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it does go with the carbon structure, because you look at where the C=O is on the carbon chain.
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Aldose
A sugar with an aldehyde group.
Easy clue: C=O at the end.
The O stands for oxygen. ✅
So in C=O:
C = carbon
O = oxygen
= means a double bond
So C=O = carbon double-bonded to oxygen.

Ketose
A sugar with a ketone group.
Easy clue: C=O in the middle/inside.
The O stands for oxygen. ✅
So in C=O:
C = carbon
O = oxygen
= means a double bond
So C=O = carbon double-bonded to oxygen.

Glucose
Common aldose sugar.
Fructose
Common ketose sugar.
How do I tell aldose vs. ketose?
Find the C=O.
C=O at the end
Aldose ✅
C=O inside the chain
Ketose ✅