Georgia's Keto Piña Colada Drink Recipe

mom
Apr 13, 2025
3 min read

Let's have some fun today - how did I even come up with something as wild as a cocktail for my little child? As you may have realised with the flavour of choice of our keto birthday cake, coconut and pineapple together rock!

Back when Georgia was 1 and a half years old, nonna came here to New Zealand for a few months so they could get to know each other. During nonna's stay, we all went for a little one week holiday in Samoa.

This was right when we learned about Georgia's Glut1 Deficiency Syndrome diagnosis, but before we started our medical ketogenic diet journey.

So back then, Georgia would drink formula and blue milk. Some of you might know, Pacific islands don't have fresh milk available, only long life milk. Our princess over here wanted nothing to do with it.

I was hesitant to just load her up with sugar so we were not giving them juice - and in hindsight I am grateful she did not experience full-sugar drinks, so now she doesn't know what she is "missing out on". Watered down juices were not a hit either, sparkling water weirded her out, and we were not about to give her soft drinks either.

One evening, while we were enjoying our virgin piña coladas over dinner, she sneaked past us and started slurping on nonna's one. In that moment, the clouds parted to shine one last holy ray of sunshine upon the child, and an angelic chimey tune started playing in our ears: Georgia's absolute favourite drink was born!

Nice, and only a little sweet, and creamy, and refreshing 🥥🍍🍹.

Fast forward post-diet, we were also given McCoy's Pineapple Juice as a means to bring ketones down fast if her ketone levels were too high and was at risk of ketoacidosis. So we always had one open in our fridge, threatening to go bad (we'd just need 15ml-30ml at a time with Georgia).

And so the keto piña colada was born.

McCoy Pineapple Fruit Juice (McCoy)

Quantity per 100ml of product

Protein - 1.1 g

Fat - 0.1 g

Carbohydrate, available - 10 g

sugars, total - 10 g

Pineapple juice was obviously a high fast carb source, but we had on our side the fact that Georgia doesn't need things to be sweet, and pineapple has quite a distinctive flavour that comes through even in small quantities.

It was just a matter of adding the fat and the protein, making sure it was 2:1 ratio, et voilà.

Reminder: 2:1 ratio means that for every 2 grams of fat, there can only be 1 gram of protein + carbs combined.

Enter the other 2 players:

Premium Coconut Cream (Trident) - this one and the Pams one are the ones with the lowest amount of carbs per 100ml of product

Quantity per 100ml of product

Protein - 1.1 g

Fat - 21 g

Carbohydrate, available - 2.7 g

sugars, total - 1.6 g

Coconut Milk (Little Island) - this beauty is 3:1 ratio by itself

Quantity per 100ml of product

Protein - 0.4 g

Fat - 3.6 g

Carbohydrate, available - 0.8 g

sugars, total - 0 g

Please Note: this drink is slightly higher in carbs than protein (usually I prefer the other way around) but it's still within reasonable medical ketogenic diet guidelines and, most importantly, it's at the right ratio.