:00:00. > :00:00.In the programme tonight: and on BBC One we now join
:00:00. > :00:09.One of the biggest ever studies into Type two diabetes
:00:10. > :00:23.I am very concerned that we might reach a tipping point in five or ten
:00:24. > :00:24.years' time where the system won't be able to cope clinically or
:00:25. > :00:26.financially. An eight month wait
:00:27. > :00:36.for a broadband connection. The multi-million pound plans for a
:00:37. > :00:41.huge in nature reserve on a landscape scale.
:00:42. > :00:46.And it is always rude to ask a woman her age so I am not going to, but
:00:47. > :00:48.you can get and I can guarantee you won't get close. You're right!
:00:49. > :00:59.Title. First tonight, a public
:01:00. > :01:01.health disaster. That's how a leading specialist has
:01:02. > :01:03.described the rise in type two Last night we told you about record
:01:04. > :01:09.numbers of amputations linked Tonight we focus on one
:01:10. > :01:15.of the biggest studies ever into Type two Diabetes,
:01:16. > :01:20.and its happening here. Type two Diabetes is caused
:01:21. > :01:22.mainly by lifestyle, things like bad diet
:01:23. > :01:24.and lack of exercise. In Norfolk, the number
:01:25. > :01:26.of sufferers is rocketing. 20 years ago, around 17,000 people
:01:27. > :01:28.had the condition, And by 2030 it's predicted
:01:29. > :01:38.to reach 70,000. In a moment we'll hear
:01:39. > :01:41.from the Professor who's leading one of the biggest ever studies
:01:42. > :01:58.into the condition at the Norfolk J Price has been living with type
:01:59. > :02:01.two diabetes for 12 years. She is not the only member of her family
:02:02. > :02:07.with the condition. I mentioned to the doctor that my grandmother had
:02:08. > :02:13.it, my mother had, I got it, my sister has got it at my son has got
:02:14. > :02:17.it. While family history may play a part in your chances of developing
:02:18. > :02:23.the condition, experts say most cases are preventable. Something Joe
:02:24. > :02:29.agrees with. White does have a lot to do with it. I was the case then
:02:30. > :02:34.when I got mine. But the amount of people you see walking about that
:02:35. > :02:39.are really overweight, and especially the children. I think
:02:40. > :02:44.they need to get a checkup and they need to be very careful. Because
:02:45. > :02:50.that does and it is a big contributor the factor to this. Joe
:02:51. > :02:57.Price and her family are among the 40,000 people in Norfolk living with
:02:58. > :03:04.type two diabetes. In Essex the 83,000 people. In Suffolk, 20 8000.
:03:05. > :03:13.Nationally the figures paint a bleak picture. Compared to 2016 -- 20 --
:03:14. > :03:18.prepared to 2006 2007 it was 4% of the population and now it is 6.6%.
:03:19. > :03:21.While that does not appear to be a large increase it is a 50% increase
:03:22. > :03:25.in the number of people with diabetes over the last ten years.
:03:26. > :03:31.Medical experts say early diagnosis is is crucial. You have a thirst and
:03:32. > :03:34.a few entire, you are perhaps having to pass you on more often. You have
:03:35. > :03:40.an infection that is not clearing up. Your site is feeling worried.
:03:41. > :03:44.All of these things can be a symptom of diabetes so if you have any of
:03:45. > :03:47.that happening then make an appointment to see your GP or
:03:48. > :03:51.practice nurse and have a test which is very simple to see if you have
:03:52. > :03:56.it. Joe Price keep the condition under control with medication and
:03:57. > :03:57.insists she refuses to let it all her back.
:03:58. > :03:59.Professor Mike Sampson, is running a six year
:04:00. > :04:02.diabetes prevention study, which has screened 13,000
:04:03. > :04:04.people in Norfolk, Suffolk and Essex who are at risk
:04:05. > :04:15.and he told me there are lots of misconceptions.
