24/10/2016 Inside Out West

Tonight, a diabetes special.

Just out of interest, how much is a pair of

boots like that going to cost?

Approximate the ?4500.

Wow.

Really?

With amputation skyrocketing, will type two diabetes bankrupt the NHS?

The inspirational story of ` man fighting the illness and winning.

I wanted to die every day.

I didn't relish the day at `ll.

Now, I wake up every morning and I've got this

brand-new shiny thing in my hands.

A new day!

And we look back at Bristol's legendary Bamboo Club.

Yeah, I think it helped to break the barrier down between bl`ck and

white.

Around 4.5 million people in the UK now have diabetes.

And it's on the rise.

Most have type two, which is linked to lifestyld and is

largely preventable.

Yet diabetic care costs the NHS ?10 billion a

year.

Nearly one tenth of its entire budget.

New figures seen by the BBC show that that cost is likely to use

-- spiral.

So, the question is can the NHS survived diabetes?

You may find some of the pictures in BBC health

correspondence Dominic Hughds' report disturbing.

Today, I d like to invite you to a shoe-shop with a difference.

So what we ve got here are 040 shoes and they represent 140 amputations

that take place in England dvery week, due to diabetes.

Cor.

Quite shocking.

'S

'S a

'S a lot

'S a lot of

'S a lot of limbs

being

being lost.

We set up this shoe shop, to show just how serious

Type 2 diabetes can be.

It s really sad.

Has that shocked you?

Yeah.

Quite a lot.

Most diabetics have Type 2.

Where you come from and your family history can increase your rhsk.

But doctors say most of it is down to obesity.

Now, new data given exclusively to the BBC by Public Health England

estimates there will be an dxtra 250,000 people with Type

2 diabetes by 2035, if we continue to get fatter.

It s not just amputations.

Diabetics are at greater risk of kidney failure,

blindness and even prematurd death.

The NHS is spending ?10 billion a year on diabetic care.

That is 10% of its entire btdget.

As things stand, we are certainly looking at a crisis in diabdtes

which threatens to bankrupt the NHS, if we continue

with these current trends.

One of our shoes belongs to Steven Woodman.

We caught up with him as he arrived at the Royal Shrewsbury Hospital for

an appointment with his podhatrist.

How's things?

Not too bad.

Like 90% of diabetics, Steven has the Type 2 version,

which is linked to lifestyld and, so, largely preventable.

But diagnosed as a young man, he ignored his GP s advice.

I was in denial.

my lifestyle as I was.

I carried on eating,

going to pub, doing things people of my age did.

Of course now, I know different

Like many diabetics, Steven developed an ulcer on his toe.

Look away now if you are sqteamish.

The ulcer would not heal and, in the end, he had

to have his toe amputated.

He has lost two more since then

My surgeon did say to me, when he was taking my third toe off,

"It s only a matter of time before you lose that one

"It s inevitable that will go the same way.

I ve become an old man very, very quickly and,

inside, I don t feel old.

I ll go on forever.

I thought.

Patients with Type 2 diabetds are not just losing their toes.

Some have had to have a foot amputated or even a lower ldg.

It is life changing and very expensive.

It is approximately ?20,000 for first six months,

following amputation.

There s the limb fitting and even a basic prosthesis costs

thousands of pounds.

All of those aspects mean it is a very expensive

process for the state.

Nick Hex is the health economist who worked out the current

cost of diabetes care - that ?10 billion figure.

Most of that is spent on complications.

Cheers, thanks a lot.

Foot ulcers and amputations cost nearly ?1 billion a year.

Kidney failure is not far bdhind.

Then, there is sight loss nerve damage.

But the biggest cost of all is for heart attacks and strokes.

With both obesity and Type 2 diabetes affecting

more and more of us, costs for diabetic care are expected

to increase to ?17 billion by 2 35.

There is a fixed amount of money for the NHS,

so clearly, if one disease `rea like diabetes, is taking up more

considerable amount of that cost, then there is less money to spend

on other diseases, like cancer, so it is really important

that policy makers think

about the ways costs can be mitigated over next few years,

because there will not be enough to go round.

Just taking all measures.

To make up the footwear.

Back at the Royal Shrewsbury Hospital,

Steven is getting his feet leasured.

Losing three toes means he has to have specially-made shoes.

They do not come cheap.

Just out of interest, how much do they cost?

Because they will be custom made, they will be ?400-?500.

Wow, really?

We are facing a diabetic ephdemic and need to find ways of prdventing

those patients from reaching surgeons, because the cost

to the patient and the NHS is skyrocketing.

A new problem is expected to put even more financial

pressure on the NHS.

16-year-old Aisha is one of a small, but growing, number of children

with Type 2 diabetes.

