0:00:02 > 0:00:04What would a doctor discover if they lived with you...
0:00:04 > 0:00:06Hello, Doctor, how are you?
0:00:06 > 0:00:08..24 hours a day?
0:00:08 > 0:00:11How much would you be willing to reveal?
0:00:11 > 0:00:14- Do you think you may be addicted? - No.
0:00:14 > 0:00:16Would they be shocked by what they find?
0:00:16 > 0:00:18That's frankly pretty dangerous.
0:00:18 > 0:00:19That looks horrible!
0:00:19 > 0:00:21Like most busy NHS GPs,
0:00:21 > 0:00:25Rangan Chatterjee only gets about ten minutes with each patient.
0:00:25 > 0:00:27- PHONE RINGS - Excuse me one second. Hello?
0:00:27 > 0:00:31Now, he's taking on the biggest challenge of his career.
0:00:31 > 0:00:34I believe that 99% of a patient's health outcome
0:00:34 > 0:00:37is what happens in that time outside the surgery room.
0:00:37 > 0:00:40He's about to live alongside individual families
0:00:40 > 0:00:41who struggle with their health.
0:00:41 > 0:00:44- Who needs help with what? - My lower back.
0:00:44 > 0:00:46I feel out of control of my own body.
0:00:46 > 0:00:48Worried about cancer.
0:00:48 > 0:00:50For the first time, he'll gain insight
0:00:50 > 0:00:53into every aspect of his patients' lives.
0:00:53 > 0:00:54This is a unique opportunity.
0:00:54 > 0:00:57I think I'll be able to learn so much.
0:00:57 > 0:00:58Do they cook fresh foods?
0:00:58 > 0:01:01- Is this how you eat every day? - Pretty much, yeah.- Yeah?
0:01:01 > 0:01:03Is it a noisy street? Are there stressful relationships?
0:01:03 > 0:01:05Oh!
0:01:05 > 0:01:09All these things have a huge and significant role
0:01:09 > 0:01:10in determining their health.
0:01:10 > 0:01:11Go!
0:01:11 > 0:01:13He'll detect undiagnosed diseases.
0:01:13 > 0:01:15I think you've already got it.
0:01:15 > 0:01:17He'll deliver some home truths.
0:01:17 > 0:01:19- Do you get how serious this is? - He doesn't!- Yeah.
0:01:19 > 0:01:21I...honestly want to help you.
0:01:21 > 0:01:25And discover ways we could all live longer, healthier lives.
0:01:25 > 0:01:26SHE YELLS
0:01:26 > 0:01:28It really has the potential to change the way
0:01:28 > 0:01:30we all look at health in this country.
0:01:30 > 0:01:33It's imperative that we do something about it
0:01:33 > 0:01:35not tomorrow, but now.
0:01:45 > 0:01:49- Have a little bite to eat before you go?- I'm really not hungry, Mum.
0:01:49 > 0:01:51As your stepdad, I encourage you
0:01:51 > 0:01:54- to eat as many onions before you leave tonight.- Thanks!
0:01:54 > 0:01:56Just eat as many... In fact,
0:01:56 > 0:01:58chew on one of these before you leave tonight.
0:01:58 > 0:02:02Kingsbury in north-west London is home to Priti Vyas
0:02:02 > 0:02:04and Sandeep Mistry.
0:02:04 > 0:02:07Both divorcees, they got together four years ago.
0:02:07 > 0:02:10Sandeep and I used to go to school together 30-odd years ago.
0:02:10 > 0:02:12Had a bit of a crush on her back then.
0:02:12 > 0:02:15I don't think she did with me, as she made it abundantly clear.
0:02:17 > 0:02:20Also living at home is Priti's 19-year-old daughter, Serena.
0:02:20 > 0:02:23Me and my mum, we are best friends.
0:02:23 > 0:02:26She is my best friend. And I'm hers.
0:02:26 > 0:02:28They all lead busy lives.
0:02:29 > 0:02:3349-year-old Sandeep designs bathrooms for a living,
0:02:33 > 0:02:36and 48-year-old Priti runs a beauty therapy business.
0:02:36 > 0:02:40The family are particularly worried about her health.
0:02:40 > 0:02:42For the last three years, I just feel like,
0:02:42 > 0:02:44"Oh, my God, my body is just going through..."
0:02:44 > 0:02:47It feels like I'm in a tidal wave. I'm putting on weight.
0:02:47 > 0:02:49My skin reacts, I come out in eczema.
0:02:49 > 0:02:51Stress is a daily occurrence.
0:02:51 > 0:02:52I get upset much more,
0:02:52 > 0:02:55I'm much more emotional about things.
0:02:55 > 0:02:57At night I cannot sleep.
0:02:57 > 0:03:00All these herbal medicines, every vitamin that you can think of,
0:03:00 > 0:03:02she'll think, "Oh, this'll help some way,
0:03:02 > 0:03:06"so I might as well just take it all." But I'm sure that's not right.
0:03:06 > 0:03:09Priti and the family are eager for help,
0:03:09 > 0:03:11so they've signed up for something radical.
0:03:13 > 0:03:15GP Dr Rangan Chatterjee is taking a break
0:03:15 > 0:03:17from his NHS practice in Oldham.
0:03:17 > 0:03:20He's going to live alongside the family
0:03:20 > 0:03:23to see if he can transform their health.
0:03:23 > 0:03:27Day to day, I get... I don't know, seven, ten minutes with patients,
0:03:27 > 0:03:30and I've really got to filter very quickly that information.
0:03:30 > 0:03:33This, on the other hand, is giving me a month or so
0:03:33 > 0:03:36to really find out everything about this family
0:03:36 > 0:03:39and, by doing that, I can make a bigger impact with their health.
0:03:49 > 0:03:52DOOR BELL
0:03:52 > 0:03:54- Hello.- Hello.
0:03:54 > 0:03:57- Hi, how are you doing? - Yeah, good, thanks. How are you?
0:03:57 > 0:03:59Great. My name's Sandeep and this is Priti, my partner.
0:03:59 > 0:04:02- Hi. Let me show you to your room. We'll take you straight up.- OK.
0:04:02 > 0:04:06The doctor is staying over so he can experience life in the house,
0:04:06 > 0:04:08morning, noon and night.
0:04:08 > 0:04:12- Amazing.- Green for healing. - Green for healing, very good!
0:04:12 > 0:04:15Rangan wastes no time in getting to know the family
0:04:15 > 0:04:19and finding out what he can help them with.
0:04:19 > 0:04:20If I go through, one by one,
0:04:20 > 0:04:22and find out what everyone needs help with. Is that OK?
0:04:22 > 0:04:25- Priti, can we start with you? - Quite a lot with me.
0:04:25 > 0:04:26I was married for 18 years
0:04:26 > 0:04:29and I had a very turbulent, stressful married life
0:04:29 > 0:04:33and I think the stress, although I don't outwardly show it,
0:04:33 > 0:04:35I think my body was under a lot of stress.
0:04:35 > 0:04:38Since then, my weight has really started to...
0:04:38 > 0:04:42Well, I can't slow it down at all, I just seem to be getting heavier.
0:04:42 > 0:04:45- I can't sleep. I get cramp in my legs...- OK.
0:04:45 > 0:04:47My skin flares up quite a lot.
0:04:47 > 0:04:51Headaches... I feel very out of control of my own body.
0:04:51 > 0:04:54I don't know what's happening to it.
0:04:54 > 0:04:57- Sandeep, can we come to you? - I have Type 2 diabetes.
0:04:57 > 0:05:00When were you actually diagnosed with diabetes?
0:05:00 > 0:05:02Maybe about 10 to 12 years now.
0:05:02 > 0:05:04I take my whole string of medicines,
0:05:04 > 0:05:08so I feel like a tub of Smarties at the best of times.
0:05:08 > 0:05:10Type 2 diabetes is a progressive disease
0:05:10 > 0:05:12that causes high levels of blood sugar.
0:05:12 > 0:05:15Sandeep takes medication to control it.
0:05:15 > 0:05:17We're all a little different.
0:05:17 > 0:05:19I'm a bit stubborn about the doctor.
0:05:19 > 0:05:22I don't really feel like running into the office
0:05:22 > 0:05:26and going to see him every five minutes, and she's the opposite.
0:05:26 > 0:05:28I can really see the difference in your personality,
0:05:28 > 0:05:31almost the classic cliches which we hear about.
0:05:31 > 0:05:34You know, the male who doesn't worry too much about their health,
0:05:34 > 0:05:37doesn't want to see the doctor, and then your...
0:05:37 > 0:05:39you know, your stereotypical female,
0:05:39 > 0:05:42who some people would say would over-worry.
0:05:42 > 0:05:44- Crazy!- I'm not saying this, I'm just...
0:05:44 > 0:05:46ALL LAUGH
0:05:46 > 0:05:50With Priti's life affected by so many symptoms,
0:05:50 > 0:05:54Rangan wants to know what remedies she's already tried.
0:05:54 > 0:05:58- So, this is my little "treasure trove", as I call it.- OK.
0:05:58 > 0:06:00I have melatonin to help me sleep
0:06:00 > 0:06:02and then I take a multivitamin...
0:06:02 > 0:06:05Using more than 20 different over-the-counter pills
0:06:05 > 0:06:07and lotions has failed to get things under control.
0:06:07 > 0:06:10..I wanted to prevent them. Triphala, which helps with the skin
0:06:10 > 0:06:14and it helps to clear your system. And I've got stuff for my headaches.
0:06:14 > 0:06:17- OK.- There's the herbal stuff for stress.
0:06:17 > 0:06:19If used appropriately,
0:06:19 > 0:06:22some of these things could be very, very useful.
0:06:22 > 0:06:24But what this really says to me is that
0:06:24 > 0:06:27you're trying different things to try and help you.
0:06:27 > 0:06:30But judging from the amount of things you're taking...
0:06:31 > 0:06:33- ..something's not quite right. - Yeah, true.
0:06:33 > 0:06:35- You haven't found that solution yet.- Absolutely.
0:06:37 > 0:06:40Sandeep, come for dinner. Fancy chopping?
0:06:40 > 0:06:42Absolutely. I like the way you've got me doing the salad.
0:06:42 > 0:06:45It implies that everything you eat is really healthy.
0:06:45 > 0:06:48With a doctor in their kitchen,
0:06:48 > 0:06:51the family can't hide what they ACTUALLY eat every day.
0:06:51 > 0:06:54- This cupboard is our goodies cupboard.- Yeah.
