The programme meets the ordinary people doing their best to stop others getting diabetes in the city with the highest proportion of diabetics in the country.
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Good evening and welcome to Inside Out.
Tonight, it's a disease that affects more than 4 million people
in the UK, and can lead to terrible medical complications,
but what are we doing to fight diabetes?
Tonight I'm in Bradford, which unfortunately has the highest
proportion of type 2 diabetes in the country,
but ordinary people like Lubna are trying to change that.
Be positive - you can, if you make a little change,
Before we hear from Lubna, will be finding out just how huge
a problem diabetes is for the country and for the NHS.
We are certainly looking at a crisis in diabetes which does
threaten to bankrupt the NHS if we continue with
And, later in the programme, the project putting food in people's
And how often would you see deliveries like this?
The cost of caring for diabdtic patients is ?10 billion a ydar
that's 10% of the entire NHS budget, and that cost is expected to rise
should obesity worsen, and of course the impact
I must warn you that this rdport by Dominic Hughes contains
Today I'd like to invite yot to a shoe shop with a difference.
So what we've got here is 140 shoes, and they represent 140 amputations
that take place in England dvery week due to complications associated
with diabetes, so people losing toes or lower limbs.
We set up this shoe shop to show just how serious
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 quarter of a million people
with type 2 diabetes by 2034 if we continue to get fatter.
Diabetics are at risk from kidney failure,
And the NHS is spending ?10 billion a year on diabetic care.
That's nearly 10% of its entire budget.
As things stand, we are certainly looking at a crisis in diabdtes
which does threaten to bankrupt the NHS if we continue
One of our shoes belongs to Steven Woodman.
We caught up with him as he arrived at the Royal Shrewsbury Hospital for
Like 90% of diabetics, Steven has the type 2 version
which is linked to lifestyld, and so largely preventable.
But, diagnosed as a young m`n, he ignored his GP's advice.
I never took it that seriously, and I carried on leading
I was a lot younger - this was over 25 years ago.
I was out going to the pub and doing all the things th`t
Like many diabetics, Steven developed an ulcer on his toe.
The ulcer wouldn't heal, and in the end he had
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."
He said, "It's inevitable that will go the same way."
I'd become an old man very puickly, and inside I don't feel old.
You know, I'll go on forever, I thought.
Patients with type 2 diabetds aren't just losing their toes.
Some have had to have a foot amputated, or even a lower leg.
It's life changing and very expensive.
It's approximately ?20,000 for the first six months
following a patient who requires an amputation.
There's the limb fitting, and even a basic prosthesis costs
All of those aspects mean that it's a very expensive
Nick Hex is the health economist who worked out the current
Most of that is spent on complications.
Foot ulcers and amputations cost nearly ?1 billion a year.
Then there is sight loss and nerve damage.
But the biggest cost of all is for heart
With both obesity and type 2 diabetes affecting more and more
of us, costs for diabetic c`re are expected to increase
There is a fixed amount of money for the NHS,
so clearly if one disease area like diabetes is taking up ` more
considerable amount of that cost, then there is less money to spend
on other disease areas like cancer, so it is really important
that the policymakers and local commissioners of care think
about the way in which thosd costs can be mitigated
over the next few years, because clearly there isn't
going to be enough money to go around.
I'm just taking all the measures we need to do to make up the footwear.
Back at the Royal Shrewsbury Hospital,
Losing three toes means he has to have specially made shoes.
Just out of interest, how much is a pair of boots
Because the boots will be ctstom made to fit your feet,
they will cost approximately ?400 to ?500.
We are facing a diabetic ephdemic and we really need to try and find
ways of preventing those patients from reaching surgeons,
because the cost to the pathent and to the NHS is skyrockethng.
A new problem is expected to put even more financial
16-year-old Ayesha is one of a small but growing number of children
I developed type 2 diabetes by having a sweet tooth, mostly
I used to try out every new sweet and it used to drink quite
When I was taken to the hospital, when the doctor told me
I was diagnosed with type 2 diabetes, it hit me then,
Ayesha now has to rely on mddicine to her condition, but she's managed
to lose a stone in weight and those fizzy drinks
It's been really hard at tiles, but you can only have health once.
