0:00:02 > 0:00:04What would a doctor discover if they lived with you...
0:00:04 > 0:00:06- Hello, Doctor. How are you?- Hi.
0:00:06 > 0:00:07..24 hours a day?
0:00:08 > 0:00:10How much would you be willing to reveal?
0:00:10 > 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- TELEPHONE 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 the 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? - Me lower back.
0:00:44 > 0:00:46I feel out of control of my own body.
0:00:46 > 0:00:47I'm worried about cancer.
0:00:47 > 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 will be able to learn so much.
0:00:57 > 0:00:58Do they cook fresh food?
0:00:58 > 0:01:01- Is this how you eat every day? - Pretty much, yeah.
0:01:01 > 0:01:03- Is it a noisy street? - TRAFFIC RUMBLES
0:01:03 > 0:01:05Are there stressful relationships?
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 > 0:01:17..he'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 > 0:01:25..and discover ways we could all live longer, healthier lives.
0:01:25 > 0:01:26Boom!
0:01:26 > 0:01:28I think it 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.
0:01:46 > 0:01:49Castlefields, a small town near Shrewsbury in Shropshire,
0:01:49 > 0:01:50is home to the D'Arcy family.
0:01:52 > 0:01:53Come on, stinky girl.
0:01:55 > 0:01:57Living in the house are Dotti and Russ,
0:01:57 > 0:02:00who is stepdad to her kids, Brandon and Denny.
0:02:00 > 0:02:03You're a good girl, aren't you? Yes, good girl.
0:02:05 > 0:02:08A bit of naan bread and some sauce. It ain't no normal dog.
0:02:10 > 0:02:12Both parents work long shifts.
0:02:12 > 0:02:14Dotti sells refreshments on trains
0:02:14 > 0:02:17whilst Russ takes 999 calls for the fire service.
0:02:17 > 0:02:20The kids combine college with part-time jobs.
0:02:20 > 0:02:24Can go two, three days without really seeing her and the kids.
0:02:24 > 0:02:27- I think that's why we get on so well.- Yeah.
0:02:27 > 0:02:30It's sort of a marriage saver, some would say.
0:02:30 > 0:02:34Over the last few years, the whole family's health has been in decline,
0:02:34 > 0:02:36especially the parents.
0:02:37 > 0:02:39- DENNY:- I do get worried about Mum
0:02:39 > 0:02:43because the amount of weight she's put on in ten years,
0:02:43 > 0:02:45I just think about ten years' time...
0:02:46 > 0:02:48..and it's not going to be good.
0:02:48 > 0:02:51I want us all to be healthier.
0:02:51 > 0:02:53There's always something in the news
0:02:53 > 0:02:56about becoming diabetic, heart problems.
0:02:56 > 0:02:58You know, I don't want to die of a heart attack at 40.
0:03:00 > 0:03:01I want to grow old.
0:03:04 > 0:03:07GP Dr Rangan Chatterjee is taking a break
0:03:07 > 0:03:09from his NHS practice in Oldham.
0:03:09 > 0:03:12The D'Arcys have invited him into their home
0:03:12 > 0:03:14to try and turn their health around for good.
0:03:16 > 0:03:19What's exciting is the opportunity to learn things
0:03:19 > 0:03:22that they may not tell you in your practice.
0:03:22 > 0:03:24I'm nervous about what I'm going to find.
0:03:24 > 0:03:25You know, how bad are things?
0:03:27 > 0:03:29- I- feel really nervous.- Why?
0:03:30 > 0:03:32I feel like I'm going for a job interview or something.
0:03:34 > 0:03:36The doctor is going to investigate
0:03:36 > 0:03:38every aspect of the D'Arcys family life.
0:03:40 > 0:03:42- Hi.- Hi, how you doing? I'm Dr Chatterjee.
0:03:42 > 0:03:45- How are you? You all right? Come on in.- Yeah, good, thank you.
0:03:45 > 0:03:47- Hello.- Hi. Hello. Nice to meet you. - You're very tall.
0:03:47 > 0:03:49- I am indeed. - THEY LAUGH
0:03:49 > 0:03:52- I'm Dotti.- What's your name, sorry? - Dotti.- Dotti.
0:03:52 > 0:03:55- Hi, Dotti. I'm Dr Chatterjee. Nice to meet you.- Nice to meet you.
0:03:55 > 0:03:58So, what is it you require my help for?
0:03:58 > 0:04:01- Well, where do we begin? - THEY LAUGH
0:04:01 > 0:04:06Since I've put all this weight on, it's, oh, it's uncomfortable.
0:04:06 > 0:04:08You know, especially to go walking, I'm like...
0:04:08 > 0:04:10Russ would rather not go with me, cos I'm like,
0:04:10 > 0:04:12"Oh, my back hurts, my legs hurt, my ankles hurt,"
0:04:12 > 0:04:14and I'm always moaning.
0:04:14 > 0:04:16What sorts of things have you tried before?
0:04:16 > 0:04:20The usual sort of milkshake diets, Slimming World, Weightwatchers.
0:04:20 > 0:04:24Has something in particular happened that's been the catalyst for this?
0:04:24 > 0:04:27Has there been an incident or anything like that?
0:04:27 > 0:04:29No, just being miserable all the time, really.
0:04:29 > 0:04:31- Miserable? So, is your mood... - Well, yeah, but...
0:04:31 > 0:04:34- Are your moods up and down? - Yeah. We don't know what to do.
0:04:34 > 0:04:36Just cos someone's got a weight problem,
0:04:36 > 0:04:38there could be, you know, five, ten different reasons...
0:04:38 > 0:04:42- Yeah.- ..erm, why that's causing weight.
0:04:42 > 0:04:45- So, weight management. Anything else?- Er...
0:04:45 > 0:04:48- BRANDON:- Smoking.- Erm, smoking?
0:04:48 > 0:04:51- No.- Yeah.- There's nothing. No. We're not going down that road, no.
0:04:51 > 0:04:53He smokes and he doesn't want to give up,
0:04:53 > 0:04:55- but we all want him to.- OK.
0:04:55 > 0:04:57One thing at a time.
0:04:57 > 0:04:58Yeah, I think there's, you know,
0:04:58 > 0:05:00I think there's a lot of merit behind that -
0:05:00 > 0:05:02as he says, one thing at a time.
0:05:02 > 0:05:04But I think what I'd like to do next is...
0:05:04 > 0:05:07- actually have a look in the kitchen. Is that OK?- Yeah.
0:05:08 > 0:05:10To tackle the family's weight problem,
0:05:10 > 0:05:13Rangan's first step is to examine what they eat.
0:05:15 > 0:05:17It's quite empty, isn't it?
0:05:17 > 0:05:18- Some orange juice here.- Yeah.
0:05:18 > 0:05:23Fizzy drinks, mayonnaise, roast chicken, bacon.
0:05:23 > 0:05:25So...
0:05:25 > 0:05:26You don't mind, do you?
0:05:26 > 0:05:28- I'm going through your cupboards. - No, it's fine.
0:05:28 > 0:05:30- Today is about me taking in information...- Yeah.
0:05:30 > 0:05:33- ..so I'm going to just try and absorb as much as I can.- OK.
0:05:33 > 0:05:35And do you have a lot of cereal in the family?
0:05:35 > 0:05:38I'm more of a Shreddies, Weetabix kind of girl.
0:05:38 > 0:05:39- Are you?- Yeah.
0:05:39 > 0:05:42- I tend to miss breakfast, to be honest.- Do you? OK.
0:05:42 > 0:05:44Not a huge amount of food here.
0:05:44 > 0:05:47- OK. Well, great. Thank you for that.- That's OK.
0:05:47 > 0:05:50Wish I could do this with every patient, actually.
0:05:52 > 0:05:54With the fridge and kitchen cupboards only half full,
0:05:54 > 0:05:57the doctor wants to know what the D'Arcys actually eat
0:05:57 > 0:05:59most of the time.
0:06:01 > 0:06:04So, this is a typical run for you guys?
0:06:04 > 0:06:05- Yeah.- Yeah.- Yeah.
0:06:05 > 0:06:09Russ is taking him out to pick up dinner.
0:06:09 > 0:06:11You're not actually going to eat this, are you?
0:06:11 > 0:06:12Phew! It's a good point.
0:06:12 > 0:06:14You're not going to be doing it to yourself, are you?
0:06:14 > 0:06:16Don't let us break you.
0:06:16 > 0:06:17Have a cheeseburger, fatty!
0:06:17 > 0:06:19Let the inner fatty out.
0:06:19 > 0:06:22- Let that inner fatty out! - RUSS LAUGHS
0:06:23 > 0:06:25- I'll hold that for you. - Cheers, mate.
0:06:29 > 0:06:31In the UK, we love fast food.
0:06:31 > 0:06:35It's how most families spend over a third of their food budget.
0:06:36 > 0:06:40Tonight, the four members of the D'Arcy family are tucking into...
0:06:40 > 0:06:43four chicken meals, seven burgers,
0:06:43 > 0:06:46five large chips and four large sugary drinks.
0:06:49 > 0:06:51So, you've got a good routine going on there.
0:06:51 > 0:06:53DOTTI LAUGHS
0:06:53 > 0:06:54Is it your job always to dish out?
0:06:54 > 0:06:56Not always, no.
0:07:01 > 0:07:03Is this how you eat everyday?
0:07:03 > 0:07:05These are all your set places? You always...?
0:07:05 > 0:07:07- Pretty much, yeah.- Yeah?- Mm-hm.
0:07:07 > 0:07:08Dot, looking at you from here,
0:07:08 > 0:07:12to me, it looks quite an uncomfortable position to be...
0:07:12 > 0:07:13- No.- No?- No.
0:07:13 > 0:07:16- Well, I'm just thinking in terms of...your digestion.- Twisted?
0:07:16 > 0:07:19- Yeah.- Absolutely, yeah.- In terms of...how your body's going to...
0:07:19 > 0:07:22I often think that, but it's just what I'm used to.
0:07:22 > 0:07:24It's very useful for me to see, actually.
0:07:24 > 0:07:27Do you ever get anything, like heartburn or...?
0:07:27 > 0:07:28- Yeah.- Do you?- I do.
0:07:30 > 0:07:34So, how often do you actually have takeaways or fast food?
0:07:34 > 0:07:37It could be five nights a week, easy.