0:06:54 > 0:06:57In here, we'll have crisps and chocolates and that sort of thing.
0:06:57 > 0:07:00I can see a soft drink there in the corner. Who has soft drinks?
0:07:00 > 0:07:03- That was me. I had that. - That was you?- That was her.
0:07:03 > 0:07:05If I get the urge for sugar,
0:07:05 > 0:07:07then I'm in real problems.
0:07:07 > 0:07:09Is that... I'm not sure if I'd be able to resist,
0:07:09 > 0:07:11- if that was in my kitchen.- Exactly.
0:07:11 > 0:07:13Do you need a spoon?
0:07:13 > 0:07:14I've got one.
0:07:16 > 0:07:19You've got to try these onions, as well, they're so good.
0:07:19 > 0:07:20Absolutely, I will do.
0:07:20 > 0:07:23It's a good way to keep her single for a long time, isn't it?
0:07:23 > 0:07:26'Just really enjoyable for me to actually have chats with them.
0:07:26 > 0:07:28'They're really nice family.'
0:07:28 > 0:07:29From a medical view...
0:07:31 > 0:07:33I spent a lot of time talking to Priti.
0:07:33 > 0:07:35She's got a lot of different problems
0:07:35 > 0:07:37and I think trying to tease out
0:07:37 > 0:07:40some sort of commonality there
0:07:40 > 0:07:42is going to be a bit tricky.
0:07:42 > 0:07:44Moving on to Sandeep,
0:07:44 > 0:07:47this is a guy with established Type 2 diabetes
0:07:47 > 0:07:50and actually there's a lot of stuff in his kitchen
0:07:50 > 0:07:55that I would argue shouldn't be in your kitchen if you've got diabetes.
0:08:13 > 0:08:15I kind of feel really at home here already.
0:08:15 > 0:08:18In fact, Sandeep actually ironed my shirt this morning,
0:08:18 > 0:08:19so that was a nice treat for me.
0:08:19 > 0:08:24Rangan wants to find out if Priti's symptoms are all linked.
0:08:24 > 0:08:28- Ever had bloods done on your coffee table before?- Can't say I have.
0:08:28 > 0:08:30He's running some medical tests to get an idea
0:08:30 > 0:08:32of what's going on inside her body.
0:08:34 > 0:08:36He's also doing some routine tests with Sandeep...
0:08:36 > 0:08:38So, that's 39 inches.
0:08:38 > 0:08:42..to make sure his general health and diabetes are all in check.
0:08:42 > 0:08:45Can't remember the last time I measured myself.
0:08:45 > 0:08:47- SHE GASPS - Sweet Lord!
0:08:47 > 0:08:49Priti weighs over 15 stone,
0:08:49 > 0:08:52meaning, medically, she's classed as obese.
0:08:52 > 0:08:54Oh, my God. Stop looking!
0:08:54 > 0:08:56I just wanted to have a peek.
0:08:56 > 0:08:58When I met Sandeep, I was 12 stone.
0:08:58 > 0:08:59Now he's slimmer than I am!
0:08:59 > 0:09:01Nearly three million people in the UK
0:09:01 > 0:09:04have been diagnosed as Type 2 diabetic, like Sandeep.
0:09:04 > 0:09:07- So, it's something you've had many times before, OK?- Oh, yes.
0:09:09 > 0:09:13One of the key functions in a normal body is to keep your blood sugar
0:09:13 > 0:09:14in a tightly controlled range.
0:09:14 > 0:09:15Not too high and not too low.
0:09:15 > 0:09:18And the body releases a hormone called insulin
0:09:18 > 0:09:19to keep that blood sugar down.
0:09:19 > 0:09:23Now, the problem with Type 2 diabetics like Sandeep
0:09:23 > 0:09:27is their lifestyle choices and, in particular, their diet
0:09:27 > 0:09:29has actually, over time, damaged their cells.
0:09:29 > 0:09:32So that insulin no longer works properly.
0:09:32 > 0:09:34The cells are resistant to insulin.
0:09:35 > 0:09:37You've mentioned stress a lot to me
0:09:37 > 0:09:39and I can see that it's a massive thing for you.
0:09:39 > 0:09:44- I've got a way that we can try and measure that for you.- Oh, OK.
0:09:44 > 0:09:46So, this is a test that's going to measure cortisol.
0:09:46 > 0:09:48Now, you may know cortisol is...
0:09:48 > 0:09:50it's like your master stress hormone.
0:09:50 > 0:09:54And your body releases it in response to stress.
0:09:54 > 0:09:57You just spit into four tubes, four parts of the day.
0:09:57 > 0:09:58- Spit?- Spit.- OK.
0:09:58 > 0:10:01And we can measure the cortisol in your spit.
0:10:01 > 0:10:05And what it does, it just gives me a really nice idea
0:10:05 > 0:10:06of how stressed you are.
0:10:06 > 0:10:08Spitometer. Like it.
0:10:13 > 0:10:1724 hours later, the blood samples have been analysed
0:10:17 > 0:10:19and the results have been e-mailed through.
0:10:21 > 0:10:22Oh, OK.
0:10:23 > 0:10:25- How are you doing?- Hello.
0:10:25 > 0:10:28So, blood results have just come back.
0:10:28 > 0:10:30So, Priti, if I start with you, first of all.
0:10:30 > 0:10:32- Not too bad, actually, OK?- OK.
0:10:32 > 0:10:34So, I need to do a bit more detective work,
0:10:34 > 0:10:37- have a little bit more of a think about things.- OK. But, yeah.
0:10:37 > 0:10:39- Sandeep.- Uh-oh. - Ooh, go on, then.
0:10:39 > 0:10:41Shall I hold your hand for this?
0:10:41 > 0:10:45I mean, the first thing that jumps out at me was your vitamin D level.
0:10:45 > 0:10:48When vitamin D is low, it's associated with a lot of problems -
0:10:48 > 0:10:50immune system, bone strength.
0:10:50 > 0:10:53You know, weight, all kinds of things.
0:10:53 > 0:10:55But that's quite easy to fix.
0:10:55 > 0:10:58But you've got a high homocysteine level.
0:10:58 > 0:11:01Homocysteine is an independent risk factor for heart attacks.
0:11:02 > 0:11:06OK? And in conjunction with everything else, you know,
0:11:06 > 0:11:10it definitely sets off an alarm bell in my head.
0:11:10 > 0:11:12- Now... - HE SIGHS
0:11:12 > 0:11:14..the most worrying test for me,
0:11:14 > 0:11:16your blood sugar level
0:11:16 > 0:11:18is 9.
0:11:18 > 0:11:22We're looking for it within the sort of 6 area or under.
0:11:22 > 0:11:24Probably, ideally, under that?
0:11:24 > 0:11:29What's more alarming for me is that you're on three separate drugs
0:11:29 > 0:11:31to control your diabetes,
0:11:31 > 0:11:32and despite that...
0:11:32 > 0:11:34Oh, my God.
0:11:34 > 0:11:37- ..your sugar is uncontrollably high. - Yeah.
0:11:40 > 0:11:43Why is it like this? I mean, what's he doing that wrong? Is it...?
0:11:43 > 0:11:46The biggest determinant of this?
0:11:46 > 0:11:48HE TAPS PAPER
0:11:48 > 0:11:50- Diet.- Really?
0:11:50 > 0:11:52You've got too much sugar going round your body
0:11:52 > 0:11:55and it gets deposited everywhere.
0:11:55 > 0:11:58Goes in your eyes, causes blindness.
0:11:58 > 0:12:01Goes in your kidneys, causes kidney failure and then dialysis.
0:12:01 > 0:12:04Gets deposited in your nerves.
0:12:04 > 0:12:07I know that I have a slight neuropathy in the right foot.
0:12:07 > 0:12:10- What does that mean, "neuropathy"? - Yeah, neuropathy...
0:12:10 > 0:12:13Just a loss of feeling, you know, changed up a lot of things.
0:12:13 > 0:12:16- You've never mentioned that! - I didn't know that.
0:12:16 > 0:12:18- So you already know some of this? - Yeah.
0:12:18 > 0:12:21- Do you get how serious this is? - He doesn't! He doesn't!
0:12:21 > 0:12:22Yeah, I can see how serious it is,
0:12:22 > 0:12:25but it doesn't mean I have to show out front,
0:12:25 > 0:12:27because I have two ladies here that will probably get...
0:12:27 > 0:12:31- and I don't like to freak 'em out. - TEARFULLY:- I'm really upset.
0:12:32 > 0:12:34Why? It's OK. Relax!
0:12:34 > 0:12:35We're going to fix it.
0:12:35 > 0:12:37So don't stress out.
0:12:37 > 0:12:39Sandeep, you need to take it more seriously.
0:12:39 > 0:12:43Yeah, but I'm saying to you, just relax.
0:12:43 > 0:12:44You know, this is educational.
0:12:44 > 0:12:47It's education and I don't feel that you've had it yet.
0:12:47 > 0:12:49Diabetes, yeah, heart attacks,
0:12:49 > 0:12:51strokes, you're five times more likely to get that.
0:12:51 > 0:12:55- That's pretty alarming in itself. - That's high, that's so high.
0:12:55 > 0:12:58But often it doesn't kill you, it just makes your life a misery.
0:12:58 > 0:13:01- And everyone else around you. - Yeah.
0:13:01 > 0:13:03I'm actually really shocked
0:13:03 > 0:13:05and I'm really worried.
0:13:05 > 0:13:07Now I'm REALLY worried.
0:13:08 > 0:13:13It's never easy delivering serious, important news to any patient.
0:13:13 > 0:13:16I had not been getting any sense from Sandeep,
0:13:16 > 0:13:18but probably all of them, actually,
0:13:18 > 0:13:20if I really think about it,
0:13:20 > 0:13:22about how serious things are.
0:13:22 > 0:13:25He's had a diagnosis for 10 to 12 years of diabetes.
0:13:25 > 0:13:28Yet he's sailing along as if things are fine. They're not fine.
0:13:29 > 0:13:32Staying as they are is not an option.
0:13:32 > 0:13:34We need to do something and I'm going to help them.
0:13:41 > 0:13:45Rangan has gone back to his practice to come up with a strategy.
0:13:45 > 0:13:49He believes the family's food choices are a serious problem.
0:13:49 > 0:13:52I'm really trying to find a plan that works for all of them,
0:13:52 > 0:13:55because I think they're more likely to stick to something
0:13:55 > 0:13:57that they all have to do together.
