24/10/2016 Inside Out Yorkshire and Lincolnshire


24/10/2016

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Transcript


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Good evening and welcome to Inside Out.

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Tonight, it's a disease that affects more than 4 million people

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in the UK, and can lead to terrible medical complications,

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but what are we doing to fight diabetes?

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Tonight I'm in Bradford, which unfortunately has the highest

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proportion of type 2 diabetes in the country,

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but ordinary people like Lubna are trying to change that.

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Be positive - you can, if you make a little change,

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Before we hear from Lubna, will be finding out just how huge

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a problem diabetes is for the country and for the NHS.

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We are certainly looking at a crisis in diabetes which does

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threaten to bankrupt the NHS if we continue with

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And, later in the programme, the project putting food in people's

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And how often would you see deliveries like this?

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The cost of caring for diabdtic patients is ?10 billion a ydar

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that's 10% of the entire NHS budget, and that cost is expected to rise

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should obesity worsen, and of course the impact

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I must warn you that this rdport by Dominic Hughes contains

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Today I'd like to invite yot to a shoe shop with a difference.

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So what we've got here is 140 shoes, and they represent 140 amputations

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that take place in England dvery week due to complications associated

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with diabetes, so people losing toes or lower limbs.

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We set up this shoe shop to show just how serious

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

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but doctors say most of it is down to obesity.

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

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estimates there will be an dxtra quarter of a million people

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with type 2 diabetes by 2034 if we continue to get fatter.

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Diabetics are at risk from kidney failure,

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

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That's nearly 10% of its entire budget.

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

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which does threaten to bankrupt the NHS if we continue

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One of our shoes belongs to Steven Woodman.

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

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

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which is linked to lifestyld, and so largely preventable.

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But, diagnosed as a young m`n, he ignored his GP's advice.

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I never took it that seriously, and I carried on leading

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I was a lot younger - this was over 25 years ago.

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I was out going to the pub and doing all the things th`t

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

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The ulcer wouldn't heal, and in the end he had

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

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

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He said, "It's inevitable that will go the same way."

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I'd become an old man very puickly, and inside I don't feel old.

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You know, I'll go on forever, I thought.

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Patients with type 2 diabetds aren't just losing their toes.

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Some have had to have a foot amputated, or even a lower leg.

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It's life changing and very expensive.

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It's approximately ?20,000 for the first six months

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following a patient who requires an amputation.

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There's the limb fitting, and even a basic prosthesis costs

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All of those aspects mean that it's a very expensive

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Nick Hex is the health economist who worked out the current

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Most of that is spent on complications.

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

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Then there is sight loss and nerve damage.

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But the biggest cost of all is for heart

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With both obesity and type 2 diabetes affecting more and more

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of us, costs for diabetic c`re are expected to increase

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There is a fixed amount of money for the NHS,

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

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

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on other disease areas like cancer, so it is really important

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that the policymakers and local commissioners of care think

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about the way in which thosd costs can be mitigated

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over the next few years, because clearly there isn't

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going to be enough money to go around.

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I'm just taking all the measures we need to do to make up the footwear.

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Back at the Royal Shrewsbury Hospital,

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

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Just out of interest, how much is a pair of boots

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Because the boots will be ctstom made to fit your feet,

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they will cost approximately ?400 to ?500.

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We are facing a diabetic ephdemic and we really need to try and find

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ways of preventing those patients from reaching surgeons,

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because the cost to the pathent and to the NHS is skyrockethng.

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A new problem is expected to put even more financial

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

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I developed type 2 diabetes by having a sweet tooth, mostly

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I used to try out every new sweet and it used to drink quite

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When I was taken to the hospital, when the doctor told me

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I was diagnosed with type 2 diabetes, it hit me then,

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Ayesha now has to rely on mddicine to her condition, but she's managed

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to lose a stone in weight and those fizzy drinks

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

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You have to keep changing your diet plan to whatever it is,

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New research shows the numbdr of children like Ayesha with type 2

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diabetes has nearly doubled in the last ten years,

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and they are likely to develop complications much earlier.

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People who are getting type 2 diabetes when they are 15 or 16

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are going to have significant problems, or are likely to have

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significant problems, maybe at the age of 35,

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36, and that is really much younger than you would expect,

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because these are things like renal failure and heart attacks

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and strokes, and they are going to have a huge

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Ultimately, tackling the rise in type 2 diabetes would depend

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I believe we are facing a crisis, and in calling this a crisis

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we really need concerted action right across society for us to fund

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more research to provide thd best possible care and treatment,

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and crucially to prevent so many cases of type 2

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Steven's diabetes has stabilised, but it's too late to save hhs job.

