I am an apple too. Well, my husband says I am more of a zucchini.
I do not have diabetes but I have HBP and high cholesterol.
My LDL is high and my HDL is extremely low.
MY HBP is stable now but I have had periods where I have had to take the max of 4 separate drugs just to keep it at the stage 1 level. I have been in hypertensive crisis twice and show eye damage.
The positive is that tests detect no plaque buildup or heart damage. My Dr.s give credit to my diet and exercise.

Plus there are some positives to the apple physique.
Pears constantly ask me how to get rid of saddle bags because I do not have them.
I also do not have cellulite. My husband has more dimples than I do.
And I recently heard that apples are more intelligent than pears!

I also love Pilates mat work. It is a miracle for your back and even though it may not give you a waist, it will improve your shape as it strengthens your core.