0:13:58 > 0:14:00Make a quick snack.
0:14:00 > 0:14:04The main problem is Sandeep's diabetes and Priti's weight.
0:14:04 > 0:14:07- That's a lot of cheese, mate! - Not really.
0:14:07 > 0:14:10They've been eating certain foods for a long period of time now
0:14:10 > 0:14:12that raise insulin and raise blood sugar.
0:14:12 > 0:14:16So I've got to really teach them which foods do that.
0:14:16 > 0:14:18and ask them to stop eating them.
0:14:18 > 0:14:20Oh, my God, it's like I can feel the Doctor
0:14:20 > 0:14:23burning a hole in my head and he's not even here.
0:14:25 > 0:14:26Hi.
0:14:26 > 0:14:28Hello, how are you?
0:14:28 > 0:14:30Before he gives the family his plan,
0:14:30 > 0:14:33the Doctor has one more test for Sandeep.
0:14:33 > 0:14:35Last time I was here you mentioned
0:14:35 > 0:14:38you were getting some pins and needles sometimes.
0:14:38 > 0:14:40Yes, I was. My right hand.
0:14:40 > 0:14:43It's predominantly just in the morning.
0:14:43 > 0:14:46Well, sometimes pins and needles is associated with diabetes...
0:14:48 > 0:14:50- ..and nerve damage. - You're not full of good news.
0:14:52 > 0:14:55Sandeep's blood sugar levels are dangerously high
0:14:55 > 0:14:59and could be seriously damaging to his blood vessels and nerves.
0:15:00 > 0:15:03This might explain his pins and needles.
0:15:03 > 0:15:05If left untreated, it could lead to loss of feeling
0:15:05 > 0:15:08and, in extreme cases, amputation.
0:15:10 > 0:15:15In the UK, diabetes causes over 130 amputations every week.
0:15:17 > 0:15:20So this will test two nerves in your hands
0:15:20 > 0:15:23and you're going to feel ten impulses for each nerve, OK?
0:15:26 > 0:15:30If the signals aren't transmitting well along Sandeep's nerves,
0:15:30 > 0:15:33it could be that the sugar in his blood has damaged them.
0:15:36 > 0:15:38- What the test has shown...- Yeah?
0:15:38 > 0:15:41..when we're measuring the electric signal,
0:15:41 > 0:15:45the amplitude is a lot lower in one of the nerves than we would expect.
0:15:47 > 0:15:49That means you've had nerve death.
0:15:53 > 0:15:55- OK, that's great. Not! - HE LAUGHS
0:15:55 > 0:15:59If you're getting pins and needles predominantly in the morning,
0:15:59 > 0:16:02that suggests to me that the damage isn't that extensive yet.
0:16:02 > 0:16:06OK? So it's imperative that we do something about it.
0:16:06 > 0:16:08Not tomorrow, but NOW.
0:16:10 > 0:16:12OK, we've got to put this plan into action.
0:16:12 > 0:16:15So, first thing, don't drink your calories, OK?
0:16:15 > 0:16:17Where are the sugary drinks?
0:16:17 > 0:16:21- Right, our sugary drinks... - You mean, no squashes at all?
0:16:21 > 0:16:24- No squashes at all. - No added sugar.- Nothing.
0:16:24 > 0:16:27No more juices, squash or fizzy drinks.
0:16:27 > 0:16:30Just water, black coffee and tea from now on.
0:16:32 > 0:16:35Next, all products with added sugar are banned.
0:16:35 > 0:16:37OK, this is fajita mix.
0:16:37 > 0:16:39Can you just read me the first ingredient?
0:16:39 > 0:16:40- Sugar.- Sugar.
0:16:40 > 0:16:44- Well, this has got glucose syrup. - Sugar.- Forgot the chilli sauce.
0:16:44 > 0:16:46Second ingredient is sugar.
0:16:46 > 0:16:48Tomato and basil and...
0:16:48 > 0:16:49How about sugar?
0:16:49 > 0:16:51It's not just tomato and basil.
0:16:51 > 0:16:53Refined processed carbohydrates.
0:16:54 > 0:16:58Wheat, corn, rice, potatoes and dairy products are going, too.
0:16:58 > 0:17:01Because the Doctor suspects they will all turn to sugar
0:17:01 > 0:17:03too quickly in Sandeep's body.
0:17:03 > 0:17:04Popcorn?
0:17:04 > 0:17:06SHE GASPS IN HORROR
0:17:06 > 0:17:08Oh, my God! Like...
0:17:08 > 0:17:10What we going to eat?
0:17:10 > 0:17:13And, slightly, it's making me think, "I wonder if I can stick to it."
0:17:13 > 0:17:16- I'll be honest with you. - I feel bad at the moment.
0:17:16 > 0:17:17HE LAUGHS
0:17:17 > 0:17:19- Excellent.- You should!
0:17:19 > 0:17:23The foods they are allowed include meat, fish, eggs and nuts.
0:17:23 > 0:17:25And there's another rule to stick to.
0:17:25 > 0:17:29- You've heard of five-a-day, right? - Yeah.- Yeah.- Yeah.- OK.
0:17:29 > 0:17:30I want you do five-a-day,
0:17:30 > 0:17:36- but my focus is going be on five different vegetables each day.- OK.
0:17:36 > 0:17:38So, the final phase of this
0:17:38 > 0:17:41is something called time-restricted feeding,
0:17:41 > 0:17:43and I would like you
0:17:43 > 0:17:45to restrict your eating
0:17:45 > 0:17:48to a ten-hour window.
0:17:48 > 0:17:51There are so many different health benefits,
0:17:51 > 0:17:54one of them being...weight loss.
0:17:54 > 0:17:56And I'll see you very soon. Call me with anything.
0:17:56 > 0:18:00- Yeah.- OK?- Will do. - See you later, guys.- Bye-bye now.
0:18:00 > 0:18:03- Goodnight.- See you. Bye.
0:18:03 > 0:18:06Rangan also wants the family to take a few food supplements
0:18:06 > 0:18:08he thinks will help.
0:18:08 > 0:18:10Phew! We've got some things to talk about.
0:18:10 > 0:18:14The banned foods are bagged up to be given to family friends.
0:18:14 > 0:18:16This is what I love about being a doctor.
0:18:16 > 0:18:19This is what I live for as a doctor.
0:18:19 > 0:18:21Trying to give patients information they understand
0:18:21 > 0:18:24and that's going to really transform their health.
0:18:24 > 0:18:26I'm just so excited at the moment.
0:18:26 > 0:18:28I really, really hope they stick to it.
0:18:31 > 0:18:33See, I like celery, you don't like that.
0:18:33 > 0:18:36No, I like celery. Who said I don't like it?
0:18:36 > 0:18:39On the first day of the diet, the family have to decide
0:18:39 > 0:18:42which ten-hour window they're allowed to eat within.
0:18:42 > 0:18:46- Maybe we just don't eat in the evenings.- No, we can't do that.
0:18:46 > 0:18:49No, because, like... Because, like he said, we can have nuts,
0:18:49 > 0:18:53- we can have...so maybe we... - I can't do that.
0:18:53 > 0:18:55Really? See, I'd be all right.
0:18:55 > 0:18:57Cos I'll probably want to eat my arm by half-nine.
0:18:57 > 0:19:00Time-restricted feeding is based on new science
0:19:00 > 0:19:02that suggests that people eat less
0:19:02 > 0:19:05if they're limited to restricted times.
0:19:05 > 0:19:08Their bodies might also process and manage food better.
0:19:08 > 0:19:10I'll give you the slightly bigger portion.
0:19:10 > 0:19:14Priti and Sandeep choose 9am to 7pm.
0:19:17 > 0:19:19With the family's diet in place,
0:19:19 > 0:19:21Rangan's switching his focus
0:19:21 > 0:19:25from Sandeep to Priti. He thinks her symptoms could be a sign
0:19:25 > 0:19:27she's approaching the menopause,
0:19:27 > 0:19:29when a woman's reproductive system shuts down.
0:19:31 > 0:19:33At this time, changing hormone levels
0:19:33 > 0:19:35can lead to a huge number of symptoms.
0:19:35 > 0:19:38I've brought with me a sort of questionnaire.
0:19:38 > 0:19:41- For each question there's three answers.- OK.
0:19:41 > 0:19:42- Zero is "not at all".- Mm-hm.
0:19:42 > 0:19:45- One is "mildly".- Mm-hm.
0:19:45 > 0:19:46- And two is "severely".- OK.
0:19:46 > 0:19:48- Headaches?- Two.
0:19:48 > 0:19:51- Emotional? Tearful?- Two.
0:19:51 > 0:19:54- Yeah. Unable to sleep? - Definitely two.
0:19:54 > 0:19:56- Daytime sweats and flushes? - Er, two.
0:19:56 > 0:19:57- Two.- Yeah.
0:19:57 > 0:20:00Night-time sweats and flushes?
0:20:00 > 0:20:01Two.
0:20:01 > 0:20:03Priti's scoring high in the questionnaire,
0:20:03 > 0:20:06suggesting she is menopausal.
0:20:06 > 0:20:08It's incredibly common for women her age
0:20:08 > 0:20:10to be getting these sorts of symptoms.
0:20:10 > 0:20:1275% get hot flushes at the very least.
0:20:12 > 0:20:15What does it feel like when you have a hot flush?
0:20:15 > 0:20:17Best way I can describe it
0:20:17 > 0:20:19is I feel like my blood's boiling a little bit.
0:20:19 > 0:20:21So I feel it on my head here.
0:20:21 > 0:20:24It's literally like it's boiling underneath
0:20:24 > 0:20:27and you can touch my skin, but it doesn't feel hot.
0:20:27 > 0:20:29So what's actually happening in a hot flush
0:20:29 > 0:20:31is that you've got a heat-control sensor in your body,
0:20:31 > 0:20:34sitting in your brain, OK, like a thermostat.
0:20:34 > 0:20:38And the changing hormone levels basically trick the thermostat
0:20:38 > 0:20:42into thinking that the core temperature of your body
0:20:42 > 0:20:44- is actually hotter than it is. - Oh, I see.
0:20:44 > 0:20:48That pushes out the heat towards the outside of your body
0:20:48 > 0:20:51to try and cool you down. That's why you feel hot.
0:20:51 > 0:20:54Have you been offered anything by your doctor?
0:20:54 > 0:20:56They didn't even offer it to me, HRT.
