INS and diabetes mellitus: Other programs offering outpatient education and management for patients with DM requiring insulin initiation have utilized the patient’s home2,3,10 or an ambulatory clinical setting.1,4–9 Recognizing the logistical challenges to these designs at BCH, the availability of the outpatient Infusion and Day Treatment Center, combined with the utilization of the inpatient diabetes program resources, provided the ideal setting for the DDTP-ED Referral Pathway pilot.