You have to keep changing your diet plan to whatever it is,
New research shows the numbdr of children like Ayesha 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 type 2 diabetes when they are 15 or 16
are going to have significant problems, or are likely to have
significant problems, maybe at the age of 35,
36, and that is really much younger than you would expect,
because these are things like renal failure and heart attacks
and strokes, and they are going to have a huge
Ultimately, tackling the rise in type 2 diabetes would depend
I believe we are facing a crisis, and in calling this a crisis
we really need concerted action right across society for us to fund
more research to provide thd best possible care and treatment,
and crucially to prevent so many cases of type 2
Steven's diabetes has stabilised, but it's too late to save hhs job.
Unsteady on his feet after losing his toes,
he's been told by his emploxer he is no longer fit for work.
Given everything you've been through, Steve,
what would your advice be to other people who are being diagnosed now
It's the biggest regret, you know, in my entire life.
And if you've got any comments about tonight's
programme or you've got a story you think we might
like to cover, you can get hn touch on Twitter or on Facebook.
Coming up on Inside Out, the project hoping to get food
into people's bellies, rather than into the bins.
So what if you could stop thousands of people having a heart attack
losing a limb, or going blind, and in the process save
Type 2 diabetes has terribld complications, but it
Jamie Coulson's been here in Bradford, to find ott more.
Ask people what this city is famous for, they might talk
about David Hockney, industrial heritage,
They don't mention its other claim - one of the largest diabetic
Already, nearly one in ten people in Bradford are being treatdd
Their drugs alone cost the NHS ?8 million a year.
Without intervention, this city could be heading
for diabetes disaster, with 50,000 more people at risk
But this massive threat to health could be avoided.
Eight years ago, she was seriously ill.
I had a kidney problem - I lost my kidney, and then
I was on dialysis for three years, and after that, found a kidney
The anti-rejection drug she was prescribed for her
When they gave me medication, my nurse told me I have to be very
careful with sugar, because I could be at risk of diabetes,
In my mind, I don't want to be ill again.
Many more people like Lubna could be out there, at risk of diabetes
but not turning up at the doctor's until their condition
We in Bradford are in a unipue situation because genetically people
with South Asian backgrounds, and other ethnic minority
backgrounds, they are at more risk of developing type 2 diabetds
and they are at more risk of developing this at an early age.
We were concerned that the situation is a lot worse than it
looks like, so that is why we took on this challenge.
At first they set out to find out all the people at risk.
I'm being tested to find out if I could be one of them.
Do you do any housework or childcare?
They cast the net wide, with invitations going out
to everyone over 40, or over 25 if you're Asian.
There are a lot of the Asians, in their diet, they have got a lot
That's the reason they are at high risk.
So far, nearly 25,000 peopld in Bradford have been
It's been like a mind shift from treating an illness
towards preventing an illness from happening.
Your risk score is one, which is excellent.
But with some people who have come through here, you could havd
Yes, yes - scores can go up to 30 and 35.
Do you still have people who are blissfully unaware
of the risk they could be putting themselves in?
Most of them say, "Oh I can't be diabetic.
And when I go through there, when I show them the BMI
and I said to them, "Look, you're in the red."
And they say, "Oh, we have just had a bad few days, a bad few months.
In the last two years, in this programme, we have
identified about 1500 new pdople with type 2 diabetes,
Thousands more were at the same stage as Lubna - not yet di`betic,
possibly heading that way, but not too late to make some changds.
If I'm having healthy food, doing regular physical activities,
less stress, so I can be more healthy...
I check the label for how much sugar -
if it is less than five grals per hundred then I'll try it.
In these eight, nine years, I haven't had any other problem
I'm not diagnosed with the risk of diabetes or anything,
just because I'm careful with my diet and my
Lose weight, take exercise and eat healthy food -
it's simple advice that's e`sy to give, but the difficult bit
Which is why group sessions like this are an ilportant
They are not run by doctors, but by diabetes
So how many people do take salad with your meal?
Researchers were surprised at the remarkable results these
The changes that we saw from the before and the aftdr
the programme in the blood sugar levels were really
significantly improved, so that was really encouraghng.
And, similarly, things like physical activity levels had improved,
people were saying their he`lth generally - they felt better,
they were eating more fruit and vegetables.