0:20:56 > 0:20:58But I wouldn't take it anyway cos I don't like
0:20:58 > 0:21:01putting extra stuff into your body.
0:21:01 > 0:21:03The symptoms that a lot of women experience
0:21:03 > 0:21:04in the lead-up to the menopause
0:21:04 > 0:21:08are actually caused by falling hormone levels.
0:21:08 > 0:21:12Now, Hormone Replacement Therapy, or HRT, it replaces hormones.
0:21:12 > 0:21:15It artificially gives you those hormones back
0:21:15 > 0:21:18to help alleviate those symptoms.
0:21:18 > 0:21:20But Priti doesn't want to take HRT.
0:21:20 > 0:21:24And I think that there's a few things I'd like to try with her
0:21:24 > 0:21:28that might, hopefully, help her with those menopausal symptoms
0:21:28 > 0:21:30without going down the HRT road.
0:21:34 > 0:21:37The severity of menopausal symptoms isn't just dependent
0:21:37 > 0:21:39on changing hormones.
0:21:39 > 0:21:41Lifestyle also plays a part.
0:21:41 > 0:21:46Rangan is meeting Priti at work to find out some more clues.
0:21:46 > 0:21:47Priti's got multiple symptoms.
0:21:47 > 0:21:51She's got symptoms that she attributes to her menopause.
0:21:51 > 0:21:53She's got stress problems,
0:21:53 > 0:21:56anxiety issues, headaches, weight issues.
0:21:56 > 0:21:59'I don't think there's one single magic bullet for her.'
0:21:59 > 0:22:01- Yeah, good, thanks. Good to see you. - Yeah, you too.
0:22:01 > 0:22:04'It's going to be lots of little things
0:22:04 > 0:22:06'in multiple aspects of her life.'
0:22:06 > 0:22:09- OK, so you drive here?- Yeah.- You get here for about ten o'clock?
0:22:09 > 0:22:12- Yes. I eat here.- Do you eat here at the desk?- I eat here at the desk.
0:22:12 > 0:22:15- Whilst on the computer? - Whilst I'm working, yeah.
0:22:15 > 0:22:16If you were to log onto your e-mail,
0:22:16 > 0:22:19I just want to see what sort of posture you take.
0:22:19 > 0:22:21I mean, I look at you,
0:22:21 > 0:22:25and see the height of your screen compared to your eyes,
0:22:25 > 0:22:29and I think you're having to bend over to get down to that level.
0:22:29 > 0:22:32Whereas just an obvious thing for me would be
0:22:32 > 0:22:34if you put like a thick book under there
0:22:34 > 0:22:37and raise it up, you would automatically
0:22:37 > 0:22:40put your spine in a much better position. It's not the whole story.
0:22:40 > 0:22:43- That's a good point.- It's just something I'm noticing here.
0:22:43 > 0:22:44So are you able to lift that?
0:22:44 > 0:22:48I'm just wondering if this'll balance on that or not.
0:22:48 > 0:22:50OK. Does it feel different?
0:22:50 > 0:22:54You know, the thing is, I'm finding I have to sit like this,
0:22:54 > 0:22:57where I would be very much like this. You're right, actually.
0:22:57 > 0:23:00- So, it's such a simple thing...- Mm.
0:23:00 > 0:23:03..that cumulatively, minute after minute,
0:23:03 > 0:23:04hour after hour that you're sitting here,
0:23:04 > 0:23:06instead of being like that
0:23:06 > 0:23:08you're going to be a little bit more upright
0:23:08 > 0:23:11- and I hope you can see the value in that.- Yeah.
0:23:11 > 0:23:14Activity levels are vital to health,
0:23:14 > 0:23:17so Rangan's giving Priti a monitoring device.
0:23:17 > 0:23:18This will measure her movement,
0:23:18 > 0:23:21counting the number of steps she takes every day.
0:23:23 > 0:23:26The Doctor also wants to get to the bottom of another problem -
0:23:26 > 0:23:27Priti's sleep.
0:23:27 > 0:23:31The device she's wearing will also record how much she's getting
0:23:31 > 0:23:32and how disrupted it is.
0:23:36 > 0:23:40During the menopause, the symptoms of changing hormone levels
0:23:40 > 0:23:42can include night sweats and anxiety.
0:23:48 > 0:23:52As a result, up to 60% of menopausal women experience insomnia.
0:23:54 > 0:23:58Priti gets between five and six hours' broken sleep most nights.
0:23:58 > 0:24:03Rangan hopes he'll be able to get her resting better and for longer.
0:24:03 > 0:24:07There's the stress test the Doctor gave her.
0:24:08 > 0:24:10Saliva samples, taken four times a day,
0:24:10 > 0:24:14will be analysed for cortisol, the master stress hormone.
0:24:17 > 0:24:20The family are four days into their diet
0:24:20 > 0:24:22and they're preparing for work.
0:24:22 > 0:24:24I really want sugar,
0:24:24 > 0:24:27and I was saying to Sandeep, "I don't care what anybody says now,
0:24:27 > 0:24:30"I'm just going to sneak a little bit of sugar into my tea."
0:24:30 > 0:24:34And then there was no sugar so I couldn't do it!
0:24:34 > 0:24:36But, um...
0:24:36 > 0:24:37it's really, really hard.
0:24:37 > 0:24:41I feel like a junkie. I feel like I'm having withdrawal symptoms.
0:24:41 > 0:24:43You know, my tongue's really dry, my head's hurting...
0:24:43 > 0:24:46There's nothing in the house, so I can't even go
0:24:46 > 0:24:50"Ooh, I'll just have that to fill that sweet gap."
0:24:50 > 0:24:53So, I get these... I mean, I don't know about you, Sandeep,
0:24:53 > 0:24:56but I get like, during the day, these little...
0:24:57 > 0:25:00- It's not nine o'clock. - Oh, God, yeah!
0:25:01 > 0:25:02Whoops!
0:25:02 > 0:25:03I've held off.
0:25:07 > 0:25:09- I do feel like... - SHE GROANS
0:25:09 > 0:25:11ALARM BEEPS
0:25:12 > 0:25:15- Chow time!- Yay!
0:25:31 > 0:25:33Sandeep's initial medical tests
0:25:33 > 0:25:36revealed his diabetes and blood sugar
0:25:36 > 0:25:38are dangerously out of control.
0:25:38 > 0:25:39To investigate a bit further,
0:25:39 > 0:25:44Rangan's arranged a scan to find out what's going on inside his body.
0:25:44 > 0:25:48With your Type 2 diabetes, you've had it a long period of time now.
0:25:48 > 0:25:50What worries you about it?
0:25:50 > 0:25:53I don't actually want to be in the position my father is,
0:25:53 > 0:25:56- which is a couple of heart attacks. - Yeah.
0:25:56 > 0:25:59He struggles, you know, just to walk from here to there
0:25:59 > 0:26:00or get up and down the stairs.
0:26:00 > 0:26:06I don't want to grow up being someone's invalid.
0:26:06 > 0:26:07Sure.
0:26:07 > 0:26:09I don't want Priti to be looking after me
0:26:09 > 0:26:11and I don't want to be looking after her.
0:26:11 > 0:26:13I want to have a bit of longevity
0:26:13 > 0:26:17- with the both of us in reasonable health.- Yeah.
0:26:19 > 0:26:21Hi, how're you doing? Nice to meet you.
0:26:22 > 0:26:24Sandeep is here for a DEXA scan,
0:26:24 > 0:26:28which uses low doses of X-rays to analyse his body.
0:26:28 > 0:26:29Just lie down. Breathe normally,
0:26:29 > 0:26:33don't tense up or anything like that. Just relax and be still.
0:26:35 > 0:26:38Recent research has shown that the fat you carry
0:26:38 > 0:26:40affects your health in different ways,
0:26:40 > 0:26:42depending on where it's stored.
0:26:45 > 0:26:49- Rangan, Sandeep, I have the results. - OK.- Let's take you through them.
0:26:49 > 0:26:52The good news is that yeah, you're a little overweight.
0:26:52 > 0:26:55You know that, right? You're carrying a bit too much fat.
0:26:55 > 0:26:58Um, but in comparison with the male population,
0:26:58 > 0:27:01you're just over halfway, so it's not as bad as it could be.
0:27:01 > 0:27:04The bad news, though, is where you're carrying your fat.
0:27:04 > 0:27:07And you can see from the image here, the orange...
0:27:07 > 0:27:10the light orange is body fat and the red is lean mass.
0:27:10 > 0:27:13You're very much carrying it here in the trunk
0:27:13 > 0:27:15- and in the belly area. - Trunk and belly, OK.
0:27:15 > 0:27:18Now, particularly, when we come to visceral fat...
0:27:18 > 0:27:20Now, visceral fat is bad fat, OK?
0:27:20 > 0:27:22Visceral fat is the fat around the internal organs.
0:27:22 > 0:27:25It's linked with diabetes. It's linked with heart disease.
0:27:25 > 0:27:27It's very unhealthy.
0:27:27 > 0:27:29This number here is 162...
0:27:30 > 0:27:34- ..and I have to tell you that 160 is high risk.- OK.
0:27:34 > 0:27:37So that number, we like to be, for a guy, below 100.
0:27:37 > 0:27:39Maybe even below 90.
0:27:39 > 0:27:41So, between 100 and 160,
0:27:41 > 0:27:44that's "increased risk"
0:27:44 > 0:27:45and over 160 is "high risk".
0:27:45 > 0:27:50And you are at 162, and I'm obliged to point that out to you.
0:27:50 > 0:27:52Ooh.
0:27:52 > 0:27:56And where would that fat really right now be sitting?
0:27:56 > 0:27:58Well, that's around all your internal organs.
0:27:58 > 0:28:01Around your heart, your liver, kidneys, all around the organs.
0:28:01 > 0:28:05- So, it's sitting AROUND the organs? - Yes.- This is the dangerous fat.
0:28:05 > 0:28:08That's the fat that's linked with diabetes, with heart disease,
0:28:08 > 0:28:11- and I know you're worried about that from your dad.- Yeah.
0:28:11 > 0:28:13You can have a lot of fat. What they call a TOFI,
0:28:13 > 0:28:16a thin on the outside, fat on the inside.
0:28:16 > 0:28:17Can we hide this from Priti?
0:28:17 > 0:28:20ALL LAUGH
0:28:20 > 0:28:22I might be smiling about it and joking,
0:28:22 > 0:28:24but it's quite an eye-opener.
