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McDonald's US Caramel Apple Pie Iced Coffee with whipped cream and a cinnamon streusel and pretzel topping

McDonald's US Caramel Apple Pie Iced Coffee (Medium) nutrition

Figures from McDonald’s US nutrition information , collected by Boone, checked 11 September 2026

Your order
Who is eating
290calories14% of the day
Where the calories come from
4%58%40%
ProteinCarbsFat
!Added sugar is the one to watch: 50% of her Daily Value in one drink.
CaloriesEnergy290 cal14%
Estimated need 2,000 calories (USDA)
Added sugarOver 10g a meal25g50%
Daily Value 50g; 10g a meal (DGA)
Saturated fatHigh7g35%
Daily Value 20g
SodiumModerate240mg10%
Limit 2,300mg (CDRR)
FibreTarget0.3g1%
Target 28g (14g per 1,000 calories)
ProteinTarget3g6%
Daily Value 50g

Caramel Apple Pie Iced Coffee (Medium), as published. High and Low follow FDA’s 20% and 5% Daily Value marks. Calorie split calculated by Boone. How

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What McDonald's US Caramel Apple Pie Iced Coffee (Medium) means for you

The Caramel Apple Pie Iced Coffee (Medium) as published, seen four ways.

Adult

2 of 3 are 20% of the Daily Value or more in one drink, FDA’s mark for high.

14%of 2,000 calories (290 calories)
High35%saturated fat: 7g of 20g DV
10%sodium: 240mg of 2,300mg DV
High50%added sugar: 25g of 50g DV

Added sugar is the biggest issue: 25g is 50% of the Daily Value in one drink.

Honest Kids Appley Ever After Organic Juice DrinkLower added sugarHonest Kids Appley Ever After Organic Juice Drink →0g added sugar (0% DV), 35 calories

McDonald's US Caramel Apple Pie Iced Coffee (Medium) allergens

2 contain4 may contain3 not declared
MilkContains
WheatContains
EggsMay contain
Tree nutsMay contain
PeanutsMay contain
SoybeansMay contain
FishNot declared
Crustacean shellfishNot declared
SesameNot declared
The 9 major US allergens. As declared by McDonald’s USA. McDonald’s USA prepares food in shared kitchens, so no item can be guaranteed allergen free.

Sugar in McDonald's US Caramel Apple Pie Iced Coffee (Medium): added vs total

Sources read from the ingredient listHow
Total sugars28gPublished by McDonald’s USA
Added sugars25gPublished by McDonald’s USA. 6.2 teaspoons
  • 25g added sugar: corn syrup, invert sugar, pear juice concentrate, sugar in the apple pie syrup, sugar in the salted caramel whipped cream, sugar, brown sugar, honey in the apple pie topping
  • 3g not added: lactose in the light cream, lactose in the salted caramel whipped cream, lactose in the apple pie topping

Sugar naturally in milk, fruit and vegetables is not added sugar. Dietary Guidelines →

25g of added sugar against US guidance
Daily Value 50g a day50%
Age 11 and over 10g a meal250%
Age 10 and under none advisedOver

Nutrient density: what you get per 100 calories

For smaller portions: the most nutrition per calorie, against all 247 McDonald’s US items.

Calculated by BooneHow
More protein per calorie than 37% of the menu, but less fibre per calorie than the menu average (0.10g against 0.28g).
Protein1.0g per 100 calories
This item
1.0g
Menu average
2.7g
Best: 1% Low Fat Milk Jug
8.0g

More protein per calorie than 37% of the 247 items on the menu.

Fibre0.10g per 100 calories
This item
0.10g
Menu average
0.28g
Best: Strawberry Banana Smoothie (Medium)
1.25g

More fibre per calorie than 48% of the 247 items on the menu.

Vitamins and minerals

McDonald’s USA does not publish vitamins or minerals for this item, so Boone does not estimate them.

FDA ‘healthy’ test

Fails3 of 3 limits exceeded
as a drink

Would not meet FDA’s ‘healthy’ criteria for a drink: over the sodium, saturated fat and added sugars limits.

43 of 247 McDonald’s US items are within the limits for their category.

