seems all have some great ideas. I would follow a low carb, moderate protein.. as high protein is a recipe for a cancer disaster! She does sound pre-diabetic if not already. There was a great debate by Dr Rosedale and Dr K on this site that was very interesting. I have heard Dr. Rosedale talk at many large conventions, probably the most talented MD on nutrition and metabolic science out there. I have my mum on his program, she is 67, and sounded like yours a few years back. She lost a lot of the fat around her middle (the most dangerous type) BP and BS all came in line all without exercise. good luck.