24/10/2016

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:00:07. > :00:12.Hello from Southampton and welcome to Inside Out Here's what's coming

:00:13. > :00:16.up. In a special programme, where

:00:17. > :00:20.canting the real cost of di`betes. As things stand, we are certainly

:00:21. > :00:24.looking at the crisis in di`betes which is threatening to bankrupt the

:00:25. > :00:26.NHS. A health service is struggling and lives been changed for dver

:00:27. > :00:32.It's the biggest regret I'vd ever made in my entire life.

:00:33. > :00:35.It's a dreadful, nasty dise`se. But, first, we're going undercovdr to

:00:36. > :00:40.expose the illegal shellfish trade along the south coast. ?10 ` kilo?

:00:41. > :00:51.Wow. Would you eat shellfish from a Wow. Would you eat shellfish from a

:00:52. > :00:52.site that you knew was cont`minated? There must be thousands. Thhs is

:00:53. > :01:06.Inside Out South. Take a trip to the coast and you may

:01:07. > :01:10.well come across people gathering shellfish on the shoreline. An

:01:11. > :01:14.entirely innocent pastime, or perhaps something slightly lore

:01:15. > :01:21.sinister? Glen Campbell's bden too sure to investigate. -- to Shoreham.

:01:22. > :01:23.The Adur Estuary in Shoreham, Sussex.

:01:24. > :01:26.This is an SSSI site - a Site of Special Scientific

:01:27. > :01:29.Interest, and one of the Sotth East's natural coastal gems.

:01:30. > :01:39.And it's common, when the thde is out, to see groups of people

:01:40. > :01:42.all of whom appear to be of East Asian origin, out on the mud

:01:43. > :01:45.Recently I counted 28 out there one day.

:01:46. > :01:47.They range from children six and seven years

:01:48. > :01:52.old, up through women, teenage women, older.

:01:53. > :01:54.But because the Adur Estuarx is a SSSI site, cockle

:01:55. > :02:01.So Adur estuary is one of the most important sites on south co`st.

:02:02. > :02:08.The fact that got this spechal citation as a SSSI means re`lly one

:02:09. > :02:13.Cockles are a vital source of food for the birds, so picking them

:02:14. > :02:27.And there's another good re`son not to collect shell fish from here

:02:28. > :02:30.Eating cockles from the Rivdr Adur can make you very, very ill.

:02:31. > :02:32.We take regular samples of water from the River Adur.

:02:33. > :02:35.Sometimes we have found high levels of E Coli, which are indicators

:02:36. > :02:39.It certainly looks very picturesque down here on the Adur Estuary.

:02:40. > :02:42.So why is it dangerous to eat shell fish here?

:02:43. > :02:47.Well, case in point - look behind me.

:02:48. > :02:50.There are 30 or 40 river barges here and they pour out their raw

:02:51. > :02:53.sewage into this estuary morning, noon and night.

:02:54. > :02:56.That is all sucked up by the shell fish.

:02:57. > :03:06.Well, locals suspect they are picking these cockles

:03:07. > :03:09.for sale, they're in it for the money.

:03:10. > :03:13.You know, if you were just doing it for leisure purposes,

:03:14. > :03:16.just for yourself, and that probably come on sunny day and take half

:03:17. > :03:18.little bucket full or something you know amount they take it,

:03:19. > :03:24.I can't believe taking own use and that.

:03:25. > :03:26.Would you describe it as just opportunist, or is

:03:27. > :03:32.You have to be some opportunist to eat that much shellfish.

:03:33. > :03:36.Do you believe that they ard worth a lot money, and this is organised

:03:37. > :03:43.cockle harvesting for sale and entry into the food chahn?

:03:44. > :03:46.The evidence we've collected indicates that it's not just

:03:47. > :03:54.It looks like there's something else is going on which is

:03:55. > :04:09.And it if so, that is illeg`l commercial activity.

:04:10. > :04:10.And cockles, like all shell fish, quite frankly,

:04:11. > :04:15.So bearing all that in mind, we thought that it was time to wait

:04:16. > :04:17.and catch the cockle gangs in action.

:04:18. > :04:20.And you've seen them on this side of the river?

:04:21. > :04:22.I've seen them on both sides of the river.

:04:23. > :04:24.I've seen them on both sides at the same time.

:04:25. > :04:27.And you think we will be successful in the couple of days

:04:28. > :04:31.They must be taking a lot of cockles.

:04:32. > :04:44.Nice evening, isn't it? Cockles good for food. Do they tastd nice?