:04:16. > :04:22.People think you have to be very overweight to increase your risk of
:04:23. > :04:25.diabetes but you only have to gain a little bit of weight that you get
:04:26. > :04:31.older and exercise a little bit less as you get older and your risk
:04:32. > :04:35.really increases enormously. I am 57, at my weight I have a one in
:04:36. > :04:39.seven risk of getting diabetes in the next ten years. Is one of the
:04:40. > :04:45.problems here that we are all guilty of underestimating our risk? People
:04:46. > :04:52.underestimate the risk and I'm very concerned that by 2030 there will be
:04:53. > :04:57.70,000 people with diabetes in Norfolk and Suffolk, and in some
:04:58. > :05:02.areas like North Darfur and West Norfolk one in ten of the adult
:05:03. > :05:06.population will have diabetes. Let's look at those areas. While a
:05:07. > :05:11.hotspot? If you look at the map of the East of England in Norfolk and
:05:12. > :05:15.Suffolk and Essex the prevalence of diabetes maps beautifully against
:05:16. > :05:20.the prevalence of obesity. In the obesity is much more common in areas
:05:21. > :05:26.with high social deprivation, so it is quite a toxic mix of social
:05:27. > :05:33.deprivation and obesity and high risk of type two diabetes. You have
:05:34. > :05:39.screened 13,000 people across Norfolk, Suffolk and Essex as part
:05:40. > :05:44.of your research. I know you are in the middle of it, but what have you
:05:45. > :05:48.found so far? What are you learning? We have been surprised that the
:05:49. > :05:51.prevalence of these prediabetes categories, so that means as well as
:05:52. > :05:56.there being 70,000 people with diabetes in Norfolk, there are the
:05:57. > :06:01.same number of people or more in there will be the same number or
:06:02. > :06:05.more with prediabetes, the very earliest stages, raised glucose,
:06:06. > :06:10.before you get diabetes, so big numbers. So now you have identified
:06:11. > :06:14.some pretty high risk people in our region, what are you going to be
:06:15. > :06:19.able to do to prevent them from going on to actually get diabetes?
:06:20. > :06:23.We're looking at different ways of diabetes prevention, one of which is
:06:24. > :06:30.where we actually trained people who have diabetes themselves to give the
:06:31. > :06:34.diet and lifestyle advice. You can always give advice, but whether or
:06:35. > :06:40.not people take it on board, I mean that is the only thing that is going
:06:41. > :06:47.to stop this, isn't it? People find it hard to change and one of the
:06:48. > :06:52.real benefits of our programme, of the National programme, is that it
:06:53. > :06:56.is quite intense so it is not a short-term you shouldn't do this
:06:57. > :07:03.shouldn't do that, we contact people very frequently every 2-3 months for
:07:04. > :07:05.3-4 years. If those numbers, if that projection you told me about, those
:07:06. > :07:11.huge amount of numbers are not controlled, what do you think would
:07:12. > :07:15.be the impact of the NHS? I'm very concerned that we might reach a
:07:16. > :07:18.tipping point in five or ten years' time where the system would be able
:07:19. > :07:24.to cope either clinically or financially. Thank you.
:07:25. > :07:29.A family who have been waiting for a broadband connection for eight
:07:30. > :07:34.months and they are struggling to work and study. In March, the
:07:35. > :07:37.Burroughs moved into a brand-new house in Essex and since then the
:07:38. > :07:48.phone calls to Openreach have been going almost nonstop.
:07:49. > :07:55.Morgan Burroughs playing a piece by list, but it could always -- almost
:07:56. > :07:58.be a lament for a long forgotten Internet connection. Morgan is
:07:59. > :08:02.applying for music colleges but without broadband it is difficult.
