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McDonald's US Caramel Apple Pie Iced Coffee (Medium): calories and sugar by portion, age and sex

Boone’s analysis puts McDonald's US Caramel Apple Pie Iced Coffee (Medium) at 14% of an adult’s daily calories, 16% of the daily sodium limit for a child aged 4 to 8 and 6.2 teaspoons of added sugar.

How many calories are in a McDonald's US Caramel Apple Pie Iced Coffee (Medium)? It contains 290 calories, 13g of fat (7g saturated), 25g of added sugar and 240mg of sodium.

Build a full meal with our nutrition calculator

Use the Boone meal calculator to build a full meal rather than view this item on its own. Add fries, a drink, dips and a dessert, then choose your age and sex, and switch between US and UK guidance, for a more accurate view of how a Caramel Apple Pie Iced Coffee (Medium) fits into a day.

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Nutrition information

Nutrition information: McDonald's US Caramel Apple Pie Iced Coffee (Medium)

Calories290
Total fat13g
of which saturated7g
Trans fat0g
Carbohydrate42g
Total sugars28g
Includes added sugars25g
Fibre0.3g
Protein3g
Sodium240mg

Nutrition figures are McDonald’s USA published data, per item as sold and before any optional sauces or extras. Boone converts them to the portion and age comparisons on this page.

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 290 calories, which is 14% of the 2,000-calorie Daily Value used on US food labels. It provides 13g of total fat, of which 7g is saturated, 28g of total sugars (25g added), 240mg of sodium, 3g of protein and 0.3g of fibre.

The saturated fat content of 7g represents 35% of the 20g Daily Value.

McDonald's US Caramel Apple Pie Iced Coffee (Medium) is assembled from 5 separately manufactured components, combined at the point of sale. The light cream alone carries 4 different classes of additive. Across the whole item the ingredient list names corn syrups and invert sugar, emulsifiers, thickeners and gums, flavourings, colours, preservatives, phosphates and raising agents and emulsifying and buffering salts. None of these add nutritional value. They exist to make the item survive industrial production, storage and transport.

McDonald's US Caramel Apple Pie Iced Coffee (Medium) is over the US per-meal added sugar limit

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 25g of added sugar, 2.5 times the 10g per-meal limit in the Dietary Guidelines for Americans. The same guidelines recommend no added sugar at all for children aged 10 and under.

FDA Daily Values (2,000-calorie diet)

Calories2,000
Total fat78g
Saturated fat20g
Carbohydrate275g
Added sugars50g
Fibre28g
Sodium2,300mg
Protein50g

Added sugar vs total sugar

Where the sugar comes from: McDonald's US Caramel Apple Pie Iced Coffee (Medium)

25g of the 28g counts as added sugar, or about 6.2 teaspoons. The other 3g is naturally occurring.

Added sugars come from

  • 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

Naturally occurring sugars come from

  • lactose in the light cream
  • lactose in the salted caramel whipped cream
  • lactose in the apple pie topping

Dietary Guidelines for Americans, 2025–2030: no more than 10g of added sugar per meal from age 11 and none for children aged 10 and under. FDA Daily Value: 50g a day. Sources are read from the published ingredient list for each component.

Ultra-processed food: what is really in it

Processing and additives: McDonald's US Caramel Apple Pie Iced Coffee (Medium)

McDonald's US Caramel Apple Pie Iced Coffee (Medium) is assembled from 5 separately manufactured components, combined and served at the point of sale. Reading the ingredient list closely, it contains corn syrups and invert sugar, emulsifiers, thickeners and gums, flavourings, colours, preservatives, phosphates and raising agents and emulsifying and buffering salts. These are not there to add nutritional value. They make industrial production and distribution possible.

Corn syrups and invert sugar

Sweeten and control texture more cheaply than sugar alone. Found in the apple pie syrup.

Emulsifiers

Help oil-based and water-based ingredients blend and stay blended. Found in the light cream and salted caramel whipped cream.

Thickeners and gums

Thicken sauces, fillings and drinks and stop them separating. Found in the light cream and salted caramel whipped cream.