I developed T2D by having a sweet tooth mostly.

I used to try out every new sweet in the store.

I used to drink quite a lot of sugary drinks.

When I was taken to the hospital, it hit me then, because I started

crying and it was shock.

Aisha now has to rely on medicine to control her condition.

But she s managed to lose a stone in weight and those fizzy drinks

are a thing of the past.

It s been really hard at tiles, but you can only have health once

and you can t buy your health.

You have to keep changing your diet plan, to keep fit and healthy.

New research shows the numbdr of children like Aisha with Type 2

diabetes has nearly doubled in the last ten years.

And they are likely to develop complications much earlier.

People who are getting T2D when they re 15 or 16 are lhkely

to have significant problems maybe at the age of 35, 36

and that s really much younger than you d expect.

These are things like renal failure and heart attacks and strokds

and it is going to have a htge impact for them.

Ultimately, tackling the rise in Type 2 diabetes will depdnd

on reducing our waistlines.

I believe we re facing a crhsis and we really need concerted action

right across society, for us to fund more research,

to provide best possible care, treatment and, crucially,

prevent so many cases

of Type 2 in future.

We need to stem the tide, otherwise we could see crishs

and there are issues of sustainability for the NHS

if we do nothing differentlx.

Steven s diabetes has stabilised, but it is too late to save his job.

The toe amputations have left him unsteady on his feet and he has been

told by his employer that hd is no longer fit for work.

Given everything you have been through, Steve,

what would your advice be to people being diagnosed now with T2D?

For God s sake, take it serhously.

Don t make the mistake I did.

It s the biggest regret I vd ever made in my entire life.

It s a dreadful nasty disease.

It takes no prisoners.

It s a terrible thing.

Pretty shocking, isn't it?

But the good news is that with the right treatment,

Type two diabetes can be forced into remission.

In our next film, we meet a man who didn't

bury his head in the sand like Stephen, but instead ddcided to

tackle his diabetes.

Now, he wants to help others do the same.

My name's David McAuslan, I am 65 years old.

And until very recently, I was very badly diabetic.

I was on my way to losing mx feet, I was on my way to going blhnd.

My kidneys could have given up.

I was in a lot of trouble.

If I hadn't done what I've done now, I don't

think my life would have been very happy.

This a great record.

It reminds me of the early days

It's probably worth quite a lot of money

now.

I was young once and we livdd in London and I partook in the

swinging '60s very readily and I enjoyed it very much.

As I got older, I wasn't aw`re of the damage

that not exercising enough `nd not eating properly could do and I got

diabetes.

And I had it for quite a long time.

And I was suffering from it quite badly.

And I wonder what is there to stop other people suffering

from diabetes as well?

I'm going to meet a group of people who have

recently been diagnosed with type two diabetes and I ready fedl quite

strongly that it is important that they hear from someone who knows

what has happened and what to do with it.

And I want to show them that there is life with and after

diabetes.

I'm David, I'm 65.

I have had diabetes for a very long time

and I've suffered some of the consequences of it.

There were a couple of sillx things and it may

sound silly, but it meant a lot to me.

I was on holiday in Falmouth and I had a bath.

And it was a regular bath.

Quite a big size, but you know, a regular bath.

And I found I couldn't get out of it.

I really couldn't.

I couldn't lift myself out.

I was too fat.

And I should mention I was obese.

Very large.

I didn't have the strength to lift myself out.

I thought, this is not right.

I can't...

Everybody else uses this bath and if it was

that bad, they would have changed for another one.

I knew I had diabetes.

My doctor had told me.

My blood sugars and my blood pressure

and all my other measurements were through the roof.

Coupled with the diabetes, I also had very bad

depression.

In fact, my doctor said it was one of the worst cases he'd

seen.

I'd taken countless different forms of antidepressants.

I'd been through many forms of therapy.

And nothing really made any difference.

I decided on September the 07th last year that I had to do something

about it.

Just off the top of my head, there would have two be thrde

ways.

One was that I was, though I wouldn't have admitted it at the

time, I was an alcoholic.

I drank too much.

Now, drinking.

I don't need to explain to you really what's

bad with drinking, but it makes your brain fuzzy.

So, you can't make decisions.

It certainly doesn't help depression.

And there are a lot of calories in alcohol.

So, I stopped drinking on Sdptember the 18th and I

haven't touched a drop sincd.

Now, when I was eating a lot, I didn't count

the calories.

But it must have been huge.

So, I just eat carefully.

I never used the word diet because that sounds like a punishment.

This is the other thing I do to affect my recovery.

I come here.

It used to be seven days a week

I've now got the luxury of reducing its to five days a

week, where I work out for about an hour, an hour

and a half every day.

One of my mottos is always, "The more you do,

the more you can do."

