
One in Six Billion
A podcast about diabetes and genes hosted by Andrew Hattersley and Maggie Shepherd.
Episodes
38 episodes
Series 3 Episode 14: Farah O'Regan and Matt Johnson. Down syndrome and very young onset diabetes
Farah O'Regan talks about how her son who had Down syndrome and a severe congenital heart condition needing surgery diagnosed in pregnancy and then developed Type 1 diabetes on day 2 of life. In early childhood he was diagnosed with 2 mor...
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Season 3
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Episode 13
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33:26

Series 3 Episode 13. Abby Gardener and Tim Barrett. Wolfram syndrome / WFS1 Spectrum disorder
Abby Gardener describes how she was diagnosed with Wolfram syndrome after developing both insulin-treated diabetes and diabetes insipidus (when the urine cannot concentrate) and how this has impacted her life. Professor Tim Barrett talks ...
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Season 3
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Episode 13
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34:53

Series 3 Episode 12. Cassi Connelly. Familial Partial Lipodystrophy
Cassi Connelly talks about her experience of having familial partial lipodystrophy characterised by a loss of fat and muscular appearance of her arms and legs. She had multiple medical problems including diabetes for decades before the diagnosi...
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Season 3
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Episode 12
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36:01

Series 3 Episode 11. Rebecca Goodman. Living well with Bardet-Biedl syndrome.
Rebecca Goodman talks to Andrew and Maggie about what it is like to grow up with Bardet-Biedl syndrome. Features of Bardet-Biedl syndrome include extra fingers and toes, progressive blindness, kidney problems, obesity due to an uncontrolled app...
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Season 3
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Episode 11
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29:14

Special episode 5. John Dennis. Research breakthrough in Type 2 diabetes treatment.
We talk to John Dennis, a data science researcher working in the University of Exeter. He used data from 1 million people with Type 2 diabetes to discover how the clinical characteristics of a patient alter the glucose lowering with different t...
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Season 3
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24:01

Series 3 Episode 10. Julie Reynolds and Kash Patel. Maternally inherited diabetes and deafness
Julie Reynolds describes how she gradually lost her hearing in her 30’s and developed diabetes in her 40’s these 2 conditions also developed in in her mother, her children and other maternal relative. This led to a diagnosis of maternally inher...
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Season 3
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Episode 10
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33:05

Series 3 Episode 9. Ru Kovvuri and Rhian Clissold Cognitive and medical impacts of the HNF1B deletion syndrome
Ru Kovvuri explains about her battle to get a diagnosis and support for her daughter who had multiple medical problems and learning difficulties as a result of a deletion of the HNF1B gene. Rhian Clissold discusses her research to improve the d...
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Season 3
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Episode 9
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37:44

Series 3 episode 8. HNF1Beta syndrome: kidney disease, diabetes, liver dysfunction and much more
Grant King talks about his diagnostic journey where his low birth weight, childhood kidney disease, diabetes, liver dysfunction and infertility were at 32 years finally recognised as all being due to a change in the HNF1Beta gene. Dr Coralie Bi...
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Season 3
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Episode 8
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48:13

Series 3 episode 7. Natalie Raphael and Alice Hughes Testing fetal genetics using mum’s blood in Glucokinase pregnancy
Natalie Raphael was diagnosed as having glucokinase MODY at the end of her first pregnancy. In her second pregnancy she had a recently introduced blood test that showed her fetus had not inherited her change in the glucokinase gene so was at ri...
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Season 3
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Episode 7
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37:05

Series 3 episode 6. Gill Preston, Gill Spyer, and Ali Chakera The challenge of diagnosing and managing glucokinase MODY in pregnancy
It was a great surprise for Gill Preston, who was active and slim, when she was diagnosed with gestational diabetes in her first pregnancy. Her raised fasting glucose did not come down with tablets or insulin. Luckily she met Andrew Hattersley ...
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Season 3
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Episode 6
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37:38

Series 3 episode 5. Andrew Lotery and Amanda Stride: Glucokinase MODY – a mildly raised fasting glucose for life that should not be treated
In this episode we talk to Andrew Lotery about how he was found to have a raised fasting glucose on an insurance medical. He was treated as Type 2 diabetes but he questioned this as he was young. slim and physically fit. A chance reading of a r...
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Season 2
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Episode 5
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32:38

Series 3 episode 4. Janette and Alice: Big babies with dangerously low blood sugars in HNF4A MODY
In this episode we talk to Janette and her daughter Alice who were both correctly diagnosed with HNF4A MODY having been initially told they had Type 1 diabetes. The diagnosis not only allowed them to stop insulin but also explained the mystery ...
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Season 3
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Episode 4
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33:54