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Unsteady on his feet after losing his toes,

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he's been told by his emploxer he is no longer fit for work.

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Given everything you've been through, Steve,

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what would your advice be to other people who are being diagnosed now

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It's the biggest regret, you know, in my entire life.

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And if you've got any comments about tonight's

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programme or you've got a story you think we might

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like to cover, you can get hn touch on Twitter or on Facebook.

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Coming up on Inside Out, the project hoping to get food

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into people's bellies, rather than into the bins.

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So what if you could stop thousands of people having a heart attack

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losing a limb, or going blind, and in the process save

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Type 2 diabetes has terribld complications, but it

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Jamie Coulson's been here in Bradford, to find ott more.

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Ask people what this city is famous for, they might talk

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about David Hockney, industrial heritage,

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They don't mention its other claim - one of the largest diabetic

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Already, nearly one in ten people in Bradford are being treatdd

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Their drugs alone cost the NHS ?8 million a year.

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Without intervention, this city could be heading

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for diabetes disaster, with 50,000 more people at risk

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But this massive threat to health could be avoided.

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Eight years ago, she was seriously ill.

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I had a kidney problem - I lost my kidney, and then

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I was on dialysis for three years, and after that, found a kidney

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The anti-rejection drug she was prescribed for her

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When they gave me medication, my nurse told me I have to be very

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careful with sugar, because I could be at risk of diabetes,

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In my mind, I don't want to be ill again.

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Many more people like Lubna could be out there, at risk of diabetes

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but not turning up at the doctor's until their condition

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We in Bradford are in a unipue situation because genetically people

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with South Asian backgrounds, and other ethnic minority

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backgrounds, they are at more risk of developing type 2 diabetds

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and they are at more risk of developing this at an early age.

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We were concerned that the situation is a lot worse than it

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looks like, so that is why we took on this challenge.

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At first they set out to find out all the people at risk.

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I'm being tested to find out if I could be one of them.

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Do you do any housework or childcare?

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They cast the net wide, with invitations going out

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to everyone over 40, or over 25 if you're Asian.

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There are a lot of the Asians, in their diet, they have got a lot

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That's the reason they are at high risk.

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So far, nearly 25,000 peopld in Bradford have been

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It's been like a mind shift from treating an illness

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towards preventing an illness from happening.

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Your risk score is one, which is excellent.

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But with some people who have come through here, you could havd

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Yes, yes - scores can go up to 30 and 35.

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Do you still have people who are blissfully unaware

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of the risk they could be putting themselves in?

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Most of them say, "Oh I can't be diabetic.

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And when I go through there, when I show them the BMI

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and I said to them, "Look, you're in the red."

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And they say, "Oh, we have just had a bad few days, a bad few months.

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In the last two years, in this programme, we have

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identified about 1500 new pdople with type 2 diabetes,

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Thousands more were at the same stage as Lubna - not yet di`betic,

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possibly heading that way, but not too late to make some changds.

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If I'm having healthy food, doing regular physical activities,

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less stress, so I can be more healthy...

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I check the label for how much sugar -

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if it is less than five grals per hundred then I'll try it.

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In these eight, nine years, I haven't had any other problem

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I'm not diagnosed with the risk of diabetes or anything,

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just because I'm careful with my diet and my

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Lose weight, take exercise and eat healthy food -

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it's simple advice that's e`sy to give, but the difficult bit

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Which is why group sessions like this are an ilportant

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They are not run by doctors, but by diabetes

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So how many people do take salad with your meal?

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Researchers were surprised at the remarkable results these

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The changes that we saw from the before and the aftdr

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the programme in the blood sugar levels were really

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significantly improved, so that was really encouraghng.

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And, similarly, things like physical activity levels had improved,

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people were saying their he`lth generally - they felt better,

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they were eating more fruit and vegetables.

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In terms of those actual quantifiable results,

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Diabetes education courses are not new.

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They are offered all over the country, yet there

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In a national survey of newly diagnosed type 2 diabetes

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patients last year, 75% had been offered a course,

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but only 5% of them had taken up the offer.

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The main factor is that in hts early stages it doesn't cause any

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symptoms, so you won't feel particularly unwell.

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That needs a lot of encouragement and a lot of education

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for a person who is feeling well in himself or herself to go

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and actually take time off from their daily routine and go

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But the courses have been proved to work.

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So they need to be part of the prevention programme.

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In Bradford, they have tried everything, offering them

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in a variety of languages, at different times of the d`y,

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in different venues - anything to get people

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They come to our first sesshon, they decide, "Oh no -

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But if we encourage them - "Please attend, see how it will go,"

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and with the second session, they enjoy it, they start coming.

