Higher CoC has been associated with lower risk of preventable hospitalization following a new diagnosis of diabetes. Considered a primary care sensitive condition (PCSC), effective management is highly contingent on timely access to quality primary care, and notably continuity of care (CoC), which is characterised by an ongoing, cooperative relationship between a patient and their physician-led care team. This “legacy effect” of early control highlights the importance of ensuring patients are appropriately connected to support and service resources following diagnosis. Good control of diabetes (maintaining an average HbA1c below 6.5%, 48 mmol/mol) in the first year following a diabetes diagnosis has been associated with reduced risk of complications and death 10 years later, even after adjusting for glycemic control after the first year. Understanding the pattern of care set in motion by the diagnosis of diabetes will support the identification of care trajectories that minimize unnecessary or inappropriate services while maximizing health outcomes, and as such has important implications for health system design and for improving patient experiences. The care trajectory concept describes the sequence of healthcare use over time. The potential over time for damage to the heart, blood vessels, eyes, kidneys, and nerves necessitates long-term clinical follow up and care. The global prevalence of diabetes has been on the rise for the past several decades. However, the association with location of diagnosis suggests that efforts to ensure patients diagnosed in hospital are well linked to a regular family physician for follow up may help to reduce unnecessary specialist use and meet PCSC goals. We did not find strong evidence of social status privileging access to this trajectory. The Regular FP trajectory most closely aligns with the management principles of the PCSC approach. Diagnoses in a physician’s office, as opposed to in hospital, were associated with higher odds of the Regular FP trajectory. With Regular FP as the reference, males had higher odds of experiencing the Few Services trajectory, higher education was associated with higher odds of both the Few Services and the Specialist trajectories, and immigrants had higher odds of the Specialist trajectory. Three trajectories were identified: Regular Family Physician (FP) Predominant, Specialist Physician Predominant, and Few Services. Associations between individual and geographic characteristics with trajectory types were assessed with multinomial logistic regression. Care trajectories were mapped over a two-year period following a new diagnosis and analysed using state sequence and clustering methods. We used the TorSaDe (The Care Trajectories-Enriched Data) cohort, which links Canadian Community Health Survey respondents to health administrative data. Our objectives are to establish a typology of care trajectories following a new diagnosis, and to explore social determinants of trajectories. As a primary care sensitive condition (PCSC), this association could be related to differential access to primary care. Social inequalities in complications associated with diabetes mellitus persist.