There is an annual diabetes update course, primarily for physicians, that has included me in the program over the past few years. I am encouraged by the interest that my lecture generates. I have presented four times and, each time, I have received the highest evaluation from the attendees. My perception is that both the organizers of the conference and the audience are growing more receptive to the idea of using a ketogenic diet for the management of diabetes. I attach FYI the evaluation report from my most recent lecture. It gives me hope.