:04:45. > :04:49.Do you eat them? Another low water on the

:04:50. > :04:53.Adur Estuary and another At ?20 per kilo of cockles, that's

:04:54. > :05:01.about the size of a bag of sugar, there's a lot more money

:05:02. > :05:17.to be made here. How much are they to buy? Whth the

:05:18. > :05:22.shell don? One kilo with thd shells on, you only get half as much meat.

:05:23. > :05:29.So, really, it's ?20 per kilo without the shelves. -- without the

:05:30. > :05:31.shells. The gangs are well-organised,

:05:32. > :05:34.often with someone in chargd, We estimate this haul of cockles

:05:35. > :05:39.is worth about ?500. I would say it's a

:05:40. > :05:41.harvesting of the cockles. I mean, coming along with btckets

:05:42. > :05:45.full, trolleys full of shellfish, Putting them into the backs of vans

:05:46. > :05:52.and 4x4s, quite an organised outfit, Simon Cooper and his son, Olly,

:05:53. > :05:58.have watched the cockle gangs plunder the Adur Nature

:05:59. > :06:01.Reserve for months. When the authorities refused to act,

:06:02. > :06:06.Simon tried to step in himsdlf. I've called the police -

:06:07. > :06:08.they weren't interested. It got to the point where I'd seen

:06:09. > :06:12.it so many times that I thotght I'd confront them and see if

:06:13. > :06:16.I could do something about ht. They moved the whole

:06:17. > :06:26.operation to the other side of the river with the vehicles

:06:27. > :06:29.and just continued. And to my horror, they were ferrying

:06:30. > :06:35.people across the river. Spieth it is one of the fastest

:06:36. > :06:40.running rivers in the south coast. The low tide runs fast,

:06:41. > :06:44.putting younger people in d`nger when they are crossing the river

:06:45. > :06:46.to take the cockles away. As well as being an illegal

:06:47. > :06:49.activity, the authorities stspect some of the pickers are the victims

:06:50. > :06:53.of human trafficking - slavd labour You would have to say that the

:06:54. > :07:05.human story is the tragic one. Exploitation of people

:07:06. > :07:13.who are picking the cockles. We saw children,

:07:14. > :07:20.some younger than ten. The faces are concealed

:07:21. > :07:22.in case they are the victims Cockle picking is backbreakhng work,

:07:23. > :07:27.spending hours hunched down. At ?20 a kilo, there

:07:28. > :07:33.is big money to be made. As to th details of the supply

:07:34. > :07:50.chain, we don't know a great deal Well, a vast amount of incole

:07:51. > :07:56.from the London area, so God knows what they're doing

:07:57. > :07:58.with them in London. There were lots of shellfish stalls

:07:59. > :08:00.in London, maybe that's Oh, you come down from London?

:08:01. > :08:07.China Town? No, not China Town.

:08:08. > :08:09.I live in Lewisham. Then this cockle picking

:08:10. > :08:21.duo attracted attention because they came with their

:08:22. > :08:24.own shopping trolleys. One load, then a second,

:08:25. > :08:32.finally just before the tidd came But following them -

:08:33. > :08:45.well, that was to A third try -

:08:46. > :09:10.and we hit a red light. We got another clue when we spotted

:09:11. > :09:13.this on their windscreen. A London parking permit

:09:14. > :09:16.to a tower block in Deptford, home to one of the capital's

:09:17. > :09:19.largest fish markets. This is the car we followed

:09:20. > :09:21.from Shoreham full of cocklds, and the parking permit has taken us

:09:22. > :09:41.here to the aptly named Now we have to try and find out

:09:42. > :09:45.where the cockles are being sold. Deptford Market in Lewisham,

:09:46. > :09:47.a must for anyone after There's something for everyone

:09:48. > :09:56.here, including cockles. Fresh cockles stacked in a Chinese

:09:57. > :09:59.supermarket just a five-mintte walk from where our

:10:00. > :10:00.cockle car was parked. Not a trace of where they come from,

:10:01. > :10:09.unlike the mussles being If you want to be sure that you re

:10:10. > :10:15.buying cockles that are safd to eat, And when I leave the shop,

:10:16. > :10:20.who do I bump into a couple The man who drove the cockld

:10:21. > :10:25.car from Shoreham. We try as hard as we can to resolve

:10:26. > :10:30.it once the evidence is cle`r. And it's also clear that thd police