0:07:37 > 0:07:39Sometimes I have it about twice a day,
0:07:39 > 0:07:41maybe even three times a day.
0:07:41 > 0:07:44cos I come home, come home at 12 having one as well.
0:07:44 > 0:07:48Right. OK, so that's, and you, that will fill you up?
0:07:48 > 0:07:50Well, yeah, and no.
0:07:51 > 0:07:52Yeah, sometimes, sometimes.
0:07:52 > 0:07:55It's interesting that, isn't it? Because it's a lot of food...
0:07:56 > 0:08:00..and you're saying it may not fill you up.
0:08:00 > 0:08:01Erm...
0:08:01 > 0:08:05I think anyone that eats fast, burger fast food
0:08:05 > 0:08:08- knows that after ten minutes you're hungry anyway.- Yeah.
0:08:08 > 0:08:10- I look forward to it...- Yeah?
0:08:10 > 0:08:15..and I have it and I enjoy it, but after, I feel guilty.
0:08:15 > 0:08:16It's so fascinating to hear that.
0:08:16 > 0:08:20You know, that you're having it, you don't feel good...
0:08:20 > 0:08:21yet you keep doing it.
0:08:21 > 0:08:23Yeah.
0:08:25 > 0:08:27You better get some sleep.
0:08:27 > 0:08:28You're going to need it.
0:08:34 > 0:08:36"Become a doctor," they said.
0:08:36 > 0:08:39- "Live the highlife," they said. - DOTTI AND RUSS LAUGH
0:08:42 > 0:08:45To give him complete insight into the household routine,
0:08:45 > 0:08:4724 hours a day...
0:08:47 > 0:08:48That's where I'm sleeping.
0:08:48 > 0:08:50..Rangan is staying the night.
0:09:05 > 0:09:07Right. Thank you, cheers.
0:09:14 > 0:09:16I was lying in bed last night.
0:09:16 > 0:09:18I was thinking, "I can't believe what I've just seen."
0:09:18 > 0:09:22The quantity of how much they were eating was quite overwhelming,
0:09:22 > 0:09:28but what really surprised me is how routine that whole episode was.
0:09:28 > 0:09:30I've got to help them break that cycle.
0:09:31 > 0:09:34Having got a sense of the family's food problems,
0:09:34 > 0:09:38Rangan is figuring out how to approach Russ about smoking.
0:09:38 > 0:09:41Having a 20-a-day habit could be putting him
0:09:41 > 0:09:43at risk of a host of life-shortening diseases,
0:09:43 > 0:09:45from cancer to heart disease.
0:09:46 > 0:09:48- You carry on. - Get some sunbathing in.- Yeah.
0:09:48 > 0:09:51I've noticed how you don't like talking about your smoking too much.
0:09:51 > 0:09:52No, they just go on about it all the time...
0:09:52 > 0:09:54You can talk about it, though.
0:09:54 > 0:09:56It doesn't mean you have to do anything about it.
0:09:56 > 0:09:59- Just have a chat about it. - I don't want to chat about it.
0:09:59 > 0:10:03Is that because you don't like them telling you all the time
0:10:03 > 0:10:05or is it because you don't think it's a problem?
0:10:05 > 0:10:08It's... Obviously I know smoking's not healthy,
0:10:08 > 0:10:11but I think there's bigger problems first to deal with.
0:10:11 > 0:10:14Do you think by actually focusing on it so much
0:10:14 > 0:10:16it potentially forces you the other way?
0:10:16 > 0:10:19"No. I don't think it's a problem. I'm going to keep going with it.
0:10:19 > 0:10:22"In fact, I'm going to smoke more now cos you just told me not to."
0:10:22 > 0:10:24Yeah, sometimes. Yeah, it does have that...
0:10:24 > 0:10:27When people are constantly going on at you about stuff you do.
0:10:27 > 0:10:29It's like if they say, "Don't push the button,"
0:10:29 > 0:10:31the first thing you do is push the button.
0:10:31 > 0:10:33- You're very defensive about... - I am very defensive.
0:10:33 > 0:10:35I don't say things like, "Oh, you stink,"
0:10:35 > 0:10:38or "Can you shut the door if you're having a fag," or...
0:10:38 > 0:10:41"Oh, you stink." You know, we only say things like, "Oh, you stink!"
0:10:41 > 0:10:44Yeah, but what I mean is, I don't constantly lecture you...
0:10:44 > 0:10:46- Yeah, you do.- No, I don't. - Quite a lot, Dot.
0:10:46 > 0:10:47- No, I don't.- Yeah, you do, you do.
0:10:47 > 0:10:49How is your qualification in marriage counselling?
0:10:49 > 0:10:51- Yeah. - RUSS LAUGHS
0:10:53 > 0:10:56Having witnessed the D'Arcy's unhealthy habits,
0:10:56 > 0:11:00Rangan wants to see how their lifestyle has affected their bodies.
0:11:00 > 0:11:03He's running some basic medical tests with Dotti and Russ.
0:11:04 > 0:11:09First up, blood samples to be sent away for analysis.
0:11:09 > 0:11:10Are you feeling all right?
0:11:10 > 0:11:12Yeah, needles don't bother me at all.
0:11:12 > 0:11:16'I want to get a baseline idea of all of their health markers,
0:11:16 > 0:11:20'checking for full blood count, kidneys, the liver,
0:11:20 > 0:11:21'cholesterol, insulin...'
0:11:21 > 0:11:22Just pop this tourniquet on.
0:11:22 > 0:11:25'..but specifically the blood sugar.'
0:11:26 > 0:11:29Next, Rangan wants to perform physical examinations.
0:11:29 > 0:11:31Steady on.
0:11:31 > 0:11:33- He hasn't even bought me a drink. - THEY LAUGH
0:11:33 > 0:11:35As the family share similar eating habits,
0:11:35 > 0:11:38he's taking everybody's measurements.
0:11:38 > 0:11:41So, that's 49 inches there, OK?
0:11:41 > 0:11:44A larger waist can indicate dangerous levels of fat
0:11:44 > 0:11:45sitting around the internal organs...
0:11:45 > 0:11:4735.
0:11:47 > 0:11:50..and an increased risk of diabetes, heart attacks and strokes.
0:11:50 > 0:11:52That's 53 and a half.
0:11:52 > 0:11:55Next, the doctor wants everyone's weight.
0:11:55 > 0:11:57At 19st 10lb,
0:11:57 > 0:12:01Dotti's almost double the ideal weight for her height of 5'2.
0:12:03 > 0:12:04Can you step on?
0:12:06 > 0:12:07As well as weight,
0:12:07 > 0:12:11these special scales send tiny electrical impulses through the body
0:12:11 > 0:12:13to estimate how much fat you're carrying.
0:12:14 > 0:12:20OK. So, your fat percentage, according to this, is 41.1%.
0:12:20 > 0:12:24The desirable range is 8% to 20%, basically.
0:12:24 > 0:12:28The scales also produce a value known as metabolic age.
0:12:28 > 0:12:30Using the measurements it's taken,
0:12:30 > 0:12:33the machine predicts the age of the patient.
0:12:33 > 0:12:37It's telling me that your age, or your metabolic age, is 47,
0:12:37 > 0:12:38and you're actually 32.
0:12:38 > 0:12:42But that does explain a lot in regards to the way we feel.
0:12:42 > 0:12:46You know, a 32-year-old shouldn't necessarily feel
0:12:46 > 0:12:48as tired as a 47-year-old.
0:12:48 > 0:12:51- That's what you've done to me. - SHE LAUGHS
0:12:51 > 0:12:53- What's your age?- 17.- 17.
0:12:55 > 0:12:59Your metabolic age, it's 33.
0:13:00 > 0:13:06So it's significantly higher than what we would hope for with you.
0:13:06 > 0:13:09So I hope this acts as a...
0:13:09 > 0:13:11By you saying, "Look, something's got to change."
0:13:13 > 0:13:15- You all right?- You OK?
0:13:15 > 0:13:16It is shocking.
0:13:19 > 0:13:21Budge up.
0:13:21 > 0:13:25Everything on here is changeable.
0:13:25 > 0:13:27I mean, how do you feel?
0:13:27 > 0:13:28Guilty.
0:13:29 > 0:13:32You know, this is partly our fault.
0:13:32 > 0:13:34We're where we are because of us,
0:13:34 > 0:13:37but these are sort of where they are because of us.
0:13:37 > 0:13:38Sure.
0:13:39 > 0:13:42Hey, we're here to understand this is serious.
0:13:42 > 0:13:45It's not just a bit about "I'm a little bit overweight."
0:13:45 > 0:13:49I mean, you know, these guys are at risk of early death.
0:13:51 > 0:13:54Weight is a serious issue in the UK.
0:13:54 > 0:13:58These days, one-in-four people are officially classed as obese.
0:14:00 > 0:14:04Rangan has arranged for the family to have 3D scans made of their bodies.
0:14:05 > 0:14:08These will act as a starting point for any physical changes
0:14:08 > 0:14:10that happen over the next few weeks.
0:14:13 > 0:14:17A few days later, the results of the blood tests have been sent through.
0:14:17 > 0:14:20Having found nothing alarming in Russ' report,
0:14:20 > 0:14:23the doctor wants to chat to Dotti about something he's found in hers.
0:14:23 > 0:14:24OK. So...
0:14:25 > 0:14:28..there's quite a few bloods I did. There was a couple of tests
0:14:28 > 0:14:31- that have really actually concerned me quite a lot.- OK.
0:14:31 > 0:14:34Your fasting blood sugar was 7.1.
0:14:34 > 0:14:37- The other one is what we call your HbA1c.- Yeah.
0:14:37 > 0:14:40That is basically a marker of your blood sugar
0:14:40 > 0:14:42for the past three months.
0:14:42 > 0:14:4542 and under is normal.
0:14:45 > 0:14:49You were 56. That is way too high.
0:14:49 > 0:14:50Those two together,
0:14:50 > 0:14:55it makes me suspicious that you may already have type II diabetes.
0:14:55 > 0:14:56Oh, God.
0:14:59 > 0:15:00That's shocking.
0:15:00 > 0:15:03- I can't say 100% that you do have it.- Yeah.
0:15:03 > 0:15:06I would need to do a second test to confirm that
0:15:06 > 0:15:08which I'd like to do, if you don't mind, in the next few days.
