Re: to - - 's prt

[Guest guest]

Hi,

is 39.9 lbs and she is chubby, but since she isn't gaining weight, and as

you said a gain in ht. is a weight loss, I am satisfied she is where she should

be for now. She was at 1200 calories, that is why she gained!

I guess I didn't realize that everything but protein changed - fat down, carbs

up. That is why I panicked.

If I would go to the dietitians calculations, she would be at a 1:1 ratio, I

fear, as the extra protein made her ketones sky high and she only had a meal or

two of that amount.

And in spite of all her mother's messing around with the meals, she never

seizured! God bless her!

Do you figure it all from what Freeman put in his 3rd edition book? I need to

get on the stick with these calculations, I guess. Duh.....

Thanks, .

& Hill rich.sue.hill@...> wrote:

What's her exact age and weight ? I know I had those details at some

stage but wouldn't know where to start looking for them now

The protein allowance should stay the same whatever ratio you have her on, it

is only the carb and fat portions that change with ratio increases/decreases -

unless you are going for a protein slant (giving more protein than the RDA,

thereby reducing carb allowance).

If I use my planner for 900 cals on a 2:1 ratio, using the 32 gm prt amount I

get 81.8 gms fat and 8.9 gms carb.

Using the 23.82 prt allowance I get fat 81.8 gms again (this stays unchanged

if cals and ratio stay the same) and carb 17.1 gms.

So quite a big difference carb wise between the two plans, because of the big

difference in protein amounts used in the calculations. Protein allowances per

day are usually set at 1.6 gms per kg of bodyweight for 6-12 mths old, 1.2 gms

per kg for 1-3 yrs old, 1.1 gms per kg for 4-6 yrs old and 1.0 gms per kg for

7-10 yrs old.

The total cal allowance and protein amount is usually all aimed towards ideal

weight for height, unless there is a big discrepancy either way, like either

very under or over weight, in which case it is gradually aimed towards the ideal

figure instead.

If she hasn't actually been gaining weight recently, but has been going

upwards in height, even a small amount, then this in effect means she has

actually been losing weight, as height increases in kiddies are usually

accompanied by an overall body mass increase. If not, then it means she has used

some excess body weight to grow in height. Does that make sense?

----- Original Message -----

From:

Glad you are back with us. has been having crazy high ketones, AGAIN,

and is now on a 2:1 ratio and back to normal.

There was some discrepancy between my planner and the dietitian, and I guess

I need to stick with the planner or her ketones will rise and I will have to

lower the ratio again. See what you think:

900 calories a day - 2:1 ratio

Dietitian:

fat 81.82 g

carb 8.91 g

protein 32 g

JH Planner:

fat 82.27 g

carb 17.32 g

protein 23.82 g

I went with the planner, then when I realized the carbs went up with the

reduction from 2.5:1 to 2:1, but not the protein, I panicked. Called the

dietitian and got her calculations from the ketocalculator program. So made up

new meal plans and her ketones went sky high again with the high

protein......... so am back to higher carbs on the s Hopkins Planner.

Any insights. She is getting enough calories, as is plump and never lost

the pounds she gained on the initiation of the diet at 1200 calories, but did

grow up an eeensy bit.

Thanks for any help you can give. .

[Guest guest]

39.9 pounds is 18.11 kilos, so if using the 1.1 gm prt allowance for 4-6 yr

olds, she should be on around 20 gms prt per day, meaning on a 2:1 ratio, fat

should be 81.8 gms per day, carb 20.9 gms per day.

If using 65 cals per kg of body weight for 4-6 yr olds (taking the lower end

of the 65-68 approximation as you said she is not v active) then that would give

1177 cals per day, but that is based on her current weight, not what she would

be 'ideally' had she not gained that weight previously. Meaning my pick is that

she will probably be using excess body fat right now in addition to caloric

intake to 'fuel' her, even though you haven't seen an actual weight loss

recorded on the scales as yet - it has probably been used for growth, but either

way that will probably result in higher ketones until she is down to where the

900 cals would usually take her - I think you will shortly start to see some

weight loss based on those high ketones that are being produced at a fairly low

2:1 ratio. I guess time will soon tell. You may have to then slowly increase the

ratio again once any excess body fat isn't available for a 'top up'.

The main thing is her seizures, and if they are under control, then keep on

doing what you are doing.....

PS - yes, I mainly use Freeman's 3rd edition for diet calcs, and then cheat

using the mealplanner to work out the actual figures. Our dietician did show me

how to do it all by hand, but that was ages ago, 3 yrs in fact, and the memories

are a bit foggy now...

----- Original Message -----

From:

Hi,

is 39.9 lbs and she is chubby, but since she isn't gaining weight, and

as you said a gain in ht. is a weight loss, I am satisfied she is where she

should be for now. She was at 1200 calories, that is why she gained!

I guess I didn't realize that everything but protein changed - fat down,

carbs up. That is why I panicked.

If I would go to the dietitians calculations, she would be at a 1:1 ratio, I

fear, as the extra protein made her ketones sky high and she only had a meal or

two of that amount.

And in spite of all her mother's messing around with the meals, she never

seizured! God bless her!

Do you figure it all from what Freeman put in his 3rd edition book? I need

to get on the stick with these calculations, I guess. Duh.....

Thanks, .