:10:31. > :10:33.interested in this as well. That should be a joint

:10:34. > :10:34.investigation. Shellfish should not

:10:35. > :10:46.be taken from here. It's illegal, and yet this small

:10:47. > :10:49.army of pickers from London helped themselves to this Sussex n`ture

:10:50. > :10:51.reserve, filling thier Are these really for person`l

:10:52. > :10:55.consumption, or are there shady money men behind the this whole

:10:56. > :11:14.opperation feeding London's Glen Campbell reporting. Don't

:11:15. > :11:24.forget if you want to get in touch with the show, you can drop me an

:11:25. > :11:29.e-mail. Next, nearly four and a half million people in the UK now have

:11:30. > :11:33.diabetes. Most have type two, which is linked to lifestyle and hs

:11:34. > :11:38.largely preventable. But it's costing the NHS ?10 billion a year,

:11:39. > :11:39.that's nearly 10% of its entire budget. And it's only going to get

:11:40. > :11:58.worse. Today I'd like to invite yot to a

:11:59. > :12:03.shoe shop with a difference. What we've got here is 140 shoes and they

:12:04. > :12:07.represent 140 amputations that take place in England every week you to

:12:08. > :12:08.complications associated with diabetes. People losing toes or

:12:09. > :12:26.lower limbs. That's quite shocking. We set up this shoe shops to show

:12:27. > :12:32.just how serious type two dhabetes can be. It's really sad. Has that

:12:33. > :12:46.shocked you? Quite a lot. Most diabetics have type two. When

:12:47. > :12:52.you come from and family history can increase your risk. But doctors say

:12:53. > :12:57.most of it is down to obesity. Now new date given exclusively to the

:12:58. > :12:58.BBC by Public Health England estimates they'll be an extra

:12:59. > :13:07.quarter of a million people with type two diabetes by 2035 if we

:13:08. > :13:11.continue to get fatter. It's not just amputations. Diabetics are at

:13:12. > :13:17.risk of kidney failure, blindness, even premature death. The NHS is

:13:18. > :13:23.spending ?10 billion a year on diabetic care. That's nearlx 10 of

:13:24. > :13:26.its entire budget. As things stand, we are certainly looking at the

:13:27. > :13:33.crisis in diabetes which is threatening to bankrupt the NHS if

:13:34. > :13:38.we continue with his current trends. One of these shoes belongs to

:13:39. > :13:41.Stephen Woodman. We caught tp with him as he arrived at the Roxal

:13:42. > :13:47.Shrewsbury Hospital for an appointment with his podiatrist

:13:48. > :13:51.How's things? Not too bad, not too bad. Like 90% of diabetics, Stephen

:13:52. > :13:56.has the type II version which is linked to lifestyle and is largely

:13:57. > :14:01.preventable. But diagnosed `s a young man, he ignored his GP's

:14:02. > :14:04.advice. I was in denial, I guess. I never took it that seriouslx and

:14:05. > :14:07.carried on leading the lifestyle carried on leading the lifestyle

:14:08. > :14:12.that I was. I was a long yotnger. This was over 25 years ago. I was

:14:13. > :14:19.outgoing to the pub and all the things that people of my agd did. Of

:14:20. > :14:23.course, now I differently. Not too bad when I was in hospital last

:14:24. > :14:28.week... Like many diabetics, Stephen developed an ulcer on his toe. Look

:14:29. > :14:32.away now if you're squeamish. The ulcer wouldn't heal and in the end

:14:33. > :14:39.he had to have his toe amputated. He's lost two more since thdn. My

:14:40. > :14:44.surgeon did so to me when hd was taking my third toe off, it's only a

:14:45. > :14:49.matter of time before you lose that one. He said it's inevitabld that

:14:50. > :14:53.will go the same way. I'd bdcome an old man very, very quickly. Inside,

:14:54. > :15:01.I don't feel old. I'll go on forever. I thought.

:15:02. > :15:06.Patients with type two diabdtes and just losing their toes. Somd have

:15:07. > :15:13.had to have a foot amputated, or even a lower leg. It's life changing

:15:14. > :15:16.and very expensive. At approximately ?20,000 for the first six months

:15:17. > :15:22.following a patient who reqtires an amputation.

:15:23. > :15:28.Thursby limb fitting, and even a basic prosthesis cost thous`nds of

:15:29. > :15:30.pounds. -- there is the limb fitting. All of those aspects mean

:15:31. > :15:38.that it's a very expensive process for the state.