0:15:08 > 0:15:11- But I think you've already got it. - OK.
0:15:11 > 0:15:14- SHE CRIES - Oh...- You OK, Dot?- Not really.
0:15:16 > 0:15:19I'll do everything I can to try and help you.
0:15:20 > 0:15:22Type II diabetes is a condition
0:15:22 > 0:15:26that causes dangerously high levels of blood sugar.
0:15:26 > 0:15:29A hormone called insulin usually keeps these blood sugars low
0:15:29 > 0:15:32but excess fat can disrupt this process.
0:15:32 > 0:15:34What's the matter?
0:15:34 > 0:15:36Looks like I'm a diabetic.
0:15:37 > 0:15:38Aw...
0:15:41 > 0:15:45Feeling constantly thirsty and tired can be signs of the disease,
0:15:45 > 0:15:49but in the UK, hundreds of thousands of people live with the condition
0:15:49 > 0:15:52without even knowing they have it - just like Dotti.
0:15:52 > 0:15:55It's quite upsetting, you know, on a personal level,
0:15:55 > 0:15:56to give someone information
0:15:56 > 0:15:59that clearly they find deeply distressing and upsetting.
0:16:02 > 0:16:05Yeah, it's challenging, but it needs to be said.
0:16:06 > 0:16:09I'm here as a doctor.
0:16:09 > 0:16:11I'm here to help these guys.
0:16:13 > 0:16:15Before Rangan can help Dotti,
0:16:15 > 0:16:18he needs to confirm her diagnosis.
0:16:18 > 0:16:20He's taking her for another blood test
0:16:20 > 0:16:22at the Royal Shrewsbury Hospital.
0:16:22 > 0:16:23- Sorry, yeah, on you go.- Cheers.
0:16:23 > 0:16:26In recent years, hospitals like this have had to cope with
0:16:26 > 0:16:30a huge rise in the number of cases of type II diabetes.
0:16:32 > 0:16:35- That's the last of the blood tests now.- Fabulous.
0:16:37 > 0:16:39Diabetes, as a whole,
0:16:39 > 0:16:42now accounts for 10% of the entire NHS budget.
0:16:44 > 0:16:46The blood tests that we did this morning
0:16:46 > 0:16:49have confirmed that you do have type II diabetes.
0:16:49 > 0:16:52As horrible as it is...
0:16:52 > 0:16:54it's put it into another gear.
0:16:54 > 0:16:56You know, it's sort of changed the boundaries, hasn't it?
0:16:56 > 0:16:57- Yeah.- Yeah.
0:16:57 > 0:17:00The blood sugar in people who've got type II diabetes
0:17:00 > 0:17:02is chronically elevated.
0:17:02 > 0:17:04That sugar goes round your body
0:17:04 > 0:17:07- and gets deposited in different places...- OK.
0:17:07 > 0:17:09..and that's what causes many of the complications.
0:17:09 > 0:17:12You know, it can get deposited in your eye and cause blindness.
0:17:12 > 0:17:16It gets deposited in your kidneys and can cause kidney failure
0:17:16 > 0:17:18- and then people need to go on dialysis.- Yeah.
0:17:18 > 0:17:20It can cause damage to your vessels in your heart,
0:17:20 > 0:17:23causing heart attacks, strokes, you know,
0:17:23 > 0:17:25- and the list goes on, really.- Yeah.
0:17:25 > 0:17:27Where do we go from here?
0:17:27 > 0:17:30Will I have to be medicated or is this diet or...?
0:17:30 > 0:17:33Yes, there are medications. OK?
0:17:33 > 0:17:37But I don't want to start you on any medication at the moment.
0:17:37 > 0:17:41Type II diabetes is caused by lifestyle choices.
0:17:41 > 0:17:44- Yes.- OK?- Yeah.
0:17:44 > 0:17:47But the good thing about that is that it's lifestyle choices
0:17:47 > 0:17:51- that can actually turn that prognosis around...- OK.
0:17:51 > 0:17:54..and, over the next few weeks, I want to help you do that.
0:17:54 > 0:17:57If he can change the way the family eat,
0:17:57 > 0:18:00there's a chance he could help Dotti reverse the effects of diabetes
0:18:00 > 0:18:02and help them all lose weight.
0:18:03 > 0:18:05The first phase of his plan
0:18:05 > 0:18:08is to eliminate all fast food from their diet.
0:18:09 > 0:18:11It's processed, highly processed food
0:18:11 > 0:18:13that is, in many ways,
0:18:13 > 0:18:15designed to make you want to eat more and more and more.
0:18:15 > 0:18:17That's why, not you guys, not only you guys,
0:18:17 > 0:18:20but people all round the country are struggling,
0:18:20 > 0:18:24because the food environment out there is semi-impossible.
0:18:24 > 0:18:26So we've got to control the environment in your house
0:18:26 > 0:18:29first and foremost, and that'll mean we really need to prepare,
0:18:29 > 0:18:31and that means you need to go to the shops
0:18:31 > 0:18:32and we need to clear out that kitchen.
0:18:32 > 0:18:35- We don't really have much in this cupboard...- Wow! Where to start.
0:18:35 > 0:18:38I mean, there's so many things I think needs to come out.
0:18:38 > 0:18:40Rangan is removing anything with added sugar
0:18:40 > 0:18:42and all highly processed foods.
0:18:42 > 0:18:46A good rule is if it's got more than five ingredients, don't eat it.
0:18:46 > 0:18:49- That tends to be one of my rules. - Sort of a basic rule, yeah.
0:18:49 > 0:18:52What looks potentially, "Aw, there's a little bit of chilli and garlic."
0:18:52 > 0:18:54- Sugar, second ingredient.- Right.
0:18:54 > 0:18:57- What do you think that's doing to your sugar level?- Yeah.
0:18:57 > 0:18:59- Are you enjoying it or are you feeling...?- I am.
0:18:59 > 0:19:01- Are you getting stressed out a bit? - No, not at all.
0:19:01 > 0:19:04And there's something else that Rangan wants the family to eliminate,
0:19:04 > 0:19:07especially given Dotti's diabetes.
0:19:07 > 0:19:09I'm going to have to be quite extreme with you guys.
0:19:09 > 0:19:14Refined carbohydrate, and really most carbohydrates,
0:19:14 > 0:19:18I would like you to try and eliminate completely
0:19:18 > 0:19:19for the next few weeks.
0:19:19 > 0:19:21- OK.- OK?
0:19:21 > 0:19:22So, what am I talking about?
0:19:22 > 0:19:25- Potatoes. - No potatoes, pasta, bread...
0:19:25 > 0:19:27- Rice.- ..bread and bread...- ..rice. - RUSS LAUGHS
0:19:27 > 0:19:31Two pieces of wholemeal bread spike your blood sugar
0:19:31 > 0:19:34more than a Snickers bar.
0:19:34 > 0:19:36Whoa! Now that's shocking.
0:19:36 > 0:19:39Cut down on the foods, ideally eliminate the foods
0:19:39 > 0:19:41that raise your blood sugar and raise your insulin.
0:19:41 > 0:19:45This, even the healthier form of it, is doing the same thing.
0:19:45 > 0:19:47- So it's got to go.- OK.
0:19:47 > 0:19:50The D'Arcys will replace the foods they normally eat
0:19:50 > 0:19:52with whole, fresh ingredients.
0:19:52 > 0:19:55Good quality meat, good quality fish,
0:19:55 > 0:19:59nuts, seeds, fruit, vegetables, OK?
0:19:59 > 0:20:02When you stick to these for a few weeks,
0:20:02 > 0:20:04just watch what happens.
0:20:04 > 0:20:07I wanted to ask you, cos I actually really love fish,
0:20:07 > 0:20:11are these good, you know, is this a good fish or...?
0:20:11 > 0:20:13You know, cos obviously it's in a can...
0:20:13 > 0:20:15Compared to what you're currently having,
0:20:15 > 0:20:19eating these is going to be absolutely fantastic for you.
0:20:19 > 0:20:23And it's not just what they eat that Rangan wants to address.
0:20:23 > 0:20:29What I need to do is change your whole relationship with food.
0:20:29 > 0:20:31Yeah, I need to change WHAT you eat,
0:20:31 > 0:20:36but I also need to change HOW you eat and WHERE you eat.
0:20:36 > 0:20:38Eating on the sofa...
0:20:39 > 0:20:41..lends itself to mindless eating,
0:20:41 > 0:20:44it lends itself to eating more than you would normally eat.
0:20:44 > 0:20:47As a kind of rule, for at least four weeks,
0:20:47 > 0:20:49I'd like you to eat at the dinner table.
0:20:49 > 0:20:53To support his plan, Rangan is giving the family some food supplements
0:20:53 > 0:20:56and leaving behind a couple of recipe books.
0:20:56 > 0:20:57"Roasted red pepper sauce."
0:20:57 > 0:21:00- Now, you'd like that kind of stuff. - Yeah.
0:21:00 > 0:21:03I think what the diagnosis of type II diabetes has done,
0:21:03 > 0:21:06not only for Dot, but the whole family,
0:21:06 > 0:21:07has give them a wake-up call.
0:21:07 > 0:21:11If that is used as a motivating factor for everyone to change,
0:21:11 > 0:21:14then maybe they'll look back on this in a few years' time and go,
0:21:14 > 0:21:16"Hey, that was the best thing that ever happened."
0:21:16 > 0:21:17Now, I would've thought pork was bad.
0:21:17 > 0:21:20But for the problems that you guys have got,
0:21:20 > 0:21:22it's not a bad thing for you, OK?
0:21:28 > 0:21:30With so much food ruled out,
0:21:30 > 0:21:32Russ and Dotti need to restock their kitchen.
0:21:34 > 0:21:35- Let's try these, eh?- Yeah.
0:21:35 > 0:21:37Extra large...
0:21:37 > 0:21:39To control every ingredient of every meal,
0:21:39 > 0:21:42they'll have to cook all their food from scratch.
0:21:42 > 0:21:43Are you getting any veg?
0:21:43 > 0:21:48For the D'Arcys, buying fresh ingredients is an unusual experience.
0:21:48 > 0:21:51Feel a bit lost. Yeah.
0:21:51 > 0:21:53- Can I just have some turkey, please? - Yeah, yeah.