Judged as a drink: limits are 2%, 10% and 5% of the Daily Value (the fruit and vegetable limits) for added sugars, sodium and saturated fat. Boone applies them to the serving as sold; McDonald’s USA makes no ‘healthy’ claim.
The three limits0 of 3 met
Sodium limit 230mg240mg over
104% of the limit
Saturated fat limit 1g7g over
700% of the limit
Added sugars limit 1g25g over
2500% of the limit
Food groups at least 1 equivalentNot checked
Not needed: it already fails a limit.

FDA final rule, December 2024. Food makers must comply by 25 February 2028.

Ingredients in McDonald's US Caramel Apple Pie Iced Coffee (Medium)

54 ingredients across 6 parts; 18 are additives or processed (orange).

36 basic, 18 orange
Brewed coffee1 ingredient, 0 orange
brewed coffee
Ice1 ingredient, 0 orange
ice
Light cream8 ingredients, 5 orange
milkcreamsodium phosphatedatemsodium stearoyl lactylatesodium citratecarrageenanmagnesium oxide
Apple pie syrup8 ingredients, 4 orange
corn syrupwaterinvert sugarpear juice concentrateliquid sugar (sugar, water)natural flavorsaltpotassium sorbate (preservative)
Salted caramel whipped cream11 ingredients, 5 orange
creammilksugarwaternonfat milkless than 2% of: mono- and diglyceridessaltcaramel colorcarrageenannatural flavorpropellant: nitrous oxide
Apple pie topping25 ingredients, 4 orange
salted caramel pretzel bits: pretzels (wheat flour, expeller pressed non-gmo canola oil, and yeast)expeller pressed non-gmo canola oil
Salted Caramel Seasoningsugarsea saltbrown sugarnatural flavorsand oleoresin paprika
Cinnamon Streusel Toppingsugarenriched flour (wheat flour, niacin, reduced iron, thiamine mononitrate, riboflavin, folic acid)Graham Crumb:enriched flour (wheat flour, niacin, reduced iron, thiamine mononitrate, riboflavin, folic acid)graham floursugarpalm oilbrown sugarhoneysaltbaking sodanatural flavorwhole grain oatsButter:pasteurized creamnatural flavorssoybean oilwatersugarcane molassescinnamon

Quick answers

How many calories are in a McDonald's US Caramel Apple Pie Iced Coffee (Medium)?+

290 calories as published. That is 14% of the 2,000-calorie Daily Value used on US food labels.

Is a McDonald's US Caramel Apple Pie Iced Coffee (Medium) suitable for children?+

For a child aged 4 to 8 it is 16% of the day’s 1,500mg sodium limit in one item. It has 25g of added sugar, and the Dietary Guidelines advise none for children aged 10 and under. A DASANI Water has 0mg of sodium, 0% of that limit.

How much sugar is in a McDonald's US Caramel Apple Pie Iced Coffee (Medium)?+

28g of total sugars, of which 25g is added sugar as published. That is 6.2 teaspoons and 50% of the 50g Daily Value. The Dietary Guidelines advise no more than 10g of added sugar a meal from age 11.

How much protein is in a McDonald's US Caramel Apple Pie Iced Coffee (Medium)?+

3g, 1.0g per 100 calories. It ranks #131 of 237 items on the menu for protein. The 1% Low Fat Milk Jug gives the most protein for the calories, 8.0g per 100 calories.

Is a McDonald's US Caramel Apple Pie Iced Coffee (Medium) healthy by FDA’s definition?+

No. Judged as a drink, it is over FDA’s limit for sodium, saturated fat and added sugars. This is Boone’s reading of the FDA criteria; McDonald’s USA makes no ‘healthy’ claim.

Is a McDonald's US Caramel Apple Pie Iced Coffee (Medium) ultra-processed?+

Yes, NOVA group 4. The ingredient list includes emulsifiers, emulsifying salts, preservatives and colours.

Which allergens are in a McDonald's US Caramel Apple Pie Iced Coffee (Medium)?+

Of the 9 major US allergens, it contains milk and wheat. Eggs, tree nuts, peanuts and soybeans may be present.

Where the figures come from

Source. McDonald’s US nutrition information , per item as sold.

Collected. Copied by Boone from McDonald’s USA’s published figures. Data checks are led by Murray Dare.

Calculated by Boone. Labelled where it appears.

References. FDA Daily Values; USDA estimated calorie needs; Dietary Guidelines for Americans, 2025 to 2030; sodium limits by age from the National Academies; FDA ‘healthy’ claim criteria.

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