:15:39. > :15:43.Nick is the health economist who worked out the current cost of

:15:44. > :15:49.diabetes care, that ?10 billion figure. Most of that is spent on

:15:50. > :15:56.complications. Foot ulcers amputations cost nearly ?1 billion a

:15:57. > :16:01.year. Kidney failure isn't far behind. Then there's sight loss and

:16:02. > :16:06.nerve damage. But the biggest cost of all is for heart attacks and

:16:07. > :16:10.strokes. With both obesity `nd type two diabetes affecting more and more

:16:11. > :16:20.of us, costs for diabetic c`re are expected to increase to ?70 billion

:16:21. > :16:26.by 2035. There is a fixed alount of money for the NHS. Clearly, diabetes

:16:27. > :16:31.is taking more considerable of that cost and there will be less money to

:16:32. > :16:34.spend on other disease areas, like cancer. It's really important that

:16:35. > :16:37.the policymakers and local commissioners of care think about

:16:38. > :16:41.the way in which those costs can be mitigated over the next few years

:16:42. > :16:47.because, clearly, there is going to be enough money to go around.

:16:48. > :16:51.I'm just taking all the measurements we need to do to make of thd

:16:52. > :16:53.footwear. Happy Royal Shrewsbury Hosphtal

:16:54. > :16:57.Stephen is getting his feet measured. -- back at the Roxal

:16:58. > :17:00.Shrewsbury Hospital. Losing three Shrewsbury Hospital. Losing three

:17:01. > :17:04.toes means he needs a shoe lade shoes and they don't come cheap Out

:17:05. > :17:08.of interest, how much will this cost? Because they will be custom

:17:09. > :17:14.made to fit your feet, they will cost approximately 400- ?500.

:17:15. > :17:18.Really? Where facing a diabetic epidemic and

:17:19. > :17:20.we really need to find ways of preventing those patients from

:17:21. > :17:31.reaching surgeons because the cost to the patient and to the NHS is

:17:32. > :17:34.skyrocketing. A new problem is expected to put

:17:35. > :17:43.even more financial pressurd on the NHS. 16-year-old are you ond of a

:17:44. > :17:50.small but growing number of children with type two diabetes. I ddvelop

:17:51. > :17:55.type two diabetes by having a sweet tooth, mostly. I used to trx out

:17:56. > :18:00.every new suite and I used to drink quite a lot of sugary drinks. When I

:18:01. > :18:04.was taken to the hospital, when the doctor told me I was diagnosed with

:18:05. > :18:11.type two diabetes, it hit md then because I started crying. It was

:18:12. > :18:15.shock. Aisha now has to Millot and medicine

:18:16. > :18:21.to control her condition. Btt she's managed to lose one stone in weight

:18:22. > :18:23.and those fizzy drinks are ` thing of the past. -- Aisha now h`s two

:18:24. > :18:28.rely on medicine. It's been tough at rely on medicine. It's been tough at

:18:29. > :18:32.times but you can only have health once, you can't buy your help. You

:18:33. > :18:37.have to keep changing your diet plan to whatever it is. And also keep fit

:18:38. > :18:42.and healthy. New research shows the numbdr of

:18:43. > :18:45.children like Aisha with type two diabetes has nearly doubled in the

:18:46. > :18:50.last ten years. And they're likely to develop complications much

:18:51. > :18:55.earlier. People who are getting Type II

:18:56. > :18:59.diabetes when their 15 or 16 are going to have significant problems,

:19:00. > :19:03.or are likely to have significant problems, maybe at the age of 3 or

:19:04. > :19:07.36. That's really much younger than you'd expect because these things

:19:08. > :19:12.like renal failure and heart attacks and strokes. It will have a huge

:19:13. > :19:14.impact for them. Ultimately, tackling the rise in

:19:15. > :19:18.type II diabetes will depend on type II diabetes will depend on

:19:19. > :19:23.reducing our waistlines. I believe where facing a crhsis In

:19:24. > :19:28.calling this a crisis, we rdally need concerted action right across

:19:29. > :19:34.society for us to fund more research to provide the best possibld care

:19:35. > :19:38.and crucially to prevent cases in the future.

:19:39. > :19:49.We need to stem the tide, otherwise we could see a crisis in issues of

:19:50. > :19:54.sustainability for the NHS hf we do nothing differently.

:19:55. > :19:59.Stephen's diabetes have stabilised. But it's too late to save hhs job.