0:21:53 > 0:21:55As well as high blood sugar,
0:21:55 > 0:21:58Dotti's tests revealed she was low on some key vitamins
0:21:58 > 0:22:00found in fresh produce.
0:22:02 > 0:22:04I'm making a grilled chicken salad.
0:22:04 > 0:22:06- Do you know what you're doing?- Yeah.
0:22:06 > 0:22:08Around one-in-three people in the UK
0:22:08 > 0:22:12don't eat the recommended five portions of fruit and veg a day.
0:22:18 > 0:22:20With the diet established,
0:22:20 > 0:22:23Rangan wants to know more about the family's everyday life.
0:22:24 > 0:22:25He's visiting Russ at work.
0:22:26 > 0:22:30- How you doing? Good to see you. - All right. How are you?- Good. Busy.
0:22:30 > 0:22:32He works in the control room at the local fire station,
0:22:32 > 0:22:36answering emergency calls and despatching fire crews.
0:22:36 > 0:22:39He works two day and two night shifts a week.
0:22:39 > 0:22:40How long is your shift normally?
0:22:40 > 0:22:43Ten hours on a day, 14 hours on a night.
0:22:43 > 0:22:45And so, when you're on shift,
0:22:45 > 0:22:47- are you basically sat down here... - Yeah, this is it.
0:22:47 > 0:22:49- ..the entire time?- Yeah.
0:22:49 > 0:22:51A recent study found that
0:22:51 > 0:22:54just under a third of adults in the UK are inactive.
0:22:54 > 0:22:56Things weren't always this way for Russ.
0:22:56 > 0:23:00He used to fight fires as part of the Emergency Response Team.
0:23:00 > 0:23:04I was an officer in charge, so I used to go out in the fire engine
0:23:04 > 0:23:06with up to eight other firefighters with me
0:23:06 > 0:23:08that I'd be responsible for.
0:23:10 > 0:23:13Russ gave up being a firefighter two years ago
0:23:13 > 0:23:15when he failed the mandatory fitness test.
0:23:15 > 0:23:17Yeah, it's pretty heavy, isn't it?
0:23:17 > 0:23:19- Wow, that's some change, isn't it, to being behind a desk...- Yeah.
0:23:19 > 0:23:21- ..to lugging these around? - Yeah, definitely.
0:23:21 > 0:23:24You must have been significantly fitter before
0:23:24 > 0:23:26- than you are now. - Massively. Yeah, massively.
0:23:26 > 0:23:29- Probably getting worse and worse. - Probably, yeah.
0:23:29 > 0:23:31- I'm certainly not doing anything to help it...- No.
0:23:31 > 0:23:34- ..let's put it that way.- Sure. - We're recruiting next year.- Yeah.
0:23:34 > 0:23:36So that's an appealing option, I guess?
0:23:36 > 0:23:39Oh, that's a massive incentive as to why I want to get fit
0:23:39 > 0:23:42and, you know, get in shape and sort myself out.
0:23:43 > 0:23:46It is hard to imagine two years ago Russ was, he was active,
0:23:46 > 0:23:50because the Russ who I've met doesn't appear to be that person.
0:23:50 > 0:23:52I think he knows he's in a rut,
0:23:52 > 0:23:55and I think just having me there in his life highlights it even more.
0:23:58 > 0:24:00Before he can help Russ improve his fitness,
0:24:00 > 0:24:03Rangan needs to know how bad things are.
0:24:03 > 0:24:04I thought it would be a good idea
0:24:04 > 0:24:06- to get a baseline level of your fitness.- Yeah.
0:24:06 > 0:24:09- Bleep test.- Yeah. - You know about it?- Yeah.
0:24:09 > 0:24:13- You like it?- No. Hate it. - You hate it?- Yeah.
0:24:13 > 0:24:15- Why?- I don't like running. - You don't like running?
0:24:15 > 0:24:16No, I don't enjoy running.
0:24:16 > 0:24:19- Let's do it, see where we're at. - Yeah.- How about that?- OK.
0:24:19 > 0:24:21- Right, let's get started. - Don't you laugh.
0:24:21 > 0:24:22I will not laugh.
0:24:22 > 0:24:23Bleep!
0:24:26 > 0:24:29- Russ has to run 20 metres... - Bleep!
0:24:29 > 0:24:32..back and forth between the cones before the next bleep.
0:24:34 > 0:24:35Bleep!
0:24:35 > 0:24:38As the test moves up a level, time between bleeps shortens...
0:24:38 > 0:24:40Speed up, I think, Russ.
0:24:40 > 0:24:41Bleep!
0:24:41 > 0:24:43..meaning Russ has to run faster.
0:24:45 > 0:24:48- Bleep! - There are 18 levels in total.
0:24:48 > 0:24:51The minimum requirement for a member of the fire service...
0:24:51 > 0:24:53- Bleep!- ..is level eight.
0:24:58 > 0:24:59Bleep!
0:25:03 > 0:25:05- Bleep!- Level four - that'll do.
0:25:06 > 0:25:09- Yeah, stage four. Oh, well done. - RUSS BREATHES HEAVILY
0:25:09 > 0:25:12- Cheers.- Well done for trying. I know you don't like it but...
0:25:12 > 0:25:14- Hate it.- Yeah.
0:25:15 > 0:25:17Yeah, have a rest and then, yeah.
0:25:18 > 0:25:21- Are you annoyed that we put you through that?- Yeah, absolutely.
0:25:21 > 0:25:24- Are you?- I know that you wanted, like, a base measurement,
0:25:24 > 0:25:26but there's lot of other things.
0:25:30 > 0:25:31Sure.
0:25:34 > 0:25:37It's, you know, it's really not meant to make you feel bad, it's...
0:25:37 > 0:25:41- No, I know, I know.- It's because if, if I've got an objective measure...
0:25:41 > 0:25:44- Oh, yeah. No, no. - ..and if we try something...
0:25:44 > 0:25:46..then we can both see, actually, is it working?
0:25:46 > 0:25:49- Just want to know where we're at... - Yeah, yeah.- ..and hopefully,
0:25:49 > 0:25:52we could re-measure and see where you've got to.
0:25:52 > 0:25:54It's just disappointing, isn't it?
0:25:54 > 0:25:56You know, to see how far you've let yourself go.
0:25:56 > 0:25:58- When you actually start to measure stuff...- Yeah.
0:25:58 > 0:26:01..you know, what you used to do to what you can do here.
0:26:01 > 0:26:05If you were to think about raising your level of fitness,
0:26:05 > 0:26:07do you have any idea how you would do that at the moment?
0:26:09 > 0:26:11I don't know, really, to be honest.
0:26:11 > 0:26:13I'm sort of at a bit of a loose end with it all.
0:26:13 > 0:26:14- Are you?- Yeah.
0:26:16 > 0:26:19I felt slightly uncomfortable because I'm trying to help him,
0:26:19 > 0:26:21I'm not doing it to humiliate him
0:26:21 > 0:26:24or to show him how bad his fitness is - nothing like that -
0:26:24 > 0:26:25I'm doing it to help him,
0:26:25 > 0:26:26but in order to help him
0:26:26 > 0:26:29I need a baseline level from which to move forward.
0:26:29 > 0:26:31He's got a stressful job -
0:26:31 > 0:26:35he works shifts and they're very changeable,
0:26:35 > 0:26:38and we have to work around that, like many other people do.
0:26:38 > 0:26:41It's hard, but it's not impossible.
0:26:41 > 0:26:44It's about incorporating movement and activity into his everyday life,
0:26:44 > 0:26:47and I think that's the sort of thing I'm going to help him with.
0:26:55 > 0:26:59The D'Arcy family have been following the diet the doctor set for them
0:26:59 > 0:27:00for several days now.
0:27:01 > 0:27:04Having diagnosed her with type II diabetes,
0:27:04 > 0:27:07these changes are most important for mum, Dotti.
0:27:07 > 0:27:09Rangan wants to see how she's getting on.
0:27:09 > 0:27:11Obviously, I want to change my lifestyle
0:27:11 > 0:27:13- and the way I look at food and eat. - Yeah.
0:27:13 > 0:27:16But yesterday I had a really bad migraine all day.
0:27:16 > 0:27:17I sort of felt a bit...
0:27:19 > 0:27:22..lacklustre and sort of felt a bit drained.
0:27:22 > 0:27:24I literally could have just come home and gone to bed.
0:27:24 > 0:27:27- You tend to go through some sort of withdrawal.- Yeah.
0:27:27 > 0:27:30- You know, you're kind of cleansing your body...- Absolutely, yeah.
0:27:30 > 0:27:34..from all the sort of junk and hyper-processed food
0:27:34 > 0:27:36- that it's used to.- Yeah.
0:27:36 > 0:27:39You remember I spoke about a lot of these nutrients that were low?
0:27:39 > 0:27:41One of them is vitamin B12.
0:27:41 > 0:27:42Helps your metabolism,
0:27:42 > 0:27:45- helps your muscle function, your nervous system...- Yeah.
0:27:45 > 0:27:48..and one way I can replace that quickly for you
0:27:48 > 0:27:52- is by giving you B12 injections into your muscle.- OK.
0:27:52 > 0:27:56Dotti's blood test revealed low levels of vitamin B12,
0:27:56 > 0:27:58naturally found in foods such as fish and eggs.
0:28:00 > 0:28:02- You ready?- Yeah. Okey doke.
0:28:02 > 0:28:05Dotti's new diet should improve levels over time,
0:28:05 > 0:28:08but an injection can give things a head start.
0:28:08 > 0:28:10These should only ever be carried out by your doctor.
0:28:12 > 0:28:14Thank you.
0:28:14 > 0:28:17Rangan wants to spend a bit more time getting to know Dotti,
0:28:17 > 0:28:19so they're off for a walk in a local park.
0:28:21 > 0:28:24- So, you've not been here before? - No, never. Never been.
0:28:24 > 0:28:28Being more active may also help Dotti lower her blood sugar levels.
0:28:28 > 0:28:31- It is nice to be in the countryside. - It really is, isn't it?
0:28:31 > 0:28:33We're actually really lucky to have all this around us.
0:28:33 > 0:28:34- Yeah.- Yeah.
0:28:34 > 0:28:37Wonder what the kids would make of coming out here walking?
0:28:37 > 0:28:39- Who, Brand and Den?- Yeah.
0:28:39 > 0:28:42We used to, we used to come out walking together all the time.