:08:03. > :08:07.It means I can't get the University prospectus up and it is making
:08:08. > :08:11.e-mail is hard to access, I have had to go to the school to check my
:08:12. > :08:16.e-mail on various occasions. It is not very easy. The family moved into
:08:17. > :08:20.this new built house in Newport not far from Stansted back in March, and
:08:21. > :08:26.are still settling in and still waiting for a telephone line and
:08:27. > :08:29.broadband. Ducks for a new cable needs to be put in across the road
:08:30. > :08:32.at the bottom of the drive but the Burroughs say it should have
:08:33. > :08:38.happened by now. Every weekend we are hoping somebody comes out, we
:08:39. > :08:44.have had numerous failed visits, I think we're probably about the 11th
:08:45. > :08:47.now, so we are hoping H weekend that there will be someone at the end of
:08:48. > :08:54.the drive digging up the road and putting the ducting in for us. Bus
:08:55. > :08:58.sign of anyone yet. Not as yet. The struggle to be connected has
:08:59. > :09:02.frustrated many in the region, we spoke to Nigel who was forced to
:09:03. > :09:05.write a lay-by to get an Internet connection after BT Openreach took
:09:06. > :09:10.months to get his barn in Norfolk online. Openreach say they are sorry
:09:11. > :09:14.for the delay getting the Burroughs connected, they told Luke is that
:09:15. > :09:17.providing new infrastructure is a complex and time-consuming job and
:09:18. > :09:21.we are working with the highways authority to get the permissions we
:09:22. > :09:25.need. It has clearly taken too long and we apologise for that. It is
:09:26. > :09:31.definitely needed and to be without it for eight months now, it can be a
:09:32. > :09:36.bit harder times for everyone in the household. Because the Burroughs
:09:37. > :09:38.lived opposite to what appears to be a telephone exchange, Morgan hopes
:09:39. > :09:39.he will soon be playing something more upbeat to celebrate getting
:09:40. > :09:41.back online. We found out about that story
:09:42. > :09:43.because the Burroughs If you've got a story we should
:09:44. > :09:47.know about you can get in touch by phone or email,
:09:48. > :09:50.or using Facebook and Twitter, Sir David Attenborough says
:09:51. > :10:06.a campaign to create a giant nature reserve,
:10:07. > :10:08.would "rescue a precious The Suffolk Wildlife Trust wants
:10:09. > :10:12.to create a thousand acre reserve in the Broads National Park,
:10:13. > :10:15.but it needs to raise a million This from our Environment
:10:16. > :10:21.reporter, Richard Daniel. Wetland, grazing marsh,
:10:22. > :10:27.a reserve that could now almost double in size.
:10:28. > :10:31.This nature reserve is literally It is a great opportunity for people
:10:32. > :10:43.just to access nature. This is all about scale,
:10:44. > :10:46.at the moment this reserve They hope in future to incorporate
:10:47. > :10:54.all the land behind me Nature conservation
:10:55. > :11:00.on a landscape scale. 1000 acres, it would become
:11:01. > :11:03.a national nature reserve, within the Broads National Park,
:11:04. > :11:04.supporting hundreds It is scarily exciting,
:11:05. > :11:10.the opportunity for the land purchase means that it creates
:11:11. > :11:13.a dinner any opportunity for things like the fen raft spider to move out
:11:14. > :11:16.from the existing reserve, right down to the tiniest
:11:17. > :11:18.of things like a water By recreating these
:11:19. > :11:27.good-quality tax systems. The plan has the backing
:11:28. > :11:29.of Sir David Attenborough. The Trust needs to raise ?1 million
:11:30. > :11:32.to secure around ?4 million This is by far the biggest
:11:33. > :11:40.appeal that we have have, have gone far, the impact
:11:41. > :11:42.that it is going to have There are so few places
:11:43. > :11:46.in England that are left where we are going to be able
:11:47. > :11:49.to transform an area on the edge of what is essentially the county's
:11:50. > :11:58.second largest town. They have two years
:11:59. > :12:00.to raise the money. If they succeed it will be
:12:01. > :12:02.the biggest purchase in the Wildlife Trust's history,
:12:03. > :12:05.creating a reserve to rival Still to come tonight: Advice
:12:06. > :12:25.from firefighters about what to do And we meet Eileen, just a few days
:12:26. > :12:32.off 105, and she's fit, It's an astonishing fact that one
:12:33. > :12:44.in 17 people will develop a rare disease at some point
:12:45. > :12:46.in their lives. Something that only a handful
:12:47. > :12:51.of other people may have. The diseases mostly
:12:52. > :12:52.take hold in childhood, Some of that research is carried out
:12:53. > :13:01.across Europe with funding Today a summit is being
:13:02. > :13:05.held in Cambridge, what happens now that Brexit
:13:06. > :13:13.is only months away? Anna Todd has been
:13:14. > :13:15.to meet four families who know what its like to live
:13:16. > :13:31.with a rare disease. My name is Eleanor and I am nine
:13:32. > :13:36.years old. How I feel is, happy and excited because I like to dance a
:13:37. > :13:43.lot. Keller has sought 's syndrome, a rare genetic disorder
:13:44. > :13:47.characterised by excessive Phyllis -- physical growth. Shikhar site
:13:48. > :13:54.eight feet, so borrowing daddy 's shoes. She has big hands and is very
:13:55. > :14:01.tall for a silly thing she could possibly, she will be a good 6-foot
:14:02. > :14:06.when she is older. Every step is a battle, no one really gets it. When
:14:07. > :14:09.we first took her to school and explained her condition nobody
:14:10. > :14:15.understood what that was, when we got the extra diagnosis of ADHD
:14:16. > :14:21.which is what, then, it was like everything clicked together. My name
:14:22. > :14:31.is Erica and I am 11 years old. I am going to be doing a whole week of
:14:32. > :14:37.skiing. I am looking forward to it. Not everything comes so easily.