0:28:28 > 0:28:31Visceral fat increases the risk of many diseases
0:28:31 > 0:28:34by interfering with essential organs like the liver.
0:28:36 > 0:28:39Unfortunately, people with a South Asian background
0:28:39 > 0:28:42have genes that make them prone to store more dangerous fats
0:28:42 > 0:28:46and are more at risk of Type 2 diabetes.
0:28:46 > 0:28:49Rangan wants to target Sandeep's problems
0:28:49 > 0:28:51with visceral fat and blood sugar.
0:28:51 > 0:28:53They're spending the day together
0:28:53 > 0:28:56to see if there's any other lifestyle changes Sandeep can make.
0:28:56 > 0:28:59You could go in the shed. There's a pressure washer in there.
0:28:59 > 0:29:02- I'll get it out for you.- Yeah, and I'll finish this up real quick.
0:29:06 > 0:29:09- Hey, Sandeep, I see you've got some golf clubs in there.- Yeah?
0:29:09 > 0:29:12- Do you golf at all?- Used to.
0:29:12 > 0:29:15Sometimes you've got to give up a few things for family.
0:29:15 > 0:29:17Yeah, I was a very keen sportsman.
0:29:17 > 0:29:20Yeah, you've got loads of sports gear here.
0:29:20 > 0:29:22- Yeah, a lot of stuff. - HE GRUNTS
0:29:22 > 0:29:25What sort of things did you do at school?
0:29:25 > 0:29:27I did judo, badminton, cricket...
0:29:28 > 0:29:32- Running track, 100, 200, 400, sprint.- You used to run all that?
0:29:32 > 0:29:34Sprints, yeah.
0:29:36 > 0:29:40Sandeep's had over ten years of Type 2 diabetes.
0:29:40 > 0:29:43It really is a shame that he's not that active.
0:29:43 > 0:29:44Yeah, he kind of potters around day to day.
0:29:44 > 0:29:47That's great and that's much better than sitting on the sofa,
0:29:47 > 0:29:49and I'd encourage him to keep doing that,
0:29:49 > 0:29:52but if he could get back into one of these sports,
0:29:52 > 0:29:55it will be amazing for just the way he feels about himself,
0:29:55 > 0:29:56but also his diabetes.
0:29:56 > 0:29:59It's going to enhance insulin sensitivity,
0:29:59 > 0:30:00which he needs cos he's diabetic,
0:30:00 > 0:30:03but it's also going to help him target his visceral fat,
0:30:03 > 0:30:05which is, you know, an area we really need to work on.
0:30:05 > 0:30:07Let's go!
0:30:07 > 0:30:09Exercise could lower Sandeep's blood sugar
0:30:09 > 0:30:12by making his body use insulin better.
0:30:12 > 0:30:15Rangan has a specific activity in mind.
0:30:15 > 0:30:17Exercise doesn't need to be this big thing
0:30:17 > 0:30:19where we get a gym membership
0:30:19 > 0:30:22or you have to get yourself to the park on a nice day
0:30:22 > 0:30:23to have your workout.
0:30:23 > 0:30:26OK, you can do it right here, right now, on your street.
0:30:26 > 0:30:30Three, two, one, go!
0:30:32 > 0:30:35Sandeep has to walk as fast as he can in two minutes.
0:30:35 > 0:30:39His progress will be measured against the numbers on the street.
0:30:39 > 0:30:41Speed up, as fast as you can.
0:30:41 > 0:30:43Just gone one minute.
0:30:43 > 0:30:44Out of breath yet?
0:30:44 > 0:30:46- Not yet.- Not yet.
0:30:48 > 0:30:51OK, five seconds to go. Keep it up!
0:30:53 > 0:30:54Done.
0:30:54 > 0:30:56ALARM BEEPS
0:30:56 > 0:30:59Let's see what number that is. 46.
0:30:59 > 0:31:01- Shall we go again?- Yeah.- Yeah?
0:31:01 > 0:31:05- This is a form of high-intensity interval training.- OK.
0:31:05 > 0:31:08- Some people abbreviate it to HIIT, H-I-I-T.- Right.
0:31:08 > 0:31:11We know it really helps with visceral fat.
0:31:11 > 0:31:14- Ah... I've got lots of that. - Yeah, exactly.
0:31:14 > 0:31:16So, do it any time you can fit it in.
0:31:16 > 0:31:17Go!
0:31:18 > 0:31:20How are you feeling? Good?
0:31:21 > 0:31:24Good. It's good to have a marker to try and beat, isn't it?
0:31:24 > 0:31:28- Are you getting a bit breathless at all?- Yeah, a little bit.
0:31:28 > 0:31:29A little bit. Good.
0:31:29 > 0:31:32- Two, one, stop!- One more. - ALARM BEEPS
0:31:32 > 0:31:34- 48. Exactly.- Good.
0:31:34 > 0:31:35Back to the start?
0:31:35 > 0:31:37Well, I won't make 50...
0:31:37 > 0:31:39I don't think so, but I'll try again. Go on.
0:31:47 > 0:31:48- There you go. Amazing! - ALARM BEEPS
0:31:48 > 0:31:50You smashed it this time!
0:31:51 > 0:31:55- Agh!- Now, that is out of breath. - Way out of practice.
0:31:57 > 0:32:00How have the last few days been? How are you getting on with the diet?
0:32:00 > 0:32:02I'm missing sweet things a lot.
0:32:02 > 0:32:05That's been the hardest thing for me, where I've just said,
0:32:05 > 0:32:08"I'm sure it won't harm us to have one cup of tea
0:32:08 > 0:32:10"with two sugars in the morning."
0:32:10 > 0:32:13I feel positive.
0:32:13 > 0:32:15Because of the weight loss.
0:32:15 > 0:32:18- Weight loss?- Yeah. So I feel positive about that, um...
0:32:18 > 0:32:21- Have you been weighing yourself? - Yeah.
0:32:21 > 0:32:25My weight has like probably gone down a smidgen, you know,
0:32:25 > 0:32:27I wouldn't say... maybe one kilo, that's about it,
0:32:27 > 0:32:30but see, he looks much slimmer than me. He doesn't suffer.
0:32:30 > 0:32:33He hasn't got a headache and he looks great.
0:32:33 > 0:32:35- OK, you don't have diabetes. - Yeah, that's true.
0:32:35 > 0:32:38- Would you rather have diabetes? - No, no, definitely not.
0:32:38 > 0:32:41- Right, so everyone's different. Focus on yourself.- True, true.
0:32:41 > 0:32:42Let Sandeep worry about him.
0:32:42 > 0:32:45In fact, for you, Priti, I think the best thing for you
0:32:45 > 0:32:48would be not to look at the scales
0:32:48 > 0:32:50- for the entire time that I'm here, unless I say so.- OK.
0:32:50 > 0:32:52Be nice if he just got one headache.
0:32:52 > 0:32:54SHE LAUGHS
0:32:54 > 0:32:59Using the scales every day when you're dieting can be demoralising.
0:32:59 > 0:33:01How do you take the batteries out?
0:33:01 > 0:33:03The body gains and loses water all the time.
0:33:03 > 0:33:05Done!
0:33:05 > 0:33:06Cruelty.
0:33:06 > 0:33:08So weighing yourself won't always reflect
0:33:08 > 0:33:10exactly how much fat you're losing.
0:33:16 > 0:33:19It's now three weeks since Rangan first met the family.
0:33:19 > 0:33:21Hi, Priti, how're you doing?
0:33:21 > 0:33:22I'm good, not too bad.
0:33:22 > 0:33:27Priti's activity monitor has been sending its readings to her phone.
0:33:27 > 0:33:30She's taken between 2,000 and 7,000 steps every day.
0:33:30 > 0:33:36I want to help you build more activity into your daily life.
0:33:36 > 0:33:39- But particularly your working life. - Yeah.
0:33:39 > 0:33:42So you, like many people, are stuck in an office.
0:33:42 > 0:33:44You're stuck at a desk,
0:33:44 > 0:33:49but I'd, ideally, like you to take 10,000 steps every day.
0:33:49 > 0:33:52But this will even help with your menopausal symptoms,
0:33:52 > 0:33:53your hot flushes.
0:33:55 > 0:33:58OK, I will, definitely. I'll start it from today, yeah.
0:34:02 > 0:34:04Walking more will help Priti lose weight
0:34:04 > 0:34:08and should reduce the severity of her menopausal symptoms.
0:34:08 > 0:34:11It takes about ten minutes to walk an extra 1,000 steps
0:34:11 > 0:34:16at a moderate pace, burning off something like 40 calories.
0:34:16 > 0:34:18This ain't half so bad, San.
0:34:18 > 0:34:21Both Sandeep and Priti have their individual plans to follow.
0:34:21 > 0:34:24Now, 19-year-old Serena would also like a little help
0:34:24 > 0:34:26whilst Rangan is around.
0:34:27 > 0:34:30Since she started working at a nursery about a year ago,
0:34:30 > 0:34:33her health has taken a turn for the worse.
0:34:33 > 0:34:36Since I started working at the nursery
0:34:36 > 0:34:38I was just always ill.
0:34:38 > 0:34:40And even in this week with the heatwave,
0:34:40 > 0:34:42I've managed to get a bit of a cough and a cold.
0:34:42 > 0:34:45And then I feel so tired the whole time,
0:34:45 > 0:34:47it's ridiculous.
0:34:47 > 0:34:50And I feel like, at 19, I shouldn't be like this.
0:34:50 > 0:34:52I shouldn't be feeling so tired the whole time.
0:34:52 > 0:34:54What I'd like to do, if you don't mind,
0:34:54 > 0:34:57- is take some bloods from you.- Yes. - Would you be OK with that?
0:34:57 > 0:34:59A blood test will reveal
0:34:59 > 0:35:03if Serena is low on any vital vitamins or minerals.
0:35:03 > 0:35:04OK.
0:35:11 > 0:35:13Rangan is now over halfway through his time
0:35:13 > 0:35:15trying to help the family.
0:35:15 > 0:35:17We thought we'd have a nice big breakfast.
0:35:17 > 0:35:19He's just dropped by to check on them.
0:35:19 > 0:35:21I've already have some sausage and bacon.
0:35:21 > 0:35:26- Would you normally have eggs, sausage and bacon...- Yeah.
0:35:26 > 0:35:27..as a normal breakfast?
0:35:27 > 0:35:28Er...
0:35:28 > 0:35:30not all the time.