0:28:42 > 0:28:43Would they like it, do you think?
0:28:43 > 0:28:47- Yeah. You know, it's the initial... - SHE GROANS
0:28:47 > 0:28:50..but once you're out here, it's great.
0:28:52 > 0:28:54Yeah, are we going down there?
0:28:54 > 0:28:56I do actually feel my head's clearing as well.
0:28:56 > 0:28:59- From being here? - Yeah, just being in the fresh air.
0:28:59 > 0:29:01Let's not stand in the nettles.
0:29:02 > 0:29:04It might be something that's on your radar now.
0:29:04 > 0:29:07- Next time...- Yeah, absolutely. - ..the family are off together...
0:29:07 > 0:29:09- Yeah.- ..instead of watching a film,
0:29:09 > 0:29:11- get out and spend the afternoon here...- Yeah.
0:29:11 > 0:29:12..cos it's not far, is it?
0:29:12 > 0:29:14Rangan wants to know more about
0:29:14 > 0:29:16Dotti's unhealthy relationship with food.
0:29:16 > 0:29:18UK studies have suggested that
0:29:18 > 0:29:23emotions are the cause of 75% of all overeating.
0:29:23 > 0:29:25When I first came into your front room
0:29:25 > 0:29:31- you said you have...an emotional relationship with food, and...- Yeah.
0:29:31 > 0:29:33..was there anything going on, any event that happened,
0:29:33 > 0:29:34anything that might have...?
0:29:34 > 0:29:37We've had a lot of trauma in our family, you know?
0:29:37 > 0:29:41I lost my sister six years ago,
0:29:41 > 0:29:43and that was very quick.
0:29:43 > 0:29:45We found out that she got breast cancer
0:29:45 > 0:29:48and she was gone within three weeks.
0:29:48 > 0:29:50And I think, I think maybe our eating habits
0:29:50 > 0:29:53would have probably been really bad around that time,
0:29:53 > 0:29:55cos obviously none of us were cooking
0:29:55 > 0:30:00and, sort of, we were all sort of just grabbing what we could and...
0:30:00 > 0:30:01Of course, yeah.
0:30:01 > 0:30:02You know, that, that could have been
0:30:02 > 0:30:06some sort of starting point, I suppose.
0:30:06 > 0:30:07How old was your sister?
0:30:07 > 0:30:09SHE CRIES
0:30:11 > 0:30:1327.
0:30:14 > 0:30:16- How old?- 27.- 27.
0:30:17 > 0:30:19I'm so sorry.
0:30:21 > 0:30:24So your younger sister?
0:30:24 > 0:30:26Cancer in our family's rife.
0:30:26 > 0:30:29- My nan died...- Yeah. - ..when she was 38,
0:30:29 > 0:30:33my brother died of throat cancer when he was eight months old...
0:30:35 > 0:30:39..and, obviously, my sister, when she was 27, of breast cancer.
0:30:39 > 0:30:42And my grandad also died of cancer.
0:30:43 > 0:30:46It's, oh, it's just devastating.
0:30:46 > 0:30:47- Does it worry you?- Yeah.
0:30:49 > 0:30:51Every day.
0:30:51 > 0:30:54- Are you worried about a particular kind of cancer?- Erm...
0:30:56 > 0:30:58I was worried about breast cancer.
0:31:01 > 0:31:02Or ovarian.
0:31:02 > 0:31:05I can see that you're worried, and I don't blame you -
0:31:05 > 0:31:08if I had that much cancer in my family, I think I'd be petrified.
0:31:08 > 0:31:12It's basically wiped out my whole mum's side of my family.
0:31:12 > 0:31:14Like, the only people that are left on my mum's side now
0:31:14 > 0:31:17is my mum and her brother.
0:31:17 > 0:31:21Five to 10% of breast cancers are linked to genetic factors.
0:31:21 > 0:31:25Faults in two specific genes, known as BRCA1 and 2,
0:31:25 > 0:31:27significantly increase the risks.
0:31:27 > 0:31:30These faults are rare and can be tested for.
0:31:32 > 0:31:33BRCA testing is,
0:31:33 > 0:31:37I think people have heard about that now from Angelina Jolie.
0:31:37 > 0:31:39- Yeah...- It's everywhere. - ..it's massive, yeah.
0:31:39 > 0:31:41It's the, you know, one of the genetic tests
0:31:41 > 0:31:43that can determine whether you're predisposed
0:31:43 > 0:31:45- to getting breast cancer or not. - Yeah.
0:31:45 > 0:31:47For me, I must be honest,
0:31:47 > 0:31:50I don't know the ins and outs of who is eligible for BRCA testing.
0:31:50 > 0:31:53Erm, it's something I can maybe look into for you, if you...
0:31:53 > 0:31:55- Yeah, that would be great. - ..if you want to know.
0:31:55 > 0:31:58I can maybe make some phone calls about that.
0:31:58 > 0:32:01I just want to know whether I'm a high risk,
0:32:01 > 0:32:03find out my options of what I'm going to do,
0:32:03 > 0:32:06think about it and just move on with it.
0:32:06 > 0:32:10Me knowing is going to lift this big black cloud...
0:32:10 > 0:32:14- Mm.- ..because, to me, it's massive.
0:32:14 > 0:32:16Honestly, it's massive.
0:32:16 > 0:32:19It's even more massive than diabetes.
0:32:19 > 0:32:21- Mm, I can see that.- Yeah.
0:32:21 > 0:32:24So knowing is definitely...
0:32:24 > 0:32:25it's really important to me.
0:32:27 > 0:32:29What really struck me from my conversation with Dot
0:32:29 > 0:32:31is how much she's been through.
0:32:31 > 0:32:33She's got this worry...
0:32:33 > 0:32:36..about whether she's going to get breast cancer.
0:32:36 > 0:32:41And absolutely this is a significant component
0:32:41 > 0:32:44of how she's ended up in a downward spiral with her own health.
0:32:44 > 0:32:46So I've got to take that seriously.
0:32:46 > 0:32:48I'll need to get some specialist advice -
0:32:48 > 0:32:50talk to a genetic unit -
0:32:50 > 0:32:54and actually find out is she at high risk or is she at low risk?
0:32:58 > 0:33:00Back at home in Manchester,
0:33:00 > 0:33:04Rangan's making some calls to find out what he can do for Dotti.
0:33:04 > 0:33:06'Hello, Vicki Kiesel speaking.'
0:33:06 > 0:33:07I am phoning regarding one my patients
0:33:07 > 0:33:09who has a family history of cancer
0:33:09 > 0:33:13and I was hoping you might be able to provide me with some information.
0:33:13 > 0:33:14'Yes, certainly...'
0:33:15 > 0:33:17If a woman has a fault in one of her BRCA genes,
0:33:17 > 0:33:21it could mean up to a 90% chance of developing breast cancer.
0:33:21 > 0:33:24Thank you so much for your time. Thank you.
0:33:24 > 0:33:25- 'Thank you. Thanks.'- Bye-bye.
0:33:27 > 0:33:30Rangan's arranged a face-to-face meeting with a specialist
0:33:30 > 0:33:32to have Dotti's risks assessed.
0:33:37 > 0:33:39Having a genetic predisposition for cancer
0:33:39 > 0:33:41could have serious implications,
0:33:41 > 0:33:46not just for Dotti, but for her children too.
0:33:46 > 0:33:49You know, I've got that dreaded feeling in the pit of me stomach.
0:33:49 > 0:33:51SHE CRIES
0:33:51 > 0:33:54I want to watch my kids grow up and have children...
0:33:58 > 0:33:59..and that's why I'm doing this.
0:34:05 > 0:34:07Rangan is travelling with Russ and Dotti
0:34:07 > 0:34:10to the genetics clinic in London.
0:34:10 > 0:34:12Knowing more about inherited cancer risks
0:34:12 > 0:34:13could help relieve years of worry
0:34:13 > 0:34:16that has affected the way the family live.
0:34:16 > 0:34:21- RUSS:- When Dot's sister passed away, how it affected Dot was massive.
0:34:21 > 0:34:23I don't think it's ever out of her mind
0:34:23 > 0:34:25because she's never got an escape from it.
0:34:29 > 0:34:33Dotti's appointment is with Genetic Counsellor, Vicki Kiesel.
0:34:33 > 0:34:36I understand you're concerned about your family history
0:34:36 > 0:34:38and you're thinking about having some sort of genetic testing.
0:34:38 > 0:34:40- Is that right? - Yeah, that's right, yeah.
0:34:40 > 0:34:44Her first step is to take a detailed family history.
0:34:44 > 0:34:46How many brothers and sisters did you have in total?
0:34:46 > 0:34:48Before Lucy, there was my brother.
0:34:48 > 0:34:50He died of throat cancer.
0:34:50 > 0:34:52- And you said your mum had genetic testing.- Yeah, she did.
0:34:52 > 0:34:55- And was that just for BRCA1 and BRCA2?- Yeah.
0:34:55 > 0:34:58By mapping out the cancer in Dotti's relatives
0:34:58 > 0:35:00and taking her mum's tests into account,
0:35:00 > 0:35:05Vicki is able to determine any cancer risk caused by faulty BRCA genes.
0:35:05 > 0:35:07We know that your mum, from what you've said,
0:35:07 > 0:35:10we know her BRCA1 and BRCA2 genes are normal.
0:35:10 > 0:35:13So the only way that Lucy could have got an altered BRCA gene mutation
0:35:13 > 0:35:15would be through your mum. There's always a tiny chance
0:35:15 > 0:35:18about something on your dad's side, but we're not worried about that.
0:35:18 > 0:35:20- OK.- That also means that you will have got
0:35:20 > 0:35:23- a normal BRCA gene from your mum. - OK.
0:35:23 > 0:35:26Hopefully this is quite reassuring in terms of BRCA1 and 2 in that...
0:35:26 > 0:35:29- Yeah.- ..we know that your genes from your mum work normally
0:35:29 > 0:35:32and it's not necessary to test you to know that.
0:35:32 > 0:35:35BRCA1 and 2 aren't the only genes linked to cancer,
0:35:35 > 0:35:37but testing for faults in other genes
0:35:37 > 0:35:39would involve other members of Dotti's family.
0:35:41 > 0:35:43Probably the most important thing is going to be
0:35:43 > 0:35:47- to offer genetic testing to someone in the family who's had cancer.- OK.