:20:00. > :20:04.And daddy on his feet after losing his toes, he's been told by his

:20:05. > :20:08.employer he's no longer fit for work. -- he is unsteady on his feet

:20:09. > :20:11.after losing his toes. Given everything you've been throtgh, what

:20:12. > :20:16.would your advice be to othdr people who are being diagnosed now with

:20:17. > :20:20.type two diabetes? For God sake take it seriously. Don't make the

:20:21. > :20:24.mistake I did. It's the biggest regret I've made my entire life In

:20:25. > :20:35.a dreadful, nasty disease. Takes no prisoners. It's a terrible thing.

:20:36. > :20:39.Dominick reporting there. Don't forget where one Twitter. You can

:20:40. > :20:47.find out more details about the show online. The effects of diabdtes

:20:48. > :20:51.whether type one or type two, can be devastating. But early intervention

:20:52. > :20:56.can make a real difference. Our reporter has this.

:20:57. > :21:00.The damage done by diabetes has almost robbed Mark Bird of his

:21:01. > :21:06.eyesight. And when a tiny black mark appeared on his toe, he knew it

:21:07. > :21:11.could turn nasty fast. But Lark says his local A endorse Dorset didn't

:21:12. > :21:16.spot the danger. I was told to go away and make an appointment to see

:21:17. > :21:23.the diabetic foot clinic, which we did as soon as it was open. By that

:21:24. > :21:28.time, to be fair, it was probably already too late. It was already

:21:29. > :21:33.becoming a big problem. A problem with that, despitd a year

:21:34. > :21:37.on antibiotics, refused to go away. An arterial bypass to restore the

:21:38. > :21:45.blood flow failed. The only solution for Mark was to lose his leg.

:21:46. > :21:49.It got to the point where I wanted it because I'd been in hosphtal for

:21:50. > :21:57.so long having little bits of my toe and my foot cut about but the

:21:58. > :22:01.amputation was the most comfortable and quickest option to get le back

:22:02. > :22:05.out of the hospital and into normal life.

:22:06. > :22:08.The front line in the fight against amputations for diabetics is the GP

:22:09. > :22:12.surgery where every person with a condition should get an anntal foot

:22:13. > :22:18.check every cheque should end with you being told whether you `re low

:22:19. > :22:21.risk, increased risk or high risk. And that's vital because if you re

:22:22. > :22:24.in the latter two categories you should then be referred to `

:22:25. > :22:31.hospital-based podiatrist for regular checkups. But there is

:22:32. > :22:38.evidence that good practice isn t happening everywhere. Campahgning

:22:39. > :22:43.charity Diabetes UK says if it was, most anti--- most amputations could

:22:44. > :22:47.be avoided. We know that 20$ having had their feet checked at all and 1%

:22:48. > :22:51.haven't been asked to take their shoes and socks off, which hs a real

:22:52. > :22:55.concern. 32% have not been told your risk. If you don't understand your

:22:56. > :23:00.risk, you can't do anything about it. Gosport in Hampshire. Until

:23:01. > :23:02.recently, this area have thd unfortunate distinction of having

:23:03. > :23:04.the highest rate of amputathons in England. It's now the second

:23:05. > :23:15.highest. Retired headteacher Barry Slith is

:23:16. > :23:20.one of those Gosport statistics He stepped on a rose thorn in bare

:23:21. > :23:24.feet. Within weeks, he was hn agony with an ulcerated Whewell and less

:23:25. > :23:32.than three months later he lost his leg. -- ulcerated heel. Thex made

:23:33. > :23:37.every effort to treat it with antibiotics. I even had maggots put

:23:38. > :23:45.on at one stage to try and dat away the rotting flesh and things like

:23:46. > :23:48.that. The first week it was said to me, it looks like you're gohng to

:23:49. > :23:54.have to have your leg of. They let a young doctor with me. He re`d me

:23:55. > :24:00.quite well because he stayed with me and he said to me, Barry, you can

:24:01. > :24:05.either die with it on or yot can live with it off.

:24:06. > :24:10.So, how to prevent more casds like Barry's? The government wants major

:24:11. > :24:13.hospitals to set up specialhst clinics where patients can see

:24:14. > :24:18.surgeons, podiatrist and other experts for speedy treatment. Even

:24:19. > :24:23.within 24 hours, if they have a foot ulcer. Around one third of because

:24:24. > :24:28.Buttle is currently lack a tnit In Hampshire, campaigners went three

:24:29. > :24:31.years highlighting the issud. Clinics are now up and runnhng, but

:24:32. > :24:37.they say more still needs to be done. In Southampton, we've also

:24:38. > :24:42.been campaigning for a foot care team for a number of years. We have

:24:43. > :24:45.seen some improvement in th`t we now have one place. It operates twice a

:24:46. > :24:52.week at the moment a vascul`r surgeon, and it podiatrist. That's a

:24:53. > :24:57.good start but we do need to see improvement. But there are signs of

:24:58. > :25:01.big and positive change elsdwhere. In some of that, the worryingly high

:25:02. > :25:06.number of emergency amputathons prompted a complete revamp of

:25:07. > :25:13.services. Mark, you've come to the hospital clinic today. Mark Sweeting

:25:14. > :25:16.has come in for an ulcer on his toe. It just came. I don't know why.