:14:38. > :14:41.There have always been difficult -- differences between Eric and other
:14:42. > :14:44.children, he has been very fortunate that he had equal group of friends
:14:45. > :14:52.at school who kept with him, but as he gets older the gap definitely
:14:53. > :14:56.widens I think. Eric has a rare condition, it is a bit like autism
:14:57. > :15:03.but does not have a name. He is the only one known to have it. Eric
:15:04. > :15:06.being completely unique, we do not have any information to actually go
:15:07. > :15:21.and look at to find out what lies ahead for him. My name is Lily and I
:15:22. > :15:24.am seven. Lily has a progressive condition called mitochondrial
:15:25. > :15:34.disease, her ability to walk unaided is long gone. I used these to help
:15:35. > :15:41.the walk. -- to help me walk. It helped my legs because I have a
:15:42. > :15:46.disease that is called a mitochondrial disease. Little Willow
:15:47. > :15:49.also has this rare disease which is life limiting and has no cure but
:15:50. > :15:53.awareness can make a world of difference. Just asking the
:15:54. > :15:58.questions, and we are on holiday and she is calling about the beach you
:15:59. > :16:02.will hear children often say, why she crawling? She looks too big to
:16:03. > :16:09.be crawling. And the evidence shish them but I then go over to them and
:16:10. > :16:09.speak to them and tell them. For remarkable children, precious and
:16:10. > :16:12.rare. Kay Parkinson is the CEO of
:16:13. > :16:15.the Cambridge Rare Disease Network. Late this afternoon she told why
:16:16. > :16:22.she was worried about Brexit. My main concerns regarding Brexit
:16:23. > :16:24.are losing money through grants, through a rise in projects that
:16:25. > :16:33.provided money for rare diseases in ways that we have
:16:34. > :16:36.not seen in the UK. And rare diseases need to work
:16:37. > :16:39.pan-European wide to get patient Is there any reason why
:16:40. > :16:44.that shouldn't continue, Of course scientists can still work
:16:45. > :16:52.together and part of the recently had the meeting today was really
:16:53. > :16:55.to and ensure that we all try What has happened is uncertainty,
:16:56. > :17:00.and that is not good. We don't know, after the two years
:17:01. > :17:03.will become out, what our position will be and therefore
:17:04. > :17:13.it is actually halting progress, not only for the UK but for other
:17:14. > :17:16.European countries who rely very The truth is that we have scientists
:17:17. > :17:25.here and scientists are in Europe and all of same you are looking
:17:26. > :17:29.to do the thing, so Brexit or no Brexit, I can see that you're
:17:30. > :17:31.going to stop working together I have said I have just come back
:17:32. > :17:48.from that meeting in Madrid, for a European Patient Organisation,
:17:49. > :17:51.and we really couldn't afford because nobody knows
:17:52. > :17:53.what our position was going to be We don't know if we can put
:17:54. > :18:07.in a grant application now with an idea, and you see it
:18:08. > :18:11.in the press it will be a "hard Brexit," that certain countries
:18:12. > :18:13.are not going to make it easy for the UK, so really
:18:14. > :18:16.we are being one step ahead here and really coordinating pur
:18:17. > :18:18.voice so that we can ensure that the research funding and health
:18:19. > :18:22.requirements don't stop with Brexit. So it is the not knowing that you're
:18:23. > :18:27.worried about rather than the detail Uncertainty is halting the work
:18:28. > :18:39.in progress that has been moving very rapidly in this sphere
:18:40. > :18:42.and the thing up and rare disease patients, most
:18:43. > :18:44.are life limiting, we don't The MK Dons Chairman Pete Winkleman
:18:45. > :18:55.says it was a decision but sacking the clubs
:18:56. > :19:00.long serving manager The Dons have suffered a hangover
:19:01. > :19:05.from relegation last season with Robinson unable
:19:06. > :19:07.to stop a slide down with around 200 applications already
:19:08. > :19:25.received by the club. A day of interviews before the real
:19:26. > :19:30.interview starts to find the next manager of MK Dons. Six long years
:19:31. > :19:35.side by the, but 13 home games without a win and it was time for
:19:36. > :19:39.Carl Robinson. In the chairman, I have to take these unbelievably big
:19:40. > :19:43.decisions. This is one I did not want to have to take. There are a
:19:44. > :19:46.lot of people who have been with me on this journey who are still here,
:19:47. > :19:52.losing Karl, if Karel wasn't such a good manager, would be in another
:19:53. > :19:57.place in the business but he gets the project. Just because you get it
:19:58. > :20:01.does not mean it is always OK because that Gates shows you it's
:20:02. > :20:04.not. Is critical MK Dons get the next managerial appointment correct.