0:35:47 > 0:35:49And then, depending on what we find,
0:35:49 > 0:35:51it may be appropriate to test other people in the family.
0:35:52 > 0:35:55We also know that most cancer happens by chance.
0:35:55 > 0:35:57So about 90% of all breast cancer,
0:35:57 > 0:36:01and all types of cancer, in fact, are not inherited.
0:36:04 > 0:36:07- How do?- How's it been? - Yeah, all right.
0:36:07 > 0:36:08So, what happened?
0:36:08 > 0:36:13She's taken BRCA1 and 2 out the equation straightaway
0:36:13 > 0:36:16which I found really reassuring, to be honest.
0:36:16 > 0:36:17Well, great.
0:36:17 > 0:36:21But it's brought up another gene.
0:36:21 > 0:36:23- I don't feel disheartened in- any way. No, no.
0:36:23 > 0:36:25- Oh, I'm glad, I'm really glad. - Yeah, yeah.
0:36:25 > 0:36:27- It's all for the best, isn't it? - It is, yeah, absolutely.
0:36:28 > 0:36:31Dotti's taking some time to talk to her family
0:36:31 > 0:36:33about the possibility of further genetic testing.
0:36:41 > 0:36:44It's been two weeks since Rangan gave the D'Arcys
0:36:44 > 0:36:47their healthy eating plan, cutting out all processed food.
0:36:50 > 0:36:55This new lifestyle change that we've had with food is helping
0:36:55 > 0:36:57but I just feel like everything's too much.
0:36:57 > 0:36:59Like, you know, everything's a hassle.
0:36:59 > 0:37:03After two weeks, it's starting to feel like hard work.
0:37:05 > 0:37:08Dotti's sent me some photos of what the family are eating
0:37:08 > 0:37:10and it's a little bit worrying.
0:37:10 > 0:37:12The good news is, is they're actually sticking to
0:37:12 > 0:37:14the list of foods I've asked them to eat from,
0:37:14 > 0:37:17but there's no variety there. I think this way of eating
0:37:17 > 0:37:19is unsustainable. They're going to get bored
0:37:19 > 0:37:21and probably going to fall off the wagon.
0:37:21 > 0:37:23I think I need to inject some excitement into their food
0:37:23 > 0:37:25before that happens.
0:37:27 > 0:37:29To inspire a more varied diet,
0:37:29 > 0:37:31Rangan has brought round a few foods
0:37:31 > 0:37:33the D'Arcys wouldn't normally cook or eat.
0:37:34 > 0:37:36The whole point of tonight is
0:37:36 > 0:37:38- to just try different things. - Yeah, yeah.
0:37:38 > 0:37:41I'm trying to take something that you think you don't like -
0:37:41 > 0:37:42avocado, courgette -
0:37:42 > 0:37:45- and try and do them in a way that you do like them.- Yeah.
0:37:45 > 0:37:49- These steaks do look good. - Feel a lot of pressure.
0:37:49 > 0:37:51- You're doing a great job. - RANGAN LAUGHS
0:37:51 > 0:37:52You've not tasted it yet.
0:37:52 > 0:37:54That's all right, we're polite - we'll lie to you.
0:37:54 > 0:37:58Grilling meat is generally healthier than frying
0:37:58 > 0:37:59and tastes good too.
0:37:59 > 0:38:02- Here we go. - DENNY: I've never had steak, so...
0:38:03 > 0:38:05I know it's chewy,
0:38:05 > 0:38:07but I can't promise that I'll eat it.
0:38:07 > 0:38:10Russ is a really good cook when he puts his mind to it...
0:38:10 > 0:38:13..but he doesn't put his mind to it very often.
0:38:14 > 0:38:16Whilst the food is cooking,
0:38:16 > 0:38:18Rangan is keen to show the family
0:38:18 > 0:38:21that they don't have to go to the gym to exercise.
0:38:21 > 0:38:22- Like you guys, I've got a busy job...- Yeah.
0:38:22 > 0:38:25..I've got two young kids at home and it's hard to find time.
0:38:25 > 0:38:27So I try and fit it in where I can.
0:38:27 > 0:38:30Sometimes what I do, while things are boiling or frying at home...
0:38:30 > 0:38:32- You do a dance. - Well, you can dance if you want.
0:38:32 > 0:38:36If you guys dance, dancing would be great. Or squats, lunges.
0:38:36 > 0:38:37Do you fancy it?
0:38:37 > 0:38:40- So, just... squat.- Yeah.
0:38:40 > 0:38:42Are you going to do it with me?
0:38:42 > 0:38:44- That's it.- Oh, my God. You click.
0:38:47 > 0:38:48Strength training like that
0:38:48 > 0:38:51absolutely improves your muscle insulin sensitivity
0:38:51 > 0:38:54which is the whole point of the way you're eating, is to reduce insulin
0:38:54 > 0:38:56and make yourselves more sensitive to insulin.
0:38:56 > 0:38:59I'm just going to lunge my way to the barbecue.
0:38:59 > 0:39:01THEY LAUGH
0:39:02 > 0:39:07- I'm lunging away. - He's still doing it.
0:39:07 > 0:39:08See, he's getting into it.
0:39:08 > 0:39:11Russ, you are getting into the spirit - I love that.
0:39:16 > 0:39:20- Smells nice.- Damn right it does. - Does. Smells lush.
0:39:20 > 0:39:23Oh, I can't wait for this. I'm excited.
0:39:23 > 0:39:25The steak's not as chewy as I was expecting.
0:39:25 > 0:39:27The courgette's nice.
0:39:29 > 0:39:33Thinking back to when I had dinner with you guys last time,
0:39:33 > 0:39:34when we were sat round the sofa,
0:39:34 > 0:39:37- quite a big change, isn't it? - Mm, it is a big change, yeah.
0:39:37 > 0:39:39- But it's a change I'm enjoying. - Mm.- Really?
0:39:39 > 0:39:41- Mm. I enjoy this.- All of us are.
0:39:41 > 0:39:44Yeah. Like, interacting.
0:39:44 > 0:39:46- Just feels a bit more comfortable. - Mm.
0:39:46 > 0:39:48Feels more natural, doesn't it?
0:39:48 > 0:39:50And you can concentrating on what you're eating as well.
0:39:50 > 0:39:53And before I had to keep going and going and going
0:39:53 > 0:39:54till I was like full up to here
0:39:54 > 0:39:57and it was uncomfortable and horrible,
0:39:57 > 0:39:59but I don't feel I need to have that much.
0:40:00 > 0:40:03'I'm just truly amazed at the turnaround.
0:40:03 > 0:40:06'They're very open-minded, they're trying new things.'
0:40:06 > 0:40:09Will they keep going? I hope so.
0:40:09 > 0:40:12This is going to be really important for them going forward.
0:40:12 > 0:40:15It's easy to forget where they were a few weeks ago,
0:40:15 > 0:40:17but they've come a long way already.
0:40:29 > 0:40:31With the family feeling positive,
0:40:31 > 0:40:34Rangan wants Russ to push himself and get fit again.
0:40:34 > 0:40:35That's it, all the way down.
0:40:35 > 0:40:37They've arranged a session with a personal trainer.
0:40:37 > 0:40:39That's good, nice one.
0:40:39 > 0:40:41Nine.
0:40:41 > 0:40:43Well done, well done. 5.28.
0:40:44 > 0:40:48Yes, mate. Yes, well done. 6.04, that's brilliant.
0:40:48 > 0:40:50- He's not as fit as he thinks, is he? - HE LAUGHS
0:40:50 > 0:40:52I was only 30 seconds behind him.
0:40:53 > 0:40:55I didn't get out of first gear, mate.
0:40:55 > 0:40:57THEY LAUGH
0:40:57 > 0:41:00Dotti's also building up her activity levels.
0:41:00 > 0:41:03Normally when I get home, all I want to do is veg,
0:41:03 > 0:41:05sit down on the sofa and veg, but I don't.
0:41:05 > 0:41:08I feel, I feel like I've got more energy.
0:41:08 > 0:41:12Instead of taking the bus, she's walking home from work.
0:41:12 > 0:41:14Moving more will help lower her blood sugar
0:41:14 > 0:41:16and burn a few extra calories.
0:41:18 > 0:41:20With the mood in the house so upbeat,
0:41:20 > 0:41:24Rangan is taking the opportunity to broach a touchy subject.
0:41:24 > 0:41:27Shall we head into the living room for a little chat?
0:41:27 > 0:41:29- Oh, great(!) - DOTTI LAUGHS
0:41:29 > 0:41:32I wonder who's this little bundle of joyous news for?
0:41:33 > 0:41:34It's not for me.
0:41:38 > 0:41:40I'm a little bit nervous, actually, about bringing this up.
0:41:40 > 0:41:42It's the smoking.
0:41:42 > 0:41:46At some point, I have to have the conversation about smoking with you.
0:41:46 > 0:41:49I'm very, very conscious that you don't want to discuss it.
0:41:49 > 0:41:51You're coming out the friendship zone, son.
0:41:53 > 0:41:55But you have a.... Yeah, go on, then.
0:41:57 > 0:42:00The doctor has brought with him a breathalyzer
0:42:00 > 0:42:03that test the levels of carbon monoxide in Russ' body -
0:42:03 > 0:42:06one of the many poisonous chemicals in cigarette smoke.
0:42:12 > 0:42:15Carbon monoxide causes breathing difficulties
0:42:15 > 0:42:17and makes blood more sticky,
0:42:17 > 0:42:20increasing the risk of heart disease and other problems.
0:42:20 > 0:42:21OK. So that's 36.
0:42:23 > 0:42:27On this chart, under six is what we regard as normal -
0:42:27 > 0:42:28that's a non-smoker.
0:42:28 > 0:42:31Seven to ten, they're calling 'danger zone',
0:42:31 > 0:42:35because that's when you're going to have nicotine addiction, OK?
0:42:35 > 0:42:3836 is in the heavily addicted range.
0:42:38 > 0:42:39I'll just read out what it says -
0:42:39 > 0:42:42"This level is uncommon and is found in smokers
0:42:42 > 0:42:44"who are rarely seen not smoking.
0:42:44 > 0:42:47"Permanent damage and carbon monoxide poisoning
0:42:47 > 0:42:50"can occur at this level."