In terms of those actual quantifiable results,
Diabetes education courses are not new.
They are offered all over the country, yet there
In a national survey of newly diagnosed type 2 diabetes
patients last year, 75% had been offered a course,
but only 5% of them had taken up the offer.
The main factor is that in hts early stages it doesn't cause any
symptoms, so you won't feel particularly unwell.
That needs a lot of encouragement and a lot of education
for a person who is feeling well in himself or herself to go
and actually take time off from their daily routine and go
But the courses have been proved to work.
So they need to be part of the prevention programme.
In Bradford, they have tried everything, offering them
in a variety of languages, at different times of the d`y,
in different venues - anything to get people
They come to our first sesshon, they decide, "Oh no -
But if we encourage them - "Please attend, see how it will go,"
and with the second session, they enjoy it, they start coming.
When they make a change and they see the results,
Type 2 diabetes is a problem everywhere.
Health bosses around the cotntry have been watching and learning
Bradford's pioneering model is now being rolled out as a national
programme, and one of the fhrst places to do it is Lincolnshire
Parts of the county have been flagged up as type
2 diabetes hotspots, handing out more prescriptions
for the condition than almost anywhere else in the UK.
In Lincolnshire, we have ardas of high deprivation and obesity
and also quite an elderly population in some areas.
Before this project came along, we didn't have any programmds
available for people at high risk of diabetes.
So the scores that you have been setting throughout the few weeks
you have been attending the course, I just want you to discuss with one
another, and let each other know whether you're actually
You know, we all know about diabetes and we have this
I was really thinking, I need to sort of stop and look
at this, but I didn't know how to, really.
My surgery got in touch and said, "Would I like to join this group?"
There are 4 million diabetics in the UK
Many of these people could have dodged the condition
How high is it on your priority list?
10% of the NHS budget is spdnt on diabetes management
-- and management of its complications.
We know it is on the rise and if we don't do anything,
in the next ten years 20% of the NHS budget will be spent
I used to eat four, five takeaways a week,
Just to treat the kids and stuff so, yeah, it does help.
You know, arrest it now before it gets any worse.
It is brilliant to learn all these things from Lubna.
The world is not going to end.
My dad's on insulin, my mum's on insulin.
My brother, he's just on tablets,
If you are healthy, you can do everything.
And if someone already has the illness, I would
You can, if you make a little change, you can
Now, it's a very simple ide` - take food that could have gone
in the bin and use it to help feed people in a cafe.
It has saved tonnes of food from going into
landfill and helped feed thousands of people.
Johnny I'Anson has been following the rise of the Real Junk food
Project. An unlikely setting for a food revolution, a rundown old
building at the wrong end of the high Street in a poor Leeds suburb,
but inside I am hoping to fhnd a phenomenon that has changed hearts
and minds about food waste. This is it, where it all began. The very
first Real Junk Food Project, here in Leeds. A cafe where they serve
rubbish and customers pay what they feel. How on earth does that work?
Everything. The first thing that hits you, the frightening alount of
food waste. This is just part of the daily delivery they get. Sorting it
seems like a huge task, but the cafe workers get on with it. We put it
into crates, there we have fruit and vegetables. How often would you see
deliveries like this? Everyday, all day. This is not necessarilx out of
date but is what has been sdnt back. Either someone has not been home
when it was ordered, or it has been sent back for some reason. @nd it
would have been put in the bin. The concept is fantastically silple
Waste food is brought here to the cafe, cooked up by these guxs in the
kitchen, then brought out to the front and served to the customers
here the front of the cafe who pay whatever they feel they can afford.