0:35:30 > 0:35:33Can I just see, what are the sausages?
0:35:34 > 0:35:36The family have been told
0:35:36 > 0:35:39to avoid any foods that contain wheat and potato.
0:35:40 > 0:35:44- Yeah, have any of you looked at this?- Not really.
0:35:44 > 0:35:46OK, so, you've got a sausage.
0:35:46 > 0:35:4840% of it is meat.
0:35:49 > 0:35:51OK, so what is the other 60%?
0:35:51 > 0:35:52Starch.
0:35:52 > 0:35:57"Wheat rusk, potato starch, wheat starch."
0:35:57 > 0:36:00- And how much of these have you been eating?- Not a lot.
0:36:00 > 0:36:02- Not a lot, yeah.- Yeah.
0:36:02 > 0:36:05- At the moment, we might have a couple at a time.- Yeah.
0:36:05 > 0:36:08- These are definitely not on your plan...- OK.
0:36:08 > 0:36:09- ..in any shape or form.- OK.- OK.
0:36:09 > 0:36:12And so, yeah, anyway. But that's what's quite interesting...
0:36:12 > 0:36:15- The other day I bought some frankfurters, as well...- Did you?
0:36:15 > 0:36:18- Oh!- ..thinking they would be all right...- Did you eat them?
0:36:18 > 0:36:21Well, after I ate them, um, somebody reminded me
0:36:21 > 0:36:24to have a look on the packaging, which I did.
0:36:24 > 0:36:26I did say to Sandeep, though, didn't I,
0:36:26 > 0:36:28"Aren't sausages fattening?" And he said, "No."
0:36:28 > 0:36:31So you're still going to eat them. Despite you having diabetes
0:36:31 > 0:36:35that is putting you at close risk of having a heart attack,
0:36:35 > 0:36:37you're going to still have them?
0:36:37 > 0:36:39But what am I going to eat instead, then?
0:36:39 > 0:36:43Um, I'll have to have the omelette and just forego the sausages,
0:36:43 > 0:36:46- but I mean, as I said, I haven't... - I'm not saying you shouldn't do,
0:36:46 > 0:36:50I'm just trying to highlight that this is a serious issue.
0:36:50 > 0:36:52I don't think we should forget how bad things were for you.
0:36:52 > 0:36:56I know you've made some great changes already, but, you know,
0:36:56 > 0:36:59you've got nerve damage from the things you're eating
0:36:59 > 0:37:01and your blood sugars aren't perfect yet.
0:37:01 > 0:37:04If you're putting foods in that have got two or three
0:37:04 > 0:37:07different wheat ingredients, they'll spike your blood sugars.
0:37:08 > 0:37:09Simple as that.
0:37:09 > 0:37:11'They're making great changes.'
0:37:11 > 0:37:12They're feeling better, that's great.
0:37:12 > 0:37:15But I think they're slacking off and it worries me.
0:37:15 > 0:37:18If they're slacking off already, what happens when I'm not here?
0:37:18 > 0:37:22It doesn't give me much hope they can stick to it long-term.
0:37:22 > 0:37:25Um, you know, they were asking me questions, "Is this OK?"
0:37:25 > 0:37:28Actually, I've taught you how to find out if it's OK.
0:37:28 > 0:37:31You started looking at packets right at the start.
0:37:31 > 0:37:34They've not even looked at the ingredients.
0:37:34 > 0:37:35They don't need me for that.
0:37:35 > 0:37:38I've shown them how to do that and they've not done it.
0:37:45 > 0:37:49After their setback, the family are redoubling their efforts
0:37:49 > 0:37:50to stick to the rules.
0:37:57 > 0:37:59My own thought - he hasn't said anything to me -
0:37:59 > 0:38:02but my own vibe on it is that he's panicking.
0:38:02 > 0:38:05When Rangan said to him, you know, "You're likely to drop dead.
0:38:05 > 0:38:09"You're five times more likely to have a heart attack or stroke."
0:38:09 > 0:38:12And, you know, he's literally a walking time bomb,
0:38:12 > 0:38:14I think it hit him hard.
0:38:15 > 0:38:18But he's finding it extremely taxing.
0:38:18 > 0:38:21Today, he said to me, "I'm absolutely exhausted," you know?
0:38:21 > 0:38:24And I was saying "What about your exercise?"
0:38:24 > 0:38:27and he was like, "I am just... I am just exhausted."
0:38:28 > 0:38:30Come and sit down, Sandeep.
0:38:41 > 0:38:44Two weeks ago, Priti completed a saliva test
0:38:44 > 0:38:46to measure her underlying stress levels.
0:38:46 > 0:38:49Her spit samples were analysed for cortisol,
0:38:49 > 0:38:51the body's master stress hormone,
0:38:51 > 0:38:55to see how these levels change throughout the day.
0:38:55 > 0:38:59What we want is it being nicely in the middle of this green range here.
0:38:59 > 0:39:01There should be this nice rhythm,
0:39:01 > 0:39:03- where it's around 20 in the morning...- Right.
0:39:03 > 0:39:05..and it gradually falls down throughout the day
0:39:05 > 0:39:07- till it's very low before you go to bed.- OK.
0:39:07 > 0:39:09So here, in the morning,
0:39:09 > 0:39:12sample one your cortisol level is nearly at 50.
0:39:12 > 0:39:13OK.
0:39:13 > 0:39:16You can't even see how bad that is on this graph.
0:39:16 > 0:39:17This only goes up to 35.
0:39:17 > 0:39:20- Actually, that is up here.- Yeah.
0:39:20 > 0:39:23- It's really, really high in the morning.- Yeah. Yeah.
0:39:23 > 0:39:26Sample three, middle of the afternoon.
0:39:26 > 0:39:27- Hugely high.- Yeah.- OK.
0:39:27 > 0:39:29And yeah, it was normal in the evening.
0:39:29 > 0:39:32So you can't literally take a supplement
0:39:32 > 0:39:34to help calm the cortisol levels or anything?
0:39:34 > 0:39:37- I don't think you need to be taking supplements for this, OK?- OK, OK.
0:39:37 > 0:39:41Cortisol does many things in the body but, fundamentally,
0:39:41 > 0:39:44- I want you to think of it as your stress hormone.- Right.
0:39:44 > 0:39:46If you get this in better balance,
0:39:46 > 0:39:50I find that women don't get as many menopausal symptoms.
0:39:50 > 0:39:54Not always. It suppresses your immune system when cortisol is high.
0:39:54 > 0:39:57- Yeah, I can believe that, too. Yeah. - It does so many things.
0:39:57 > 0:39:59That's interesting, isn't it?
0:39:59 > 0:40:02- And I think this is the missing link for you.- Mm.
0:40:02 > 0:40:05Stress is a problem that's on the rise in the UK.
0:40:05 > 0:40:09Studies suggest nearly two-thirds of adults are more stressed now
0:40:09 > 0:40:11than they were five years ago.
0:40:12 > 0:40:15The diet and exercise changes Priti's already put in place
0:40:15 > 0:40:16should be helping things.
0:40:16 > 0:40:20But now the Doctor wants to try something a bit more direct.
0:40:23 > 0:40:26Meditation might not seem like something
0:40:26 > 0:40:28a doctor would normally recommend.
0:40:28 > 0:40:30But these days, nearly one in three GPs
0:40:30 > 0:40:33regularly prescribe it for some patients.
0:40:34 > 0:40:37So, it's really on a very simple level, it's just...
0:40:37 > 0:40:41noticing the way the body is feeling right now.
0:40:43 > 0:40:46Recent studies have shown that meditating regularly
0:40:46 > 0:40:50can improve stress levels, mood and reduce fatigue.
0:40:50 > 0:40:51'There's science now saying'
0:40:51 > 0:40:54that regular meditation can lower your blood pressure
0:40:54 > 0:40:55and do a host of other things.
0:40:55 > 0:40:58- Mm-hm.- Are you seeing people coming more from their doctor?
0:40:58 > 0:41:02- Mm-hm. Absolutely.- Really?- I would have thought, in the last ten days,
0:41:02 > 0:41:06I've had at least five people come straight from a GP referral.
0:41:06 > 0:41:09- Really?- Yeah.- Wow!- That's amazing, isn't it?- Yeah, that's really...
0:41:09 > 0:41:12Most doctors don't really go down that route, do they?
0:41:12 > 0:41:17They're more "Let me give you a pill to help you de-stress."
0:41:17 > 0:41:19The body knows how to relax.
0:41:19 > 0:41:22The body has a natural talent for relaxation.
0:41:22 > 0:41:23It's putting the body first,
0:41:23 > 0:41:25putting our trust back into the body.
0:41:29 > 0:41:33Rangan has told Priti to try meditating 15 minutes every day.
0:41:33 > 0:41:36He's also given her a magnesium supplement.
0:41:36 > 0:41:39The body uses this mineral to relax muscles
0:41:39 > 0:41:42and he believes it could help her sleep better.
0:41:47 > 0:41:49Serena is also taking a supplement.
0:41:49 > 0:41:52Her blood test revealed that, like a quarter of girls
0:41:52 > 0:41:55around her age, she has low iron levels.
0:41:55 > 0:41:56Lovely.
0:41:56 > 0:41:58This could be the reason she's tired,
0:41:58 > 0:42:01as iron is essential for the body's metabolism.
0:42:01 > 0:42:03I think the iron has made a really big difference.
0:42:03 > 0:42:06I have a lot more energy levels.
0:42:06 > 0:42:09I can go out probably a bit more without feeling,
0:42:09 > 0:42:11"Oh, my gosh, I need to go home, I need to go to sleep."
0:42:11 > 0:42:13I can just do more day-to-day things
0:42:13 > 0:42:15without thinking, "I just want a nap."
0:42:17 > 0:42:20But Serena is still suffering endless coughs and colds.
0:42:20 > 0:42:21Hello.
0:42:21 > 0:42:24She works in a nursery and the Doctor wants to demonstrate
0:42:24 > 0:42:27how one of the causes might be her environment.
0:42:27 > 0:42:30All right, then, I've got a game for you here.
0:42:30 > 0:42:33Make a circle first - that's part one of the game, all right?
0:42:34 > 0:42:37These dishes contain a special gel.
0:42:37 > 0:42:39One, two, three.
0:42:39 > 0:42:41When the children touch it, any bugs on their skin
0:42:41 > 0:42:43get transferred onto the surface.
0:42:43 > 0:42:45That's brilliant!