0:42:50 > 0:42:52- How do you feel about that? - Am I supposed to cry?
0:42:53 > 0:42:54Do I...? I don't...
0:42:54 > 0:42:57Nobody's said to you, "Right, this is about you giving up."
0:42:57 > 0:43:00- Yeah, but it is.- No, it's not. - That's what this whole convers...
0:43:00 > 0:43:02- No, it's not. - Russ, I promise you, it's not.
0:43:02 > 0:43:04- But in a roundabout way, it is. - No, no, no.
0:43:04 > 0:43:07- No, no, Dorothy, in a roundabout way...- "Dorothy."
0:43:07 > 0:43:10..this is about me giving up smoking, in a roundabout way.
0:43:10 > 0:43:12Cos what else is the point in this?
0:43:12 > 0:43:14This is, in a roundabout way,
0:43:14 > 0:43:16saying, "Look, this is where you're at -
0:43:16 > 0:43:18"you need to stop it before you get to that."
0:43:18 > 0:43:19That is what it is.
0:43:19 > 0:43:22You know, otherwise there's no point in doing this, is it?
0:43:22 > 0:43:24Evidently, you know, eventually you want to
0:43:24 > 0:43:27get to the point of me giving up - that is what this is about.
0:43:27 > 0:43:31And you're trying to help me, and I appreciate that...
0:43:31 > 0:43:36but I know, and everybody that smokes knows, that it's bad.
0:43:36 > 0:43:38And, you know, we're just going round in circles.
0:43:38 > 0:43:39What I was trying to do, I'm not going to lie,
0:43:39 > 0:43:42if you told me, "Yeah, I'm going to give up smoking tomorrow,"
0:43:42 > 0:43:44I can't say I wouldn't be pleased about that.
0:43:44 > 0:43:46But was I expecting it? No, I wasn't.
0:43:46 > 0:43:50I know Dot and the kids, they go on because they care -
0:43:50 > 0:43:54that's the main reason they go on at me, is they care,
0:43:54 > 0:43:56but it's had the opposite effect now.
0:43:56 > 0:43:59Yeah. Well, it's obvious you know smoking's bad for you, OK?
0:43:59 > 0:44:03Erm... You know, everyone knows about the lung cancer risk,
0:44:03 > 0:44:04the heart attack risk.
0:44:04 > 0:44:07The great thing, Russ, when you do give up smoking,
0:44:07 > 0:44:09if you choose to at some point,
0:44:09 > 0:44:11is that you can reverse a lot of the effects.
0:44:11 > 0:44:15You know, within a year,
0:44:15 > 0:44:18your risk of having a heart attack is halved.
0:44:18 > 0:44:21So you can undo a lot of these things,
0:44:21 > 0:44:24and I think it's really important that people understand that.
0:44:24 > 0:44:26So, if at some point...
0:44:26 > 0:44:29Yeah, cos you've got to feel like you're not flogging a dead horse.
0:44:29 > 0:44:30I'm not scared of failing,
0:44:30 > 0:44:32I just don't feel ready to give it a go.
0:44:32 > 0:44:34And I don't even know why. I can't say to you...
0:44:36 > 0:44:37"I need a fag."
0:44:37 > 0:44:39- Is it like an emotional attachment? - Yeah, I think it is,
0:44:39 > 0:44:40cos I think, for all my life,
0:44:40 > 0:44:43the only thing I've ever had constant is smoking.
0:44:47 > 0:44:49- I still love you, son. - DR RANGAN AND DOTTI LAUGH
0:44:53 > 0:44:55I've been a doctor for nearly 15 years now.
0:44:57 > 0:45:00I don't think I've ever had a conversation like that before
0:45:00 > 0:45:03with a patient with that level of emotion.
0:45:06 > 0:45:08But I was just starting to get the impression,
0:45:08 > 0:45:10towards the end, that maybe...
0:45:10 > 0:45:12maybe he starts to think about things.
0:45:14 > 0:45:15You OK?
0:45:15 > 0:45:18- Yeah, I'm just reflecting, thinking. - Oh.
0:45:20 > 0:45:21No, I need to think about, like...
0:45:21 > 0:45:24- Because you don't enjoy it. - No, I don't.
0:45:24 > 0:45:26I know you don't, cos you always say you don't.
0:45:26 > 0:45:29You hate it...but you, but yet you keep doing it.
0:45:29 > 0:45:31- But I need to think about it... - It's a habit, isn't it?
0:45:31 > 0:45:34..because, it's like I was saying, I've not really thought about it.
0:45:34 > 0:45:36I've not thought, "Why do I do it?"
0:45:36 > 0:45:38because it's just been that I smoke and that's it.
0:45:41 > 0:45:43All I can say is, honestly, now,
0:45:43 > 0:45:45I'm going to seriously think about things...
0:45:45 > 0:45:47- Good.- ..and that's all I can do.
0:45:47 > 0:45:50That's all you can do, at the end of the day.
0:45:50 > 0:45:51Yeah.
0:45:52 > 0:45:55Hope I didn't annoy you too much, all right?
0:45:55 > 0:45:56No, honestly, it's fine. I'll let you off.
0:45:56 > 0:45:58Take it easy, all right? See you later.
0:45:58 > 0:45:59- See you later.- Bye.
0:46:03 > 0:46:08It's been two weeks since Rangan took Dotti to see the genetic specialist.
0:46:08 > 0:46:10She left that meeting with the option of further tests
0:46:10 > 0:46:13for inherited risks of cancer.
0:46:13 > 0:46:15The process would involve her extended family.
0:46:17 > 0:46:19Dotti and her relatives have come to a decision.
0:46:21 > 0:46:22It's been really difficult,
0:46:22 > 0:46:25because...when it was just me being tested
0:46:25 > 0:46:28it was sort of like it was my, it was my issue, my problem,
0:46:28 > 0:46:30but because...
0:46:32 > 0:46:34..they obviously want to test me sisters,
0:46:34 > 0:46:36I feel really sort of responsible.
0:46:36 > 0:46:39So what will be will be, I think.
0:46:39 > 0:46:41You just... I've sort of just got to
0:46:41 > 0:46:43put that to the back of me mind and move on.
0:46:43 > 0:46:45Sure.
0:46:45 > 0:46:49You know, before, before I started changing...my whole life, really,
0:46:49 > 0:46:51I was like on a one-tracked...
0:46:51 > 0:46:54Everything I thought about was sort of negative and...
0:46:54 > 0:46:55- Do you know what I mean?- Yeah.
0:46:55 > 0:46:57There was no sort of light at the end of the tunnel.
0:46:57 > 0:47:02But now I, I sort of, I don't look like that any more - it's weird.
0:47:02 > 0:47:04I'm really pleased to hear you say that,
0:47:04 > 0:47:05because I totally agree with you,
0:47:05 > 0:47:08- but it's nice to hear that that's how you're feeling now.- Yeah.
0:47:08 > 0:47:10Losing a bit of weight and being a bit fitter
0:47:10 > 0:47:12and, you know...
0:47:14 > 0:47:16..I'm feeling more energetic.
0:47:16 > 0:47:18I think it's changed your mental state, your mental outlook.
0:47:18 > 0:47:22- And now...- It has completely changed my mental outlook.
0:47:22 > 0:47:24'I'm a little bit surprised, actually,
0:47:24 > 0:47:28'that she doesn't want any more genetic testing doing.'
0:47:28 > 0:47:30But she's ready to let go, let go of the past.
0:47:30 > 0:47:35It's almost as if she's now realised that she's in charge of her future.
0:47:35 > 0:47:37That's going to have the most powerful impact
0:47:37 > 0:47:39on the rest of her life, more than any genetic test would.
0:47:44 > 0:47:47A month since Rangan first tested Russ' fitness,
0:47:47 > 0:47:50he's keen to find out just what sort of progress he's made.
0:47:50 > 0:47:51After you, mate.
0:47:51 > 0:47:54Do you know why I've brought you here?
0:47:54 > 0:47:56It's not to surprise me with a Ferrari, is it?
0:47:56 > 0:47:58THEY LAUGH
0:47:58 > 0:48:00- I've brought you here to do the bleep test.- OK.
0:48:00 > 0:48:02You've been working out a bit,
0:48:02 > 0:48:05you're clearly, just looking at how you've been changing your body shape
0:48:05 > 0:48:07from the way you're eating, which is amazing.
0:48:07 > 0:48:08You got to level four last time -
0:48:08 > 0:48:10where do you think you might get to today?
0:48:10 > 0:48:14I'd like to think, you know, I'll do better than I did last time
0:48:14 > 0:48:17but I can't, I can't promise anything.
0:48:17 > 0:48:19- Let's see how far you get. - Let's do it.
0:48:19 > 0:48:21- These cones to those cones over there, OK?- Yeah.
0:48:21 > 0:48:23Go!
0:48:28 > 0:48:29Doing well.
0:48:31 > 0:48:34To have any hope of going back to being a firefighter,
0:48:34 > 0:48:37Russ would need to get to level eight in this fitness test.
0:48:42 > 0:48:43That's it, Russ. Come on.
0:48:49 > 0:48:51Come on, Russ!
0:48:51 > 0:48:53You're smashing this. A few more, mate.
0:48:56 > 0:48:57Come on! Let's, let's get this.
0:49:05 > 0:49:06Stage eight.
0:49:08 > 0:49:12Stage eight! Well done. You all right?
0:49:12 > 0:49:15- RUSS BREATHES HEAVILY - You've doubled it.
0:49:17 > 0:49:20- I never thought you'd get to stage eight.- No, nor me.
0:49:20 > 0:49:23That's all right. I'm happy with that.
0:49:23 > 0:49:25I'm more than happy with that. I think from where you were,
0:49:25 > 0:49:29probably just a couple of weeks ago, that is a huge improvement!
0:49:29 > 0:49:31Not only physically, but even mentally.
0:49:31 > 0:49:32You weren't going to just give up.
0:49:32 > 0:49:34You were like, "Right, I can do this."
0:49:34 > 0:49:38- Just think if you gave up smoking as well how far you'd get.- Yeah.
0:49:38 > 0:49:42No, it's, erm, like I said, it's something that,
0:49:42 > 0:49:45although, when you ambushed me it wasn't,
0:49:45 > 0:49:47it didn't put me in the best of moods but...
