Is it risky to start oral feeding in a child with diabetic ketoacidosis before it completely resolves?

Lipatov K, Kurian KK, Shaver C, White HD, Ghamande S, Arroliga AC, et al. Early vs late oral nutrition in patients with diabetic ketoacidosis admitted to a medical intensive care unit . World J Diabetes. 2019;10(1):57–62. DOI: 10.4239/wjd.v10.i1.57

Wolfsdorf JI, Glaser N, Agus M, Fritsch M, Hanas R, Rewers A, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic ketoacidosis and the hyperglycemic hyperosmolar state. Pediatr Diabetes. 2018;19(April):155–77. DOI: 10.1111/pedi.12701

Wolfsdorf J, Glaser N, Sperling MA. Diabetic ketoacidosis in infants, children, and adolescents: A consensus statement from the American Diabetes Association. Diabetes Care. 2006;29(5):1150–9. DOI: 10.2337/diacare.2951150

Savage MW, Dhatariya KK, Kilvert A, Rayman G, Rees JAE, Courtney CH, et al. Joint British Diabetes Societies guideline for the management of diabetic ketoacidosis. Diabet Med. 2011;28(5):508–15. DOI: 10.1111/j.1464-5491.2011.03246.x

Miles JM, Rizza RA, Haymond MW, Gerich JE. Effects of acute insulin deficiency on glucose and ketone body turnover in man. Evidence for the primacy of overproduction of glucose and ketone bodies in the genesis of diabetic ketoacidosis. Diabetes. 1980;29(11):926–30. DOI: 10.2337/diab.29.11.926