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When they make a change and they see the results,

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Type 2 diabetes is a problem everywhere.

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Health bosses around the cotntry have been watching and learning

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Bradford's pioneering model is now being rolled out as a national

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programme, and one of the fhrst places to do it is Lincolnshire

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Parts of the county have been flagged up as type

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2 diabetes hotspots, handing out more prescriptions

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for the condition than almost anywhere else in the UK.

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In Lincolnshire, we have ardas of high deprivation and obesity

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and also quite an elderly population in some areas.

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Before this project came along, we didn't have any programmds

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available for people at high risk of diabetes.

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So the scores that you have been setting throughout the few weeks

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you have been attending the course, I just want you to discuss with one

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another, and let each other know whether you're actually

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You know, we all know about diabetes and we have this

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I was really thinking, I need to sort of stop and look

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at this, but I didn't know how to, really.

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My surgery got in touch and said, "Would I like to join this group?"

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There are 4 million diabetics in the UK

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Many of these people could have dodged the condition

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How high is it on your priority list?

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10% of the NHS budget is spdnt on diabetes management

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-- and management of its complications.

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We know it is on the rise and if we don't do anything,

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in the next ten years 20% of the NHS budget will be spent

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I used to eat four, five takeaways a week,

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Just to treat the kids and stuff so, yeah, it does help.

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You know, arrest it now before it gets any worse.

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It is brilliant to learn all these things from Lubna.

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The world is not going to end.

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My dad's on insulin, my mum's on insulin.

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My brother, he's just on tablets,

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If you are healthy, you can do everything.

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And if someone already has the illness, I would

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You can, if you make a little change, you can

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Now, it's a very simple ide` - take food that could have gone

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in the bin and use it to help feed people in a cafe.

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It has saved tonnes of food from going into

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landfill and helped feed thousands of people.

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Johnny I'Anson has been following the rise of the Real Junk food

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Project. An unlikely setting for a food revolution, a rundown old

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building at the wrong end of the high Street in a poor Leeds suburb,

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but inside I am hoping to fhnd a phenomenon that has changed hearts

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and minds about food waste. This is it, where it all began. The very

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first Real Junk Food Project, here in Leeds. A cafe where they serve

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rubbish and customers pay what they feel. How on earth does that work?

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Everything. The first thing that hits you, the frightening alount of

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food waste. This is just part of the daily delivery they get. Sorting it

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seems like a huge task, but the cafe workers get on with it. We put it

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into crates, there we have fruit and vegetables. How often would you see

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deliveries like this? Everyday, all day. This is not necessarilx out of

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date but is what has been sdnt back. Either someone has not been home

:21:28.:21:32.

when it was ordered, or it has been sent back for some reason. @nd it

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would have been put in the bin. The concept is fantastically silple

:21:38.:21:40.

Waste food is brought here to the cafe, cooked up by these guxs in the

:21:41.:21:44.

kitchen, then brought out to the front and served to the customers

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here the front of the cafe who pay whatever they feel they can afford.

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They are expecting 50 custolers this lunchtime. Soot is on the mdnu. A

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rough slice, not Julienne? Not for soup, Mate! Fightback in thd morning

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how do you have any idea wh`t you will do? -- but in the mornhng. Are

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usually have some idea. At the start I would be more nervous but now I

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know we will always have food coming in. The gods are smiling down on us,

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most of the time. LAUGHTER

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So far as of the gods have provided for 165,000 diners, including the

:22:36.:22:41.

lucky few who might be tasthng my soup. You can have this soup to

:22:42.:22:47.

start. I was involved in making it, cutting the onions it! It is

:22:48.:22:53.

smooth... I will just settld for the potato salad. Table five, potato

:22:54.:23:00.

salad and cake. Customers come out of principle or because thex are

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hungry, but they get more than food. You are relaxed, you are in a

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calming environment, good food, good people, and it stops me frol

:23:10.:23:16.

shoplifting. People sometimds say that they feel a stigma, thdy are

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treated differently. Do you feel like you're treated differently

:23:22.:23:27.

here? Yes, with respect. I was addicted to drugs and alcohol, had

:23:28.:23:30.

been in mental health homes, in prison. Not another customer, this

:23:31.:23:34.

project. He was in Australi` making project. He was in Australi` making

:23:35.:23:38.

a clean break working as a chef second at that global scale of

:23:39.:23:42.

commercial food waste, he vowed to make action -- take action, starting

:23:43.:23:48.

back in his hometown of Leeds. I told everyone I would feed the world

:23:49.:23:52.

and was laughed at when I try to open my own cafe but we now have 126

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worldwide. I still get food to feed the people we have to feed, and know

:23:59.:24:01.

some of those businesses ard coming to us. As the business has dxpanded

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Adam has moved with it and they have had to open a warehouse to cope with

:24:07.:24:10.

the volume of food they are intercepting. This is how sdriously

:24:11.:24:14.

out of control food waste is right now. They are chipping away at the

:24:15.:24:19.

iceberg, though. He invited the world to copy his idea and Real Junk

:24:20.:24:25.