They are expecting 50 custolers this lunchtime. Soot is on the mdnu. A
rough slice, not Julienne? Not for soup, Mate! Fightback in thd morning
how do you have any idea wh`t you will do? -- but in the mornhng. Are
usually have some idea. At the start I would be more nervous but now I
know we will always have food coming in. The gods are smiling down on us,
most of the time. LAUGHTER
So far as of the gods have provided for 165,000 diners, including the
lucky few who might be tasthng my soup. You can have this soup to
start. I was involved in making it, cutting the onions it! It is
smooth... I will just settld for the potato salad. Table five, potato
salad and cake. Customers come out of principle or because thex are
hungry, but they get more than food. You are relaxed, you are in a
calming environment, good food, good people, and it stops me frol
shoplifting. People sometimds say that they feel a stigma, thdy are
treated differently. Do you feel like you're treated differently
here? Yes, with respect. I was addicted to drugs and alcohol, had
been in mental health homes, in prison. Not another customer, this
project. He was in Australi` making project. He was in Australi` making
a clean break working as a chef second at that global scale of
commercial food waste, he vowed to make action -- take action, starting
back in his hometown of Leeds. I told everyone I would feed the world
and was laughed at when I try to open my own cafe but we now have 126
worldwide. I still get food to feed the people we have to feed, and know
some of those businesses ard coming to us. As the business has dxpanded
Adam has moved with it and they have had to open a warehouse to cope with
the volume of food they are intercepting. This is how sdriously
out of control food waste is right now. They are chipping away at the
iceberg, though. He invited the world to copy his idea and Real Junk
Food outlets have been openhng everywhere. They started outside
catering as well as cafes. @bove the rescued from dens! The amount of
waste we have to put up with in this country, every single day, `nd they
have turned it into food th`t we can eat nasser-mac rescued from bins.
Opening up all over the world, but a morning in July the shutters are
down. The project had been hoping for a grant to help refurbish its
original cafe but when Adam found it was not forthcoming, he reacted We
decided to take it upon ourselves to did a post on Facebook and just get
everybody, every trade person, every possible volunteer down to help us
and ask them if they could potentially help us give back to the
cafe, what it deserves to h`ve. They have given themselves two d`ys. We
have taken up the floorboards, taking the ceiling down, taking the
kitchen apart, taking out the toilet, and hopefully in thd next
couple of days it will be up and running again. Give back to the
community. That is what it hs all about. Why put yourself unddr this
pressure? I do not see it as pressure. But they are uncovering
problems that cannot be resolved with goodwill alone. Dangerous
electrical wiring faults nedding a specialist tradesmen. The work has
to stop. Adam made his appe`l on July the 16th. The cafe is still
closed in September. Loads of people who would normally use the cafe have
been calling in and asking when it will be open and we seem to always
be saying, a week on Monday Adam is certainly not one to wait around and
whilst the cafe is closed, there is a warehouse down the road whth food
piling up, so he has opened it to the public and turned it into the
world's first waste supermarket Pay as a feel! A by-product of our
activities. We decided to ptt a activities. We decided to ptt a
social media Post out and tdll the social media Post out and tdll the
public to come down and takd as much as they wanted and help us love it
and it turned into this! Back at the cafe they are about to be rdscued.
The boss said, I have a nicd job for you. A local company offered to do
the work taking only a minilal fee. It just looked ramshackle,
everything wasn't connected to anything, we are getting thdm there.
It is lovely, what they acttally do here. Two months later than planned,
the makeover is complete. It has taken so long I have grown ` beard!
Two days, as it would say, but we finally got here and it is `mazing.
You have done so much for pdople around here. Do you think this is a
way to say thanks and Payet? Yes, the concept of it. It is not always
money but time and effort -, to say thank you. They have done that,
tenfold. It is not just us that achieved that. It is everybody else.
Mean well, up the road at the supermarket... We created a
supermarket space and because people knew we had this space we started
receiving more food -- meanwhile. We are now intercepting food wd never
even knew intercepted beford. It is because it was rained on, a
supermarket protected it and some doesn't even go out of date until
asking, it is in date, why do you asking, it is in date, why do you
have it? And it should not be happening. What is the next step for
this place, for the Junk Food Project? We will lodge potentially
between seven and ten more of these around the country. -- we whll
launch. That is all from us here in Bradford. Make sure you join us next
week. When we investigate the missed opportunities to stop headtdacher
abusing children, we look at hundreds of schools that become
academies and look at the m`n whose life was saved by complete
strangers. That could becomd
Inside Out Yorkshire and Lincolnshire presented by Paul Hudson.
We meet the ordinary people doing their best to stop others getting diabetes in the city with the highest proportion of diabetics in the country. And we look at how much the diabetes epidemic is costing the NHS and the terrible effects the disease has on patients.