I have lost eight stone in dight months and I'm saying that not in a

boastful way...

All right, it is boastful, xes, but more as what can be dond.

What I done, actually is I have put the blinkers on,

closed my eyes a bit

and just done it.

Talking about my diabetes has taught me so many

things.

There is so much help out there but apparently there are so

many people who don't take `dvantage of them which is a real shale

because it can do a lot of good for you.

And what about the million or more people in the UK who

don't even know they have the disease?

The charity Diabetes UK are trying to help them.

So, Josh, what's is all abott today?

What's happening here?

So, what we're doing here today if we are

here for the public to come and find out their risk of type two diabetes.

Are you all right there, ma'am?

Would you like to find out xour risk of type two diabetes?

Yes.

Type two is preventable.

You can go up to ten years without being diagnosed, so

it's very important to be aware of what the risk factors ard.

I've shrunk, apparently.

Yeah, no, everybody drinks with age.

So, a lot of people blame the symptoms on like

being thirsty, going to the toilet, feeling tired or getting thhnner or

things like age.

Maybe a hot summer.

Now I'm going to work out your body mass index.

20 to 25 is the healthy range, so that's where you want to sit

So yours is just up there.

So, you need to try and bring that down.

It's not too bad.

But this just about making changes to make

sure you can drop back in.

Does that approach work?

Yes, people are surprised when they are aware they

sit.

And find out the risk factors that they wouldn't normally be

aware of.

If you come out of a moderate or high risk, then you will be referred

to a GP with a GP letter.

They will call you in and do the correct

diagnostic.

As I say, it is important because you can go up to

ten years without being diagnosed.

Having had diabetes myself, I know the problems for some of thd things

I've found very difficult is actually finding out enotgh

information about it.

So, what you're doing is I think so essential

and if what you are doing c`n be spread to more people, even to GPs

to learn more about it, I think it would be very relevant very

important.

I couldn't resist jumping on this bike because a year ago I

certainly couldn't have got on a bike.

Now, I find it hard to get off.

You tend to value what you're eating.

Back to my talk to the diabdtes group in Bristol.

So, I ended up telling them about the more

bizarre aspects of my recovdry.

Like adjusting to my body.

My armpits are cavernous now.

I can lose soap up there soletimes.

Before, it just came out.

There was no hole there.

You want to hear what it was like for the average person.

Well, I'm telling you.

Another thing that surprises me, my skull is bony.

I got bones up here.

My skull is made of bones, not of fat.

It used to be squidgy.

I could go like that and it would wobble a bit.

All I'm saying really in all this is that there is hope.

If you have got diabetes, it is not the end of the world.

You can do it.

That's what I'm doing.

I wanted to die every day.

I didn't relish the day at `ll.

Now, I wake up every morning and I've got this brand-new

shiny thing in my hands full stop a new day that I can do what I want

with.

But I can come and talk to xou lot.

Thanks very much for listening to me.

The real positive thing is that people clapped for you becatse

you've done something quite remarkable.

Inspirational as well.

I look forward to doing it.

I think I will be fine.

I will be able to manage it.

There is light at the end of the tunnel.

I'm really pleased that I connected with them.

It was something that I was going to be able to do.

The fact that I've apparently seem to have the strength

to turn around my illness ghves me strength to feel that I can achieve

anything perhaps I want to `chieve.

It's absolutely stunning.

It's absolutely lovely up here and I certainly

wouldn't have been able to walk up here and

enjoy it.

It's hard to imagine looking at this building today, but this was

the location of the legendary Bamboo Club.

It attracted some of the

biggest names in reggae and offered the Caribbean

community in Bristol a

place they could truly feel at home.

Well, Bristol was a very conservative type of city.

I don't mean that politically, either.

And there was not a lot going on.

There was not a lot of clubs in Bristol.

It was very difficult to usd something to entertain people.

And it was even more difficult if you

were young and black in the city in the '60s.

Roy Hackett, one of the

most important figures in Bristol's West Indian history said...

The treatment wasn't nice because you walk in their and no on

the talk to you, they would look at you strange.

So coming you and comforted.

So, you didn't bother to go.

They got very bad service.

The change was almost chucked on the counter.

No one would look at you.

They were just had put it down and walk away like you're not there.

Basically, you would go homd at the end of the evening a bit

stressed out saying, Why are people being so

nasty to us?

The west Indian community needed a place they could

call their own.

And that place was the Bamboo Club.

MUSIC PLAYS

Before he became known for his exploits as a

yachtsman, local entreprenetr Tony Bullimore and his

Jamaican wife Lilel

created the Bamboo Club.

Which quickly established itself on the Bristol entertainment scene,

attracting people of all races.

The club is actually a west Indian club,

but it's not solely for west Indians.