0:42:45 > 0:42:49- One...- That's it, Batman! - ..two, three!
0:42:51 > 0:42:53Over the course of the next week,
0:42:53 > 0:42:57the germs feed on the gel and multiply.
0:42:57 > 0:43:00The coloured blobs forming here indicate different colonies
0:43:00 > 0:43:02of bacteria and fungi.
0:43:02 > 0:43:05It's a result you could expect from any nursery.
0:43:05 > 0:43:07Viruses like coughs and colds
0:43:07 > 0:43:10are transferred just as easily as these bugs.
0:43:10 > 0:43:13And children get around three times as many colds as adults,
0:43:13 > 0:43:15so if you work with kids,
0:43:15 > 0:43:18you're simply more exposed than other people.
0:43:18 > 0:43:20I've got some results. Do you want to see them?
0:43:20 > 0:43:22Oh... Oh, my God...!
0:43:25 > 0:43:27That one... That looks horrible.
0:43:27 > 0:43:30Oh... What is it?
0:43:30 > 0:43:33Basically, all these different colours, like, these white splodges
0:43:33 > 0:43:36are probably a bacteria called staphylococcus.
0:43:36 > 0:43:41Some of these look as though they might be...fungus. So, candida.
0:43:41 > 0:43:42Oh, my God!
0:43:42 > 0:43:45- That's disgusting.- This is just on the kids' hands.- I know!
0:43:45 > 0:43:49- Do you remember, the kids just put their fingertips there?- Yeah.
0:43:49 > 0:43:52For what, two or three seconds? You see how easily it's transferred.
0:43:52 > 0:43:54- Yeah.- If you think about it,
0:43:54 > 0:43:57you're playing with the kids, touching the toys...
0:43:57 > 0:44:00And they lick all the toys, so that's even more germs.
0:44:00 > 0:44:03You're not going to get rid of those germs there, OK?
0:44:03 > 0:44:05- But what can you do? Well... - Just wash my hands.
0:44:05 > 0:44:09Wash your hands. And in particular before touching your face.
0:44:09 > 0:44:12So if you think about these bugs are on your hands,
0:44:12 > 0:44:14OK, and you touch your face,
0:44:14 > 0:44:17it's very easy to get in through your nose or in through your mouth.
0:44:17 > 0:44:20- I'm hyper-cautious before I touch my face that I've washed my hands.- OK.
0:44:20 > 0:44:23- I hope this makes you think of it in a different way.- Yeah, it does.
0:44:23 > 0:44:27- It makes you realise how much you're probably exposed to.- Yeah.
0:44:30 > 0:44:33Sandeep and Priti are sticking to Rangan's diet.
0:44:34 > 0:44:37The stakes are particularly high for Sandeep,
0:44:37 > 0:44:40whose diabetes is putting him at risk of early death.
0:44:40 > 0:44:42- ALARM BEEPS - Oh, my God, stop eating.
0:44:43 > 0:44:46Now there's a final, radical intervention left
0:44:46 > 0:44:47Rangan wants to try.
0:44:47 > 0:44:50I was hoping we might be able to step it up a little bit now,
0:44:50 > 0:44:52to see if I can really accelerate
0:44:52 > 0:44:55what I can do with you for the next few weeks.
0:44:55 > 0:44:56OK.
0:44:56 > 0:44:59I was going to propose that you
0:44:59 > 0:45:01do a one-day complete fast.
0:45:01 > 0:45:05Fasting might seem like quite a drastic thing to do,
0:45:05 > 0:45:07but there's more and more research
0:45:07 > 0:45:10suggesting that it can actually help reverse Type 2 diabetes.
0:45:10 > 0:45:13Now, one of the ways it can do this
0:45:13 > 0:45:16is by improving the body's sensitivity to insulin,
0:45:16 > 0:45:20and that can help you manage blood sugar levels much more effectively.
0:45:20 > 0:45:24Now, diabetics should only fast under the guidance of their doctor.
0:45:24 > 0:45:26But whilst I'm working with Sandeep,
0:45:26 > 0:45:29I think it could reverse things enough to help get him off
0:45:29 > 0:45:32some of the medications that he's currently relying on.
0:45:32 > 0:45:34After I eat tonight,
0:45:34 > 0:45:37I don't have to eat again until tomorrow night...
0:45:37 > 0:45:40- Oh, my God!- ..except for water. I'm going to starve tonight.
0:45:40 > 0:45:43You're miserable enough with a little amount of food.
0:45:43 > 0:45:46Thank you. I think he may be responsible for a divorce!
0:45:57 > 0:45:59The next day, Sandeep is keeping busy.
0:45:59 > 0:46:03He's consumed nothing but water for nearly 22 hours.
0:46:03 > 0:46:08DOORBELL
0:46:09 > 0:46:12- Hi, how are you doing? - Yeah, all right. Not too bad.
0:46:12 > 0:46:15To assess how fasting has affected him,
0:46:15 > 0:46:18Rangan is getting Sandeep to check his blood sugar level
0:46:18 > 0:46:20with a home monitoring kit.
0:46:20 > 0:46:23A healthy reading would be between 4 and 6.
0:46:23 > 0:46:26- 5.9 is excellent.- Yeah. - So that's absolutely perfect!
0:46:26 > 0:46:28You keep doing what you're doing,
0:46:28 > 0:46:31I think we're going to see really big changes.
0:46:31 > 0:46:34So what's your recommendation on the fasting?
0:46:35 > 0:46:36One on, two off?
0:46:37 > 0:46:40Well, I'm delighted to hear you ask that, actually,
0:46:40 > 0:46:42because I was worried it would be a struggle
0:46:42 > 0:46:43to get you to even fast for one day,
0:46:43 > 0:46:47but you really sort of took it on and said, "Yeah, OK, bring it on."
0:46:47 > 0:46:50If you could do it two or three days a week,
0:46:50 > 0:46:53I think we would see amazing rapid improvement.
0:46:53 > 0:46:56- Well, look, it's time now to break the fast.- Yeah.
0:46:56 > 0:46:57OK? You've done your day.
0:46:57 > 0:46:58I'm really pleased,
0:46:58 > 0:47:01- so let's go out for dinner. - No problems.- Yeah?
0:47:03 > 0:47:05A trip to one of the family's regular haunts
0:47:05 > 0:47:08gives Rangan the chance to show them they can stick to his rules
0:47:08 > 0:47:09even when eating out.
0:47:11 > 0:47:13So if we normally came here,
0:47:13 > 0:47:16my favourite thing is a big naan with lots of butter on it.
0:47:16 > 0:47:18But I have what they call a Bombay mix here,
0:47:18 > 0:47:21which is chilli crisps, peanuts...
0:47:21 > 0:47:25Indian meals can have loads and loads of great vegetable dishes,
0:47:25 > 0:47:29so I think we could maybe ramp up some really tasty veg.
0:47:29 > 0:47:33- Yeah(!)- No? Doesn't excite you like it excites me?
0:47:33 > 0:47:36- No, I can handle that. - I'm trying, I'm...
0:47:36 > 0:47:38Why don't you choose for us and then we'll try it.
0:47:38 > 0:47:41- No butter.- No butter. - No yoghurt.
0:47:41 > 0:47:43No yoghurt, as well?
0:47:43 > 0:47:47Yeah. No cream. But, you know, a samosa has got a wheat batter.
0:47:47 > 0:47:49We're trying to avoid wheat, as well.
0:47:49 > 0:47:52As someone else is doing the cooking tonight,
0:47:52 > 0:47:54the family have to interrogate the waiter
0:47:54 > 0:47:57to make sure they're sticking to their diet.
0:47:57 > 0:48:00Lovely! Looking forward to this now.
0:48:00 > 0:48:01Does that not look good?
0:48:01 > 0:48:03That does. It does look good.
0:48:03 > 0:48:05- Great! - THEY CHEER
0:48:05 > 0:48:07This is good, though.
0:48:07 > 0:48:11There's aubergine in here, green beans, courgette, tomatoes.
0:48:11 > 0:48:13Can I just ask, before we start,
0:48:13 > 0:48:16- are we being deprived at the moment?- No.
0:48:16 > 0:48:17I am quite.
0:48:17 > 0:48:19OK, all right! OK!
0:48:19 > 0:48:22Really excited about how far I can go with Sandeep now,
0:48:22 > 0:48:24because he's got the diet,
0:48:24 > 0:48:27he's got the ten-hour eating window,
0:48:27 > 0:48:29but now he's got the fasting, as well.
0:48:29 > 0:48:31He absolutely nailed the fast today!
0:48:31 > 0:48:33If he could do that two or three times a week,
0:48:33 > 0:48:36I think the results could be fantastic.
0:48:41 > 0:48:44The last symptom to tackle with Priti is her hot flushes.
0:48:44 > 0:48:47They're the most common menopausal symptom
0:48:47 > 0:48:49and, for many, they're very disruptive.
0:48:51 > 0:48:54Priti tells me she doesn't want to take any pills
0:48:54 > 0:48:55for her menopausal symptoms,
0:48:55 > 0:48:59but I wonder if acupuncture might help her hot flushes.
0:48:59 > 0:49:01The research isn't clear on this.
0:49:01 > 0:49:04Some trials say it works, some trials say it doesn't,
0:49:04 > 0:49:07and some people think it's simply a placebo effect.
0:49:07 > 0:49:10Personally, I think it's something a little bit more than that,
0:49:10 > 0:49:12and I've seen it work really well sometimes.
0:49:12 > 0:49:15But for someone like Priti, who's so open to this kind of therapy,
0:49:15 > 0:49:18I think it could be just the ticket.
0:49:18 > 0:49:20Absolutely symmetrical...
0:49:20 > 0:49:24Acupuncture involves putting needles into shallow points around the body.
0:49:24 > 0:49:26It's a bit controversial.
0:49:26 > 0:49:30Some researchers think it works by stimulating the nervous system.
0:49:30 > 0:49:32But not all scientists are in agreement.
0:49:34 > 0:49:36What ones are going to help for the hot flushes?
0:49:36 > 0:49:38Hopefully, all of them would do.
0:49:38 > 0:49:39The ones in the feet I would consider
0:49:39 > 0:49:42are two of the most important ones. Also the ones in the ankle.
0:49:42 > 0:49:45So will I just not feel the hot flushes as much?
0:49:45 > 0:49:47Hopefully, yes, it'll just reduce.
0:49:49 > 0:49:51So how are you feeling, Priti?