Flavourings

Add or restore taste lost during processing. Found in the apple pie syrup, salted caramel whipped cream and apple pie topping.

Colours

Restore or standardise appearance after processing. Found in the salted caramel whipped cream and apple pie topping.

Preservatives

Slow the growth of bacteria, yeasts and moulds in centrally prepared components. Found in the apple pie syrup.

Phosphates and raising agents

Hold moisture in meat, control acidity or make batters and doughs rise. Found in the light cream.

Emulsifying and buffering salts

Let processed cheese and cream melt smoothly, or hold the acidity of drinks steady. Found in the light cream.

Boone classifies McDonald's US Caramel Apple Pie Iced Coffee (Medium) as NOVA group 4, ultra-processed, based on the additives named above. NOVA groups foods by how far they are from their whole-food form, not by how nutritious they are. A group 4 food is not automatically unhealthy, and a group 1 food is not automatically healthy. Read from the published ingredient list, September 2026.

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains at least 40 distinct ingredients: 22 raw and 18 manufactured. Ordered as a full meal with a dip and a dessert that reaches 73, of which 35 are manufactured. Raw means something you could buy and cook with at home; manufactured means a substance that only exists as an output of industrial processing.

Ingredient count by order: McDonald's US Caramel Apple Pie Iced Coffee (Medium)

What you orderRawManufacturedTotal% manufactured
McDonald's US Caramel Apple Pie Iced Coffee (Medium) on its own22184045%
McDonald's US Caramel Apple Pie Iced Coffee (Medium) + medium fries24224648%
McDonald's US Caramel Apple Pie Iced Coffee (Medium) + fries + a dip33296247%
McDonald's US Caramel Apple Pie Iced Coffee (Medium) + fries + dip + a medium Coca-Cola34316548%
McDonald's US Caramel Apple Pie Iced Coffee (Medium) + fries + dip + drink + an OREO McFlurry38357348%

The 18 manufactured ingredients

caramel color, carrageenan, corn syrup, datem, folic acid, invert sugar, magnesium oxide, mono and diglycerides, natural flavor, niacin, oleoresin paprika, potassium sorbate, reduced iron, riboflavin, sodium citrate, sodium phosphate, sodium stearoyl lactylate, thiamine mononitrate.

The 22 raw ingredients

baking soda, brewed coffee, brown sugar, butter, canola oil, cinnamon, cream, graham crumb, graham flour, honey, milk, oats, palm oil, pear juice concentrate, pretzels, salt, soybean oil, sugar, sugarcane molasses, water, wheat flour, yeast.

What those ingredients are, by type

Other additives and processing aids8
Sugars and syrups6
Grains and flours5
Vitamins and fortification5
Fruit, vegetables and nuts3
Meat, fish, dairy and eggs3
Oils and fats3
Salt and minerals2
Flavourings and extracts2
Water1
Colours1
Herbs and spices1

Boone counts every distinct named ingredient on McDonald’s published component lists, including sub-ingredients, and removes duplicates, so salt appearing in four components counts once. Additive class names are dropped and the named substance kept, so “leavening (baking soda)” counts baking soda once. Ice and water added at the counter are not counted. Raw covers whole foods and basic kitchen staples such as flour, sugar, salt and oil. Manufactured covers substances that only exist as an output of industrial processing. Every figure here is a minimum. The build uses a Sweet ’n Sour sauce.

Ingredients

McDonald's US Caramel Apple Pie Iced Coffee (Medium) is assembled from 5 separately manufactured components.

Ingredients by component: McDonald's US Caramel Apple Pie Iced Coffee (Medium)

Brewed coffee

Brewed Coffee.

Ice

Ice.

Light cream

Milk, Cream, Sodium Phosphate, Datem, Sodium Stearoyl Lactylate, Sodium Citrate, Carrageenan, Magnesium Oxide.

Apple pie syrup

Corn Syrup, Water, Invert Sugar, Pear Juice Concentrate, Liquid Sugar (sugar, Water), Natural Flavor, Salt, Potassium Sorbate (preservative).

Salted caramel whipped cream

Cream, Milk, Sugar, Water, Nonfat Milk, Less Than 2% Of: Mono- And Diglycerides, Salt, Caramel Color, Carrageenan, Natural Flavor. Propellant: Nitrous Oxide.