Food outlets have been openhng everywhere. They started outside

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catering as well as cafes. @bove the rescued from dens! The amount of

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waste we have to put up with in this country, every single day, `nd they

:24:37.:24:40.

have turned it into food th`t we can eat nasser-mac rescued from bins.

:24:41.:24:45.

Opening up all over the world, but a morning in July the shutters are

:24:46.:24:49.

down. The project had been hoping for a grant to help refurbish its

:24:50.:24:54.

original cafe but when Adam found it was not forthcoming, he reacted We

:24:55.:24:59.

decided to take it upon ourselves to did a post on Facebook and just get

:25:00.:25:05.

everybody, every trade person, every possible volunteer down to help us

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and ask them if they could potentially help us give back to the

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cafe, what it deserves to h`ve. They have given themselves two d`ys. We

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have taken up the floorboards, taking the ceiling down, taking the

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kitchen apart, taking out the toilet, and hopefully in thd next

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couple of days it will be up and running again. Give back to the

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community. That is what it hs all about. Why put yourself unddr this

:25:33.:25:37.

pressure? I do not see it as pressure. But they are uncovering

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problems that cannot be resolved with goodwill alone. Dangerous

:25:42.:25:44.

electrical wiring faults nedding a specialist tradesmen. The work has

:25:45.:25:50.

to stop. Adam made his appe`l on July the 16th. The cafe is still

:25:51.:25:55.

closed in September. Loads of people who would normally use the cafe have

:25:56.:25:58.

been calling in and asking when it will be open and we seem to always

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be saying, a week on Monday Adam is certainly not one to wait around and

:26:06.:26:09.

whilst the cafe is closed, there is a warehouse down the road whth food

:26:10.:26:13.

piling up, so he has opened it to the public and turned it into the

:26:14.:26:20.

world's first waste supermarket Pay as a feel! A by-product of our

:26:21.:26:26.

activities. We decided to ptt a activities. We decided to ptt a

:26:27.:26:28.

social media Post out and tdll the social media Post out and tdll the

:26:29.:26:31.

public to come down and takd as much as they wanted and help us love it

:26:32.:26:34.

and it turned into this! Back at the cafe they are about to be rdscued.

:26:35.:26:40.

The boss said, I have a nicd job for you. A local company offered to do

:26:41.:26:46.

the work taking only a minilal fee. It just looked ramshackle,

:26:47.:26:49.

everything wasn't connected to anything, we are getting thdm there.

:26:50.:26:54.

It is lovely, what they acttally do here. Two months later than planned,

:26:55.:27:00.

the makeover is complete. It has taken so long I have grown ` beard!

:27:01.:27:06.

Two days, as it would say, but we finally got here and it is `mazing.

:27:07.:27:10.

You have done so much for pdople around here. Do you think this is a

:27:11.:27:17.

way to say thanks and Payet? Yes, the concept of it. It is not always

:27:18.:27:22.

money but time and effort -, to say thank you. They have done that,

:27:23.:27:27.

tenfold. It is not just us that achieved that. It is everybody else.

:27:28.:27:36.

Mean well, up the road at the supermarket... We created a

:27:37.:27:47.

supermarket space and because people knew we had this space we started

:27:48.:27:53.

receiving more food -- meanwhile. We are now intercepting food wd never

:27:54.:27:59.

even knew intercepted beford. It is because it was rained on, a

:28:00.:28:04.

supermarket protected it and some doesn't even go out of date until

:28:05.:28:08.

asking, it is in date, why do you asking, it is in date, why do you

:28:09.:28:12.

have it? And it should not be happening. What is the next step for

:28:13.:28:17.

this place, for the Junk Food Project? We will lodge potentially

:28:18.:28:22.

between seven and ten more of these around the country. -- we whll

:28:23.:28:29.

launch. That is all from us here in Bradford. Make sure you join us next

:28:30.:28:34.

week. When we investigate the missed opportunities to stop headtdacher

:28:35.:28:41.

abusing children, we look at hundreds of schools that become

:28:42.:28:44.

academies and look at the m`n whose life was saved by complete

:28:45.:28:47.

strangers. That could becomd

:28:48.:28:48.

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