0:49:51 > 0:49:54- Oh, I feel good. I feel very relaxed.- Excellent.
0:49:59 > 0:50:02It's been two months since Rangan first came to the house,
0:50:02 > 0:50:05and the family have been working hard to change their lifestyle.
0:50:05 > 0:50:06One, two...
0:50:06 > 0:50:09As well as the diet and exercise,
0:50:09 > 0:50:11Priti's meditating regularly.
0:50:13 > 0:50:15And Sandeep is fasting three times a week.
0:50:17 > 0:50:21The doctor's getting Sandeep to check his blood sugar regularly.
0:50:21 > 0:50:23And over the last few weeks
0:50:23 > 0:50:26he's weaned him off two of his three diabetic drugs.
0:50:27 > 0:50:31Now it's time to measure exactly how far they've come.
0:50:31 > 0:50:34They're undergoing the same battery of tests
0:50:34 > 0:50:35they went through at the start.
0:50:38 > 0:50:42It's slightly bizarre that I'm going to deliver
0:50:42 > 0:50:45some very important medical results to a family
0:50:45 > 0:50:48who I now consider close friends.
0:50:48 > 0:50:50- DOOR BELL CHIMES - Hello!
0:50:50 > 0:50:53'It's quite odd. It's very different from my day-to-day work.
0:50:53 > 0:50:55'There really isn't that distance there'
0:50:55 > 0:50:59and I think that makes it a little bit more challenging.
0:51:00 > 0:51:03First, Rangan's delivering Priti's final results.
0:51:03 > 0:51:07Her original saliva test revealed a serious stress problem.
0:51:07 > 0:51:10The four points on the graph should sit in the green zone.
0:51:12 > 0:51:16Yeah, so that's super high, far too high. And the new ones...
0:51:18 > 0:51:22Wow! The morning one's gone down to 26.
0:51:22 > 0:51:25- The morning one's almost halved. It's now 26.- Very good.
0:51:25 > 0:51:27It's fantastic. Were you expecting that?
0:51:27 > 0:51:29I wasn't expecting that, actually.
0:51:29 > 0:51:32But I know I've been working towards trying to get...
0:51:32 > 0:51:34You know, trying to get my stress levels down,
0:51:34 > 0:51:37you know, with the meditation in particular.
0:51:37 > 0:51:39Getting stress under control
0:51:39 > 0:51:41can help with a number of other health issues,
0:51:41 > 0:51:44including the menopause.
0:51:44 > 0:51:46Once again, Priti's taking the questionnaire
0:51:46 > 0:51:51to rate the severity of these symptoms, from 0 to 2.
0:51:51 > 0:51:53- Daytime sweats and flushes? - One.
0:51:53 > 0:51:56- Night-time sweats and flushes? - One.
0:51:56 > 0:51:57- Headaches?- Zero.
0:51:57 > 0:51:59- Tiredness?- Zero.
0:51:59 > 0:52:00Loss of energy?
0:52:00 > 0:52:02Zero.
0:52:02 > 0:52:04- General aches and pains? - Zero.
0:52:04 > 0:52:09These top ones, which are basically your classic menopausal symptoms,
0:52:09 > 0:52:11- you scored 14.- Mm.
0:52:11 > 0:52:12That's gone down to 3.
0:52:12 > 0:52:15I'm not so tired, I don't have the headaches
0:52:15 > 0:52:18and the acupuncture really helped with the hot flushes.
0:52:18 > 0:52:20Definitely.
0:52:21 > 0:52:24One of the biggest problems for Priti was sleep.
0:52:24 > 0:52:27You've gone up from 5.5...
0:52:29 > 0:52:30..to 8 hours.
0:52:30 > 0:52:32- No wonder you're feeling so good! - Yeah!
0:52:35 > 0:52:40Rangan now wants to check how Priti and Sandeep have changed physically.
0:52:40 > 0:52:42Take your finger off for me?
0:52:42 > 0:52:4337 inches.
0:52:43 > 0:52:46It was 41.25, right?
0:52:46 > 0:52:4841.25.
0:52:48 > 0:52:51- It's come down to 37.- Wow...
0:52:51 > 0:52:52That's 4.5.
0:52:52 > 0:52:544.25 inches.
0:52:54 > 0:52:57- Wow!- Put it there.- Give me a hug!
0:52:57 > 0:52:58ALL LAUGH
0:52:58 > 0:53:00Wow! I'm so surprised!
0:53:00 > 0:53:03Let's do her blood pressure now!
0:53:03 > 0:53:06Oh, I'm really pleased. Oh, look, she's crying for me.
0:53:06 > 0:53:10- Ah, she did it!- I'm proud for her. I know how much it means.
0:53:10 > 0:53:13Yeah, it is. It's a big, big thing for her,
0:53:13 > 0:53:16- so we're really both happy for her. - Are you OK?
0:53:16 > 0:53:19- TEARFULLY: - I just was trying really hard
0:53:19 > 0:53:21and sometimes, anyway...
0:53:21 > 0:53:24sometimes you just think you're not going to get results, and yeah...
0:53:24 > 0:53:26- No, that's really good. I'm pleased.- It's good!
0:53:26 > 0:53:28I don't know why I'm so...
0:53:28 > 0:53:29Right, weight time!
0:53:29 > 0:53:30So...
0:53:32 > 0:53:3414.75 stone!
0:53:34 > 0:53:36You dropped a stone!
0:53:36 > 0:53:3914 is still too heavy, obviously,
0:53:39 > 0:53:41but it's on the way down.
0:53:41 > 0:53:44I'm super impressed with that. Super impressed.
0:53:44 > 0:53:47I'm very... I am actually incredibly happy, thank you.
0:53:48 > 0:53:51Looks a lot better, that's for sure.
0:53:51 > 0:53:54Eight weeks ago, Sandeep's stomach was quite pronounced.
0:53:54 > 0:53:56Wow!
0:53:56 > 0:53:5934.5 inches. It was 39 inches.
0:53:59 > 0:54:00Huh! My God!
0:54:00 > 0:54:034.5 inches off your waist.
0:54:03 > 0:54:06One, two, three, four, when we started.
0:54:06 > 0:54:08Yep, on you go.
0:54:08 > 0:54:1112st 8.75lbs.
0:54:11 > 0:54:15You were 14st 3lbs. That's more than 1.5st.
0:54:15 > 0:54:16I know I've lost weight,
0:54:16 > 0:54:19- but it's not the weight that I'm worried about.- Mm.
0:54:19 > 0:54:21It's the internal body scan.
0:54:23 > 0:54:24At the start,
0:54:24 > 0:54:28Sandeep had dangerously high levels of visceral fat.
0:54:28 > 0:54:31Linked with heart disease, strokes and his diabetes.
0:54:33 > 0:54:35Your level was 162.
0:54:35 > 0:54:38- Ideally, we want it under 100. - That's right.
0:54:40 > 0:54:43Your new visceral fat score...
0:54:44 > 0:54:46Oh, 30 points, 32.
0:54:46 > 0:54:48It's come down to 129. You're halfway there...
0:54:48 > 0:54:50- Right.- ..in just a few weeks.
0:54:50 > 0:54:55I was hoping to get even better, but it's a good result,
0:54:55 > 0:54:56you know, considering where I was.
0:54:56 > 0:55:00Now, the test for me, that I'm most excited about...
0:55:01 > 0:55:03..is your Type 2 diabetes test.
0:55:03 > 0:55:05I did a reading called your HbA1c
0:55:05 > 0:55:08and that gives me an average look at your blood sugar
0:55:08 > 0:55:09for the last three months.
0:55:09 > 0:55:13And I was frankly worried when I saw that.
0:55:13 > 0:55:15It was 9 on three diabetic drugs,
0:55:15 > 0:55:17and had you not been on any drugs at all
0:55:17 > 0:55:19- that could have been 11 or 12.- Yeah.
0:55:19 > 0:55:22Your new average blood sugar reading...
0:55:23 > 0:55:25That's good.
0:55:25 > 0:55:26..is 7.
0:55:26 > 0:55:28OK, that's two points down. A lot better.
0:55:28 > 0:55:33- And during that time, you've come off two diabetic drugs.- Yeah.
0:55:33 > 0:55:35I think that's a fantastic result!
0:55:35 > 0:55:38I'm really happy with that. Don't look it, but I am.
0:55:39 > 0:55:42Just a few weeks of making some lifestyle changes
0:55:42 > 0:55:47- is not going to magically wind the clock back to the start.- Right.
0:55:47 > 0:55:50But you can magically wind back the clock if you keep going.
0:55:50 > 0:55:52Thank you for everything.
0:55:52 > 0:55:56For me, I really have to stay the course
0:55:56 > 0:56:00and I have another probably solid two months
0:56:00 > 0:56:02of hard work ahead of me.
0:56:02 > 0:56:05I really do believe this whole process has saved his life.
0:56:05 > 0:56:08You know, I said to him, "It'll give us another five, ten years
0:56:08 > 0:56:11"to spend healthily together where I'm not looking after you
0:56:11 > 0:56:13"after you've had a stroke or a heart attack
0:56:13 > 0:56:15"because of your own doing."
0:56:15 > 0:56:17THEY LAUGH
0:56:17 > 0:56:19That experience with this family
0:56:19 > 0:56:22dealing with the complex dynamics that were there,
0:56:22 > 0:56:26that's taught me a lot. That has been a complete transformation.
0:56:26 > 0:56:30I feel really chuffed, as well! I mean, those results are fantastic!
0:56:30 > 0:56:32- Perfect. Thank you so much. - See you later.
0:56:32 > 0:56:34- Safe journey.- Bye.- Bye-bye.- Bye.
0:57:02 > 0:57:05Next week, Rangan's in Manchester...
0:57:05 > 0:57:07Hello, Doctor! How are you?
0:57:07 > 0:57:10..with a family urgently needing help.
0:57:10 > 0:57:13- Say night-night.- Night-night. - Bye.- Bye!
0:57:13 > 0:57:16He'll try to solve a five-year-old's terrible skin condition...
0:57:16 > 0:57:19- Gets all red and itchy, doesn't it?- Yeah.
0:57:19 > 0:57:22..and treat a bodybuilder whose severe back pain
0:57:22 > 0:57:24has lead to a dangerous problem.
0:57:24 > 0:57:27Do you think you may be addicted?
0:57:27 > 0:57:29I am NOT dependent on taking painkillers.
0:57:29 > 0:57:32I am dependent on being pain-free.