:20:05. > :20:10.The stadium here was designed for Premier League football, not the
:20:11. > :20:13.bottom of League 1, and it is why so many people have already gone in
:20:14. > :20:18.touch with the club to express an interest in the job. Currently
:20:19. > :20:22.stands at 200 and that is within 48 hours. What kind of manager do you
:20:23. > :20:26.go for next? There is an opportunity to do something different this time,
:20:27. > :20:31.even with an experienced manager, which we rarely do, because it is in
:20:32. > :20:36.the middle of the season and be absolutely have to turn it around.
:20:37. > :20:42.However, I know what I might as well it depends if somebody catches my
:20:43. > :20:46.eye, would I still take a risk? I'm confident that if I get that right
:20:47. > :20:49.field from somebody that I will be a good appointment. What I am hoping
:20:50. > :20:54.they can get that connection with somebody. Winkleman needs to find a
:20:55. > :20:57.way to get his side back on course following this painful split.
:20:58. > :21:00.There's lots to consider and it could take several weeks to find MK
:21:01. > :21:03.Dons eight full-time manager. Halloween is just a few days away,
:21:04. > :21:06.but the costumes have been And most are made
:21:07. > :21:09.from the same material, Which means they can be very
:21:10. > :21:15.dangerous, which is why firefighters in Bedfordshire
:21:16. > :21:16.are going into schools To show children what to do
:21:17. > :21:19.if their costumes catch fire. It may look like fun
:21:20. > :21:32.but these three steps called stop drop and roll
:21:33. > :21:35.could just save a life. Children here at this school
:21:36. > :21:39.in Bedford are being shown the technique by local firefighters in
:21:40. > :21:42.the hope it will keep them safe over The fancy dress outfit
:21:43. > :21:46.and everything are quite plastic, so if they are
:21:47. > :21:49.involved in a fire, not to remove them, because obviously that
:21:50. > :21:51.could cause further injuries. But obviously to educate the parents
:21:52. > :21:53.as well, to make sure
:21:54. > :21:55.the children are not involve around flames
:21:56. > :21:56.were any naked flames or anything
:21:57. > :22:01.like that, or heat sources. This issue hit the headlines when TV
:22:02. > :22:03.presenter Claudia Winkleman spoke about the burns
:22:04. > :22:06.suffered by her daughter whose Just patting and patting
:22:07. > :22:13.and patting her, but it kept, it was in front of her
:22:14. > :22:17.eyes, it was like those horrific birthday candles that you blow
:22:18. > :22:20.out and they come back. At the moment fancy dress outfits
:22:21. > :22:22.are classified as toys and not subject to the same
:22:23. > :22:25.safety standards as children's They are so flammable and obviously
:22:26. > :22:30.children get excited and Today was to educate the children
:22:31. > :22:34.that if they were with someone who was going to be involved
:22:35. > :22:37.in fire and this was unfortunately going to happen, they
:22:38. > :22:40.themselves knew what to do. I have been doing it in case
:22:41. > :22:43.I catch, my clothes catch fire, I need to learn the techniques
:22:44. > :22:51.so I would burn myself. Campaigners say safety
:22:52. > :22:53.standards needs to be But for now, education
:22:54. > :22:56.seems the most effective In the case of Eileen
:22:57. > :23:12.Ash from Norwich. because Eileen is actually
:23:13. > :23:16.older than most. In fact, in a few days'
:23:17. > :23:20.time, she'll be 105. She's extremely fit,
:23:21. > :23:23.funny and full of beans. Eileen Ash is very
:23:24. > :23:28.much like the custard Very nippy, very distinctive,
:23:29. > :23:32.and something special. Yoga is one thing which she says
