Yes, I believe @hanscasteels is making a critical point when he says “high sugar consumption vs high blood sugar levels”. The two are not really interchangeable although there is some correlation.
Some people eat sugar all day long, never get fat, never get diabetes and never get cancer….others not so lucky. It also seems that our own adipose tissue DOES have significant bearing on diabetes and obesity.
If @hanscasteels has significant cardiac issues I can understand his fears of ADT which, because they basically induce male menopause, can lead to higher rates of diabetes, fat storage, higher lipid levels, etc - all of them bad for a cardiac patient.
As someone mentioned, Decipher really important in this case, but if ADT is indicated it should be used and the cardiologist will have to either add, adjust or perform other measures to make certain the ADT causes no further harm.