The club itself is for anybody who wants to use it.

We've got people from all over the world

signing on as members although it is majoring

in west Indian people.

Tony and Lilel have been together for more

than 50 years.

But it wasn't easy.

What was the mixed relationship like at that period of time?

Awful.

Terrible.

Very bad.

I would have people turn round to me and say, oh,

and you've got a housekeeper.

I would say, no it's my wifd.

It was terrible.

You wonder if they were hum`n beings, you know, to do things

like that.

Say things like that.

Because they didn't know us.

We were just a couple.

For years it went on like that.

We were very happy together.

Extremely happy, we loved each other.

We were happy.

It is a bit late now to actually say...

Don't worry about it.

A bit late now.

That's life.

Before the club opened in 1966 the community got

together at unlicensed blues parties.

But Tony's plan was to create a space which would attract

the biggest reggae and blue beat acts of the time.

Tony Bullimore had an amazing dream of bringing people

who only had other people's houses to congregate at as the bluds dance,

you know, and all that.

He made it kind of clubland and he would bring

groups that were touring the UK from Jamaica,

Bob Marley, Pat Kelly, Derek Morgan, Kevin Booth.

The list of world-renowned lusicians who

played at the Bamboo goes on and on.

Benny King played their at the height of his fame.

As did Desmond Dekker, a familiar face to two

Jamaican sisters who had made Bristol their home.

We went to school with them and we lived in the

same district.

And as a child, you could see he was heading for

stardom.

He was always singing.

A nice little boy, just like us, nicest girls.

And he would come around to us and to my brothers and him.

They would socialise.

Go to the bush to take mangoes and coconuts

and fruits and all that.

Just amazing.

And he became, what?

International.

MUSIC PLAYS

Then he comes to the Bamboo Club to play.

What was that like?

When he came to the club, it was as if you could see everyond was

there that we knew from homd.

Everybody had come out to sde him and to greet him.

And be happy.

You know, he was one of us.

He was a big star at the tile.

Because he had been on television.

When we arrived there were posters around.

You know, back in the 80s.

And then when the club is open everybody came in and when H

talk about pack, it was packed.

Water was just dripping off you

Then when we started to play, that was another

story.

It's like they were on stagd and you are in the audience.

You know, that's how enjoyable it was.

The club was on two floors.

There was a downstairs bar and there was the upstairs where

the stage was.

And when the upstairs becamd too full for the clientel,

people could watch the show downstairs on a TV screen.

This was unheard-of in the 60s.

The Bamboo Club was more than just amazing

venue, in fact it was a foc`l point for the west Indian community.

50 years on since it first opened, well, it's legacy can be sthll seen

all over the city.

Several organisations grew out of the Bamboo Club.

Football and dominoes teams, the St Paul's Carnival.

And this place.

The Bristol West Indian Cricket club.

The meetings were all held at the Bamboo club.

It was the focal point for the club.

And we were as a club supported well by the

Bamboo Club.

And Tony Bullimore had the vision to say, yes, this is

going to grow and develop.

At that time there wasn't an awful lot for

the black community in the `rea

And the Bamboo Club was the catalyst for

most things then.

But tragedy struck in 1977, a week before the sex

Pistols were due to play thdre.

For no apparent reason, up in flames.

I was in bed.

It was late.

I'd finished working and I went home.

And then I got a phone call to say that there was a problem at the

Bamboo Club and I rushed back down.

The fire brigade were on strike and it was the reserve that came.

They struggled to get it under control.

I just stood there and watched it just go up.

Just watched it burn.

It was terrible.

Terrible.

It was a sad time.

Very upsetting.

Couldn't understand it.

Up till today, I can't understand it.

Not knowing what had happendd.

It was sad because it meant that the west Indian communhty

at large had been robbed of their community centre.

I know certainly for the elders it is always a

reference point and the

transference of that down to young people,

not necessarily sure that's there.

Would they benefit having something like that?

Absolutely, yes.

If it became a focal point to the black community, think then yes.

I think that the club did play a major part

in helping to even out racism and make Bristol

a much better place for

everybody to live in.

Yes, I think it helped to break the barrier down

between black and white.

A lot of people genuine have said to be after

last week open another club, Tony.

We need another club.

And I thought very, very much about actually doing

it.

Maybe I'm getting little bit old now.

That chapter of our lives is closed.

Completely closed.

No more Bamboo Club.

We will live with the memorx, the lovely memory.

It was a hard work.

It was very, very, very hard work.

You can hear more about the Bamboo Club all this week on BBC r`dio

Bristol.

And also on our Facebook page.

But that's it from us tonight.

We're back with you next wedk.

Thanks for watching.

Good night.

Coming up on next week's programme.

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Can we really take the risk when we could have

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