Apple pie topping

Salted Caramel Pretzel Bits: Pretzels (wheat Flour, Expeller Pressed Non-GMO Canola Oil, And Yeast), Expeller Pressed Non-GMO Canola Oil, Salted Caramel Seasoning (sugar, Sea Salt, Brown Sugar, Natural Flavors, And Oleoresin Paprika). Cinnamon Streusel Topping: Sugar, Enriched 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 Flour, Sugar, Palm Oil, Brown Sugar, Honey, Salt, Baking Soda, Natural Flavor), Whole Grain Oats, Butter (pasteurized Cream, Natural Flavors), Soybean Oil, Water, Sugarcane Molasses, Cinnamon.

Ingredients taken from the McDonald’s USA product pages, retrieved September 2026, with obvious spelling errors corrected. Recipes change - always check in restaurant before ordering if you have an allergy.

Allergens at a glance

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains milk and wheat.

Allergen information: McDonald's US Caramel Apple Pie Iced Coffee (Medium)

AllergenStatus
MilkContains
EggsMay contain
FishNot declared
Crustacean shellfishNot declared
Tree nutsMay contain
PeanutsMay contain
WheatContains
SoybeansMay contain
SesameNot declared
Also declared under UK rules
Oats (cereal containing gluten)Present, UK rules

Contains caffeine, but McDonald’s USA does not publish a figure. Contains = declared by McDonald’s USA. May contain = McDonald’s states the allergen may be present. McDonald’s prepares food in shared kitchens, so no item can be guaranteed allergen free. UK rules also require barley, oats, mustard, celery and sulphites to be declared; these are shown where the ingredient list names them. Retrieved September 2026.

Frequently asked questions

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

Boone calculates that McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 290 calories, which is 14% of the 2,000-calorie Daily Value and 19% of the daily needs of a moderately active child aged 4 to 8.

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

Boone calculates that McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 25g of added sugar, about 6.2 teaspoons, which is 50% of the 50g FDA Daily Value.

Is McDonald's US Caramel Apple Pie Iced Coffee (Medium) within US sugar guidance for children?+

The Dietary Guidelines for Americans, 2025–2030 recommend no added sugar for children aged 10 and under and no more than 10g per meal from age 11. With 25g of added sugar, McDonald's US Caramel Apple Pie Iced Coffee (Medium) is over both.

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

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 7g of saturated fat. Boone calculates this as 35% of the 20g Daily Value and 41% of the 17g limit for a child aged 4 to 8.

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

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 240mg of sodium. Boone calculates that as 16% of the daily limit for a child aged 4 to 8 and 10% of the 2,300mg adult limit.

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

Boone classifies McDonald's US Caramel Apple Pie Iced Coffee (Medium) as NOVA group 4. Reading the published ingredient list, it is assembled from 5 separately manufactured components and contains corn syrups and invert sugar, emulsifiers, thickeners and gums, flavourings, colours, preservatives, phosphates and raising agents and emulsifying and buffering salts. NOVA group 4 describes how far a food is from its whole-food form, not how nutritious it is.

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

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 0.3g of fibre. Boone calculates that as 1% of the 28g Daily Value and 1% of the 21g target for a child aged 4 to 8. Fibre is a target to reach rather than a limit to stay under.

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

Boone’s analysis flags that its 25g of added sugar is above the Dietary Guidelines advice of no added sugar for children aged 10 and under; its 7g of saturated fat is 41% of their daily limit; it contains caffeine. That does not make it off limits, but it does mean a Caramel Apple Pie Iced Coffee (Medium) uses up a large share of a young child’s day in one item.

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

McDonald's US Caramel Apple Pie Iced Coffee (Medium) contains 3g of protein, which Boone calculates as 6% of the 50g Daily Value.

Does McDonald's US Caramel Apple Pie Iced Coffee (Medium) contain caffeine?+

Yes. It is made with coffee or espresso, but McDonald’s USA does not publish a caffeine figure for McDonald's US Caramel Apple Pie Iced Coffee (Medium).