0:49:47 > 0:49:49- That was a few weeks ago. - Yeah.- Yeah.
0:49:49 > 0:49:51But it is something that I have thought about, you know?
0:49:51 > 0:49:54And it has sort of played on my mind a bit.
0:49:54 > 0:49:57- What played on your mind? - About giving up.
0:49:57 > 0:50:01It's something that before was just a no. You know, an outright no.
0:50:01 > 0:50:03- About the smoking?- Yeah. I'm not, you know, I'm not giving...
0:50:03 > 0:50:06Now I'm thinking about it more and more. And...
0:50:07 > 0:50:11..I think that, erm, yeah, it may be something that I do
0:50:11 > 0:50:13- in the not too distant future. - Oh, brilliant.
0:50:13 > 0:50:14It's so good to hear that.
0:50:14 > 0:50:16'I think that exceeded his expectations.
0:50:16 > 0:50:19'There's nothing stopping Russ now.'
0:50:19 > 0:50:21I think Russ is close now, fitness-wise,
0:50:21 > 0:50:25to go back to being an active firefighter IF he chooses to do so.
0:50:33 > 0:50:36It's been six weeks since the doctor first came to the house
0:50:36 > 0:50:38and the family have made some big changes.
0:50:42 > 0:50:44After cutting out all junk food,
0:50:44 > 0:50:47they're following Rangan's eating plan and being more active.
0:50:48 > 0:50:52You are in such a slump and a dump when you get to where we were at,
0:50:52 > 0:50:54you do just feel like you're reborn,
0:50:54 > 0:50:57cos you're feeling better, you've got more energy.
0:50:57 > 0:50:59You're like, "I don't want to sit here and watch the telly."
0:51:05 > 0:51:06I mean, it's took me years to realise,
0:51:06 > 0:51:09but my actions all have consequences.
0:51:09 > 0:51:11It's almost like a light bulb's gone on.
0:51:17 > 0:51:21Now it's time to see how much the family's health has changed.
0:51:21 > 0:51:22Step on.
0:51:24 > 0:51:28All the D'Arcys are being assessed for their weight, fat percentage
0:51:28 > 0:51:30and having their bodies scanned.
0:51:30 > 0:51:33Dotti's also having another blood sugar test.
0:51:34 > 0:51:37The lifestyle changes have been particularly important for her.
0:51:38 > 0:51:40She hoped it could help her
0:51:40 > 0:51:42turn round the diagnosis of type II diabetes
0:51:42 > 0:51:45the doctor gave her just a few weeks ago.
0:51:52 > 0:51:54Now, this is a big day for the D'Arcys.
0:51:54 > 0:51:57They have put their heart and soul into this process.
0:51:57 > 0:52:01If I think back to where Dotti was when I first met her,
0:52:01 > 0:52:04on a sofa, eating fast food all the time,
0:52:04 > 0:52:08embarrassed to go out and exercise...
0:52:08 > 0:52:09and I just see how far she's come already,
0:52:09 > 0:52:12I think that is truly amazing.
0:52:13 > 0:52:16If the results aren't quite as good as they expect...
0:52:16 > 0:52:18will they throw in the towel?
0:52:18 > 0:52:20Will they go, "Hey, it's just not worth it.
0:52:20 > 0:52:22"Let's go back to the way we were."
0:52:25 > 0:52:28- How you all feeling? - Yeah, excited, bit nervous.
0:52:29 > 0:52:31What you nervous about?
0:52:31 > 0:52:32Erm...
0:52:35 > 0:52:39- Not doing as well as I think I have, maybe.- OK.
0:52:39 > 0:52:40Before he gets to Dotti,
0:52:40 > 0:52:42Rangan has some results for the rest of the family.
0:52:42 > 0:52:44I'm going to show you your 3D image
0:52:44 > 0:52:47- of where you all were just a few weeks ago.- OK.
0:52:47 > 0:52:50I look like I'm about 12 months pregnant there,
0:52:50 > 0:52:52back and front.
0:52:52 > 0:52:54OK, Russ. So your body fat...
0:52:55 > 0:52:58OK, was 41.1%.
0:52:58 > 0:53:01That's clearly in our red zone, way too high.
0:53:01 > 0:53:02Your new body fat...
0:53:03 > 0:53:06- That's gone right down.- 34.9%. BRANDON:- Well done, Russ.
0:53:06 > 0:53:08That's really good.
0:53:08 > 0:53:09- That's good.- That's really good.
0:53:09 > 0:53:12That's about 6%. A huge improvement.
0:53:12 > 0:53:14At the start of the process,
0:53:14 > 0:53:15Denny was distraught to learn that
0:53:15 > 0:53:20her metabolic age was nearly double her actual age of 17.
0:53:20 > 0:53:22So this is what your metabolic age was.
0:53:22 > 0:53:24- This is what you've come down to. - Yep.
0:53:24 > 0:53:26Ooh!
0:53:26 > 0:53:2726.
0:53:27 > 0:53:30- Your metabolic age has dropped seven years.- Yeah.
0:53:30 > 0:53:32That's amazing!
0:53:32 > 0:53:34That's really good.
0:53:34 > 0:53:38Your weight at the start of this was 11st 13lb.
0:53:39 > 0:53:41And this is where you've got to.
0:53:44 > 0:53:47- DENNY LAUGHS IN CELEBRATION - Boom!
0:53:47 > 0:53:50Well done, well done.
0:53:50 > 0:53:51Hey, you're down to 11st,
0:53:51 > 0:53:53so you've pretty much lost a stone.
0:53:54 > 0:53:56- How does that make you feel? - Brilliant, brilliant.
0:53:56 > 0:53:59- I'm pleased with that. - Yeah, you look pleased with that.
0:54:00 > 0:54:02OK, Brandon.
0:54:02 > 0:54:06- Your weight was 11st 7. - BRANDON:- Yeah.- OK?
0:54:06 > 0:54:07Your new weight...
0:54:09 > 0:54:10..10st 4lb.
0:54:10 > 0:54:14- Well, he's smashed it out the park. - Oh, my God! That's amazing.
0:54:14 > 0:54:18- Right. We've saved the best till last, Dotti.- Yeah, absolutely, yeah.
0:54:18 > 0:54:20- You excited?- I'm nervous, actually.
0:54:20 > 0:54:24- So, Dotti - aged 36. Your weight... - Ergh...
0:54:27 > 0:54:29- ..was 19st 10.- OK.
0:54:30 > 0:54:31Your new weight...
0:54:35 > 0:54:38..is 17st 8lb.
0:54:38 > 0:54:39Shut up!
0:54:39 > 0:54:41You've lost over 2st in just a few weeks.
0:54:41 > 0:54:43Oh, my God.
0:54:43 > 0:54:45- Back at 17.- I know.
0:54:45 > 0:54:47Do you know what? I haven't been like 17 for years.
0:54:47 > 0:54:49- Have you not?- No.- Well done.
0:54:49 > 0:54:52- SHE LAUGHS - That's amazing.
0:54:52 > 0:54:54- Chuffed with that. - Can't believe that.
0:54:54 > 0:54:55For the last five weeks,
0:54:55 > 0:54:59Dotti's been living with a diagnosis of type II diabetes,
0:54:59 > 0:55:01a lifestyle-induced disease
0:55:01 > 0:55:04which increases your chances of heart disease many times over.
0:55:05 > 0:55:07Now, I've looked at a particular measure,
0:55:07 > 0:55:10- which is your average blood sugar, for a few months.- Yeah.- OK?
0:55:10 > 0:55:13It's what we call your HbA1c.
0:55:13 > 0:55:14- So you were 56.- Yeah.
0:55:14 > 0:55:1648 or above...
0:55:16 > 0:55:18- Is diabetic.- ..is diabetic.- Yeah.
0:55:18 > 0:55:2142 and under...is normal.
0:55:21 > 0:55:23Your new blood sugar reading...
0:55:27 > 0:55:29- Oh, my God! - SHE LAUGHS
0:55:29 > 0:55:32- That's really good.- It's 40.
0:55:32 > 0:55:34Oh, my God, I'm so chuffed with that. I really am chuffed.
0:55:34 > 0:55:36- That's brilliant.- I'm chuffed.
0:55:36 > 0:55:40You have, effectively, reversed your type II diabetes...
0:55:40 > 0:55:42- I can't believe that. - ..in just a few weeks.
0:55:42 > 0:55:46That's amazing. Oh, my God, I can't believe it.
0:55:46 > 0:55:47Honestly, I can't believe it.
0:55:50 > 0:55:53Getting my results today was shocking, to be honest.
0:55:53 > 0:55:55I was amazed at how much I've achieved
0:55:55 > 0:55:58in such a short space of time.
0:55:58 > 0:56:00One thing I have learnt out of this process
0:56:00 > 0:56:03is that I'm stronger than I think I am.
0:56:03 > 0:56:05I used to think that I couldn't do anything,
0:56:05 > 0:56:07but now I know I can.
0:56:07 > 0:56:11Really, in a few weeks, my attitude to life has changed complete...
0:56:11 > 0:56:14I'm sort of going back to being a go-getter
0:56:14 > 0:56:16which is what I used to be.
0:56:16 > 0:56:17Thank you, mate. For everything.
0:56:17 > 0:56:19Yeah, my pleasure, mate, my pleasure.
0:56:19 > 0:56:21It's all to do with feeling better.
0:56:21 > 0:56:23Like, mentally, physically.
0:56:23 > 0:56:26Just having energy, just doing stuff - it's great.
0:56:26 > 0:56:28- Thank you ever so much.- Dotti.
0:56:28 > 0:56:30I just think back to where they were,
0:56:30 > 0:56:32just a few weeks ago, when I met them,
0:56:32 > 0:56:34and I see where they are now.
0:56:34 > 0:56:35It's like a different family.
0:56:35 > 0:56:37OK, guys, guess I'll see you when I see you.
0:56:37 > 0:56:40This has definitely been life-changing for me, definitely.
0:56:40 > 0:56:41Huddle in.
0:56:41 > 0:56:44- No, thank you for everything. - Yeah.- Hey, my pleasure.
0:56:44 > 0:56:46- Keep it up, all right?- Yeah, we will.- Thank you.- Definitely.
0:56:46 > 0:56:49Honestly, that was one of the most rewarding experiences
0:56:49 > 0:56:50I've ever had as a doctor.