:25:17. > :25:25.Through work? I work in heavy industry. Kneeling down all the

:25:26. > :25:33.time. I don't know. I left ht too long, which was a bad mistake. How

:25:34. > :25:35.long is too long? About two weeks too long.

:25:36. > :25:36.But no high risk patients lhke Mark Austin by specialists at regular

:25:37. > :25:43.clinics. Any of the patients that we clinics. Any of the patients that we

:25:44. > :25:49.were seeing for the first thme with an emergency admission with severe

:25:50. > :25:53.infections in their like. Unfortunately, for patients, that

:25:54. > :25:59.meant a decision of life or limb, as we would describe it. A dechsion

:26:00. > :26:05.that really we had to perform an amputation to save their life. I'm

:26:06. > :26:10.just checking the condition of the circulation, which is very good He

:26:11. > :26:14.is slightly more higher risk. Once that of those treated and hdaled he

:26:15. > :26:18.will be referred back to thd community. He may see me, for

:26:19. > :26:22.example. I have no mark for about a year now. We would see him dvery

:26:23. > :26:27.week 's -- see him every eight weeks. It's to time and effort to

:26:28. > :26:33.get this service going, but it's working. We know that the instance

:26:34. > :26:37.of applications has reduced to approximately one third of the

:26:38. > :26:41.figures six years ago. But the huge difference. In actual numbers that

:26:42. > :26:47.means we're performing here up to 20 or 30 less major limb amput`tions

:26:48. > :26:51.per year for patients in Solerset. Encouraging news in Somerset. But

:26:52. > :26:56.for those who do have an amputation, treatment doesn't always end of

:26:57. > :27:00.there. Back in neighbouring Dorset, Mark will need care for the rest of

:27:01. > :27:06.his life to prevent pain and, vitally, another ulcer. But he says

:27:07. > :27:11.his regular clinical checkups are often overbooked or cancelldd. I

:27:12. > :27:17.should be seen every four wdeks Quite often it's five, six weeks

:27:18. > :27:22.because the clinician is either only for its a bank holiday and they

:27:23. > :27:26.don't fill in the surgeries with another clinician or operatd an

:27:27. > :27:32.extra day because of the bank holiday. That could make a

:27:33. > :27:36.difference. In five weeks, xou could already have lost a leg bye then.

:27:37. > :27:38.Their system doesn't work for me and I presume a lot of other people

:27:39. > :27:45.Dorset health care University Trust Dorset health care University Trust

:27:46. > :27:50.said high risk patients werd seen when clinically appropriate, which

:27:51. > :27:54.usually meant every 4-6 weeks. As the fight against diabetes goes on,

:27:55. > :28:00.people like Mark are a reminder that without timely treatment and

:28:01. > :28:02.constant care, diabetics can be just one step away from life changing

:28:03. > :28:08.surgery. The only obvious solution surgery. The only obvious solution

:28:09. > :28:14.is to cut off the infected part of the leg.

:28:15. > :28:21.That's the remedy. That's the only remedy.

:28:22. > :28:24.For more information and advice For more information and advice

:28:25. > :28:31.about diabetes, have a look at the action line. That's it for now.

:28:32. > :28:32.There are plenty more storids from the South at the same time next

:28:33. > :29:10.week. Until then, bye-bye. Hello, I'm Riz Lateef

:29:11. > :29:12.with your 90 second update. The first of an estimated

:29:13. > :29:14.8,000 migrants have left the camp at Calais

:29:15. > :29:17.known as The Jungle. French authorities plan

:29:18. > :29:19.to bulldoze it. Migrants are being

:29:20. > :29:21.resettled around France. But 20 teenagers have arrived

:29:22. > :29:24.at a centre in Devon The Home Office has stopped

:29:25. > :29:32.any more coming for now. Chemotherapy for terminal

:29:33. > :29:34.cancer patients,