:23:33. > :23:44.health mind and body. She has been doing it for 30 years
:23:45. > :23:48.and today with another big birthday moment looming,
:23:49. > :23:49.they couldn't let that pass She is our Yoga Queen,
:23:50. > :23:58.our star of small screen. It helps your brain because you have
:23:59. > :24:06.to think, and it improves your muscles and, you know,
:24:07. > :24:14.you just feel fit. Did you wake up
:24:15. > :24:16.with aches and pains? We first met Eileen some years ago,
:24:17. > :24:25.born in Highbury in 1911, In the 30s and 40s she captained
:24:26. > :24:33.the England women's cricket team, she toured Australia, this treasure
:24:34. > :24:36.that signed by Don Bradbury. And she still gets trespass
:24:37. > :24:38.treatment at Lords, this snap with the recently retired cricketer
:24:39. > :24:40.Charlotte Edwards was taken Everybody will ask
:24:41. > :24:44.you this, what is it? What is the one thing
:24:45. > :24:46.you think has helped I think sport, being outdoors
:24:47. > :24:55.and active and even when I was younger I used to climb
:24:56. > :24:58.a lot of trees. I have a little brandy occasionally,
:24:59. > :25:17.but touchwood I am very, very lucky. Well it has been an absolute
:25:18. > :25:20.privilege and joy to meet you. Joyous is the one word
:25:21. > :25:26.I would use to sum up today. This is from day one,
:25:27. > :25:33.that is why I have friends! In the company of someone they call
:25:34. > :25:36.an inspiration and with another set of birthday candles due to be blown
:25:37. > :25:55.out this weekend, easy to see why. I think we will see her again in ten
:25:56. > :25:59.years! She is grey. Time for the weather.
:26:00. > :26:06.It is a bit of a misty start to the day tomorrow. Today it was misty and
:26:07. > :26:10.it is likely to be misty again tomorrow. Look at this photo taken
:26:11. > :26:15.in Telstra, the autumn colours are lovely. Lots of sunshine across the
:26:16. > :26:20.region. This stunning photograph from Milton Keynes, and another one
:26:21. > :26:23.from Bury St Edmunds and Suffolk. The satellite shows the death of the
:26:24. > :26:26.sunshine across the region once we got rid of the mist, we did pretty
:26:27. > :26:31.well for fine weather with some beautiful autumn sunshine. It might
:26:32. > :26:33.be cloudy tomorrow, we start the evening with clear sky and are
:26:34. > :26:38.likely to see Mr Fogg developing once more and by the end of tonight
:26:39. > :26:42.the fog patches could be Benson places. Temperatures are seven or 8
:26:43. > :26:48.degrees, the lowest value through the night, with a lighted westerly
:26:49. > :26:52.wind. The pressure pattern shows high pressure coming brand that Izzy
:26:53. > :26:55.south-westerly wind, a much milder wind direction so it is likely to
:26:56. > :27:00.stay miles through this week and closely quite settled. The mist and
:27:01. > :27:03.fog lifting to low-level cloud. For some counties it could end up
:27:04. > :27:07.staying cloudy and overcast day but hopefully it will break up and we
:27:08. > :27:12.will see some brighter spells and some sunshine. Temperature wise we
:27:13. > :27:16.will get up to 15 degrees. Looking ahead, high pressure still keeping
:27:17. > :27:19.us pretty settled, still the wind direction west so it stays rather
:27:20. > :27:25.mild and the outlook is pretty settled. Likely to be good dose of
:27:26. > :27:28.sunshine on Thursday. As we get to the end of the week Friday and
:27:29. > :27:31.Saturday are looking cloudier times, heritage is still in the mid teens
:27:32. > :27:37.at temperatures overnight into single figures but not fall into
:27:38. > :27:41.law. Back to you. I lean to copy over 30 years ago.
:27:42. > :27:47.She was 75! She's incredible. Goodbye.