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Your doctor would want to do an HgA1C and probably a 2 hour post prandial test to see what your average blood sugar is and how quickly your body is handling glucose. You need to treat yourself as if you are diabetic. What's the harm. Go on an American Diabetic Association diet (ADA) which cuts way down on carbs and monitor your sugar. Don't check it right after you eat. Check it in the morning before you eat and before dinner at least 2 hours after you've had anything with calories, including drinks.
If she's only pre-diabetic she doesn't need to not go barefoot, etc, etc because there aren't any complications or restrictions yet. Other than avoiding getting T2. So she can eat a holiday/special occasion meal and slack off exercise one day and not get acutely ill. Of course one doesn't want to let it progress to T2.
Hugs
Martina