Series 3 episode 3. Mary Lee and Ewan Pearson: Finding the best treatment for HNF1A MODY
Mary Lee was thought to have Type 1 diabetes for over 3 decades; she was finally diagnosed with HNF1A MODY and was able to stop her insulin injections and get excellent blood sugar control with a sulphonylurea tablet. We hear from Ewan Pe...
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Season 3
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Episode 3
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27:48

Series 3 episode 2. Kevin Colclough and Bev Shields Making sure the right patients get the right genetic test for MODY
Kevin Colclough describes how the genetic testing in diabetes has improved over the 2 decades he has worked in the Exeter NHS diagnostic lab. His work means now over 60 types of single gene diabetes are looked for in one sequencing test. ...
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Season 3
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Episode 2
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26:25

Series 3 episode 1. Mary Humphries: The doctor didn’t listen! A delayed diagnosis of MODY
Mary Humphries tells how her son Dan was diagnosed with diabetes aged 16 and it was assumed he had type 1 diabetes and treated with insulin. On insulin he had terrible problems with low blood sugars frequently losing consciousness and not...
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Season 3
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Episode 1
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29:01

Series 2 episode 9. Nick Thomas. Type 1 diabetes in the older adult
Dr Nick Thomas talks about Type 1 diabetes in the older adult. In an iconoclastic study he showed most cases of Type 1 diabetes occur in adults rather than children. In older adults it is very hard to recognise as 98-99% of people with diabetes...
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Season 2
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Episode 9
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24:04

Series 2 episode 8. Simon Goode and Angus Jones. Diagnosing Type 1 diabetes is difficult in older adults
Simon Goode was diagnosed with Type 2 diabetes aged 28. He explains how it took 6 months of feeling unwell before it was realised he had Type 1 diabetes instead. Exeter Professor, Angus Jones, has done research showing that mistakes in th...
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Season 2
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Episode 8
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38:57

Series 2 Episode 7. Jean Claude Katte. Type 1 Diabetes in Africa: different in so many ways.
Dr Jean Claude Katte explains how in Sub Saharan Africa diagnosis, treatment and monitoring of Type 1 diabetes in children and young adults is so much harder than in Europe. He discusses with Maggie and Andrew his own exciting research th...
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Season 2
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Episode 7
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35:45

Series 2 episode 6. Mendy Korer and Matt Johnson. Type 1 diabetes in very young children: a massive challenge for families and scientists
We hear from Mendy Korer about the enormous challenges of living with a child who was diagnosed with Type 1 diabetes aged 11 months. Matt Johnson, a research fellow in Exeter talks about his exciting work understanding what makes the immune sys...
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Season 2
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Episode 6
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47:35

Series 2 Episode 5. Richard Oram . Genius genetics improves diagnosis and prevention of Type 1 diabetes
Professor Richard Oram had the innovative idea of turning complex analysis of the genetic changes into a single number that estimate the likelihood of developing Type 1 diabetes. He explains to Andrew and Maggie how this has helped diagno...
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Season 2
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Episode 5
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29:58

Series 2 Episode 4. Partha Kar. The super hero who made sure Type 1 diabetes technology was for everyone
Professor Partha Kar has made sure the technical advances in measuring blood sugar are available to everyone living with Type 1 diabetes in the UK. Partha had to overcame massive hurdles to make sure the technology was not just available ...
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Season 2
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Episode 4
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40:51

Series 2 Episode 3. Jean Dudderidge and Jill Epton. Living with Type 1 diabetes for over 50 years.
Jean Dudderidge and Jill Epton talk about what it has been like to live with Type 1 diabetes for over 50 years. They discuss the massive advances in the measurement of blood sugar over the decades and how they now benefit greatly from continuou...
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Season 2
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Episode 3
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33:06

Series 2 Episode 2. Moira Murphy and Mark McCarthy. Defining the genetic susceptibility to Type 2 diabetes
Moira Murphy and Mark McCarthy talk about how a unified UK team of scientists came to be world leaders in decoding the genetic susceptibility to Type 2 diabetes.
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Season 2
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Episode 2
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45:01

Series 2 Episode 1. Tim Frayling and Rachel Freathy. Finding the Fat gene
We talk to Tim Frayling and Rachel Freathy about how they discovered the “Fat gene”. Working with Oxford, the Exeter team showed a genetic change near FTO predisposed to obesity. This was the first and largest common genetic change alteri...
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Season 2
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Episode 1
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24:52

Special episode 4. Tim Frayling – From PhD student to internationally famous polygenic team leader
In this special episode, we hear from Professor Tim Frayling who was Andrew and Sian’s first PhD student in 1995. He rapidly became the head of the analysis for the genetic susceptibility for Type 2 diabetes. His leadership has made Exete...
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Season 1
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31:45
