How do you scale a keto ratio to a larger portion?

Multiply every ingredient by the same number and the ratio stays the same. A ratio describes the relationship between fat and protein plus carbohydrates, not the amount of food. If you double a recipe of 3:1, you double the fat, the protein and the carbohydrates – the ratio is still 3:1. It only shifts when you change one of the groups on its own.

What do I do if a meal ends up below the target ratio?

The usual approach is to add a little fat rather than remove protein or carbohydrates – for example butter, oil, cream or an MCT product. Even a small amount can lift the ratio noticeably. How much and which products suit you is agreed with your clinical dietitian.

Can the whole family eat the same keto ratio?

A therapeutic ratio is set individually based on age, activity and treatment, and applies only to the person with the diagnosis. Other family members can happily eat ketogenic meals, but they do not need to follow the same high ratio. The target ratio is adjusted by the treating doctor and clinical dietitian.

Knowledge

Keto ratio explained

What does a keto ratio mean, how is it calculated, and why is accuracy so important in therapeutic ketogenic diet?

A keto ratio describes the relationship between fat and the total amount of protein and carbohydrates in a meal or daily menu. The ratio is expressed as, for example, 3:1 or 4:1, where the number indicates how many grams of fat there are for every gram of protein and carbohydrates combined. With a 3:1 ratio, there are 3 grams of fat for every 1 gram of protein and carbohydrates. This is the standard medical definition used by specialist hospitals worldwide. This is the very core of a ketogenic diet: the body switches energy source from glucose to fat and produces ketone bodies the brain can use.

The calculation is based on the weight of the nutrients in grams. To find the ratio, divide the grams of fat by the sum of grams of protein and carbohydrates. A meal with 30 grams of fat, 12 grams of protein and 3 grams of carbohydrates thus gives a ratio of 30/(12+3) = 2:1. This is the kind of calculations Ketolio helps families do quickly and clearly in everyday life.

For GLUT1 deficiency syndrome, the keto ratio is more than a number on a paper. The brain lacks sufficient transport of glucose, and ketone bodies become an important reservoir of energy. For ketosis to be maintained and give the best possible effect, the ratio must be individually tailored and followed up by healthcare professionals. Typical therapeutic ratios are often between 3:1 and 4:1, but the exact target is set by the treating doctor and clinical dietitian based on age, activity, medication use and disease picture. Small deviations in the amount of fat, protein or carbohydrates can noticeably change the ratio, and therefore planning requires precision in both weighing and calculation.

It's important to distinguish therapeutic ketogenic diet from popular low-carb or weight loss diets. For GLUT1, the diet is part of treatment, not a lifestyle choice or for weight loss. The goal is stable ketosis over time, and then every portion, every ingredient and every calculation becomes decisive. Ketolio was created precisely because these calculations are demanding to do manually day after day, and because the security around the child or adult living with the diagnosis depends on the numbers being correct.

Ketolio is a digital support and planning tool and is not a medical product. Keto ratio calculations are indicative and do not replace individual adaptation and follow-up from a doctor or clinical dietitian.

Keto ratio explained

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