to the ketogenic diet. My daughter is 4 months old and has been on it since birth. Can someone explain what the calorie ratio is? I am confused because in the beginning, my dietician did not want my daughter to miss a night feeding because her acidosis might increase. Now she says let her go the night without a feeding because the fasting may have her spill ketones. So far, she hasn't spilled ketones. I check every morning and night. " The Ketogenic Diet....a realistic treatment option, NOT just a last resort! " List is for parent to parent support only. It is important to get medical advice from a professional keto team! Subscribe: ketogenic-subscribe Unsubscribe: ketogenic-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 & Hill wrote: > So if on a 4:1 ratio, that would be 4 parts fat in the calorie allowance > to one part carbohydrate, Actually, it is 4 parts fat by weight to one part carbohydrate plus protein. Quote Link to comment Share on other sites More sharing options...
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