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McDonald's US Caramel Macchiato, a milky espresso drink with foam and a caramel drizzle in a clear glass mug

McDonald's US Caramel Macchiato (Small) nutrition

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

Your order
Who is eating
260calories13% of the day
Where the calories come from
14%63%21%
ProteinCarbsFat
!Added sugar is the one to watch: 52% of her Daily Value in one hot drink.
CaloriesEnergy260 cal13%
Estimated need 2,000 calories (USDA)
Added sugarOver 10g a meal26g52%
Daily Value 50g; 10g a meal (DGA)
Saturated fatHigh4g20%
Daily Value 20g
SodiumModerate320mg14%
Limit 2,300mg (CDRR)
FibreTarget0.3g1%
Target 28g (14g per 1,000 calories)
ProteinTarget9g18%
Daily Value 50g

Caramel Macchiato (Small), 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 it means for you

The Caramel Macchiato (Small) as published, seen four ways.

Adult

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

13%of 2,000 calories (260 calories)
High20%saturated fat: 4g of 20g DV
14%sodium: 320mg of 2,300mg DV
High52%added sugar: 26g of 50g DV

Added sugar is the biggest issue: 26g is 52% of the Daily Value in one hot drink.

Americano (Large)Lower added sugarAmericano (Large) →0g added sugar (0% DV), 5 calories

Allergens

1 contain0 may contain8 not declared
MilkContains
EggsNot declared
FishNot declared
Crustacean shellfishNot declared
Tree nutsNot declared
PeanutsNot declared
WheatNot declared
SoybeansNot 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.
Total sugars35gPublished by McDonald’s USA
Added sugars26gPublished by McDonald’s USA. 6.5 teaspoons
  • 26g added sugar: sugar, corn syrup, brown sugar in the caramel syrup, corn syrup, sugar in the caramel drizzle
  • 9g not added: lactose in the whole milk, lactose in the caramel syrup, lactose in the caramel drizzle

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

26g of added sugar against US guidance
Daily Value 50g a day52%
Age 11 and over 10g a meal260%
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 72% of the menu, but less fibre per calorie than the menu average (0.12g against 0.28g).
Protein3.5g per 100 calories
This item
3.5g
Menu average
2.7g
Best: 1% Low Fat Milk Jug
8.0g

More protein per calorie than 72% of the 247 items on the menu.

Fibre0.12g per 100 calories
This item
0.12g
Menu average
0.28g
Best: Strawberry Banana Smoothie (Medium)
1.25g

More fibre per calorie than 49% 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 dairy drink

Would not meet FDA’s ‘healthy’ criteria for a dairy 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 dairy drink: limits are 5%, 10% and 10% of the Daily Value 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 230mg320mg over
139% of the limit
Saturated fat limit 2g4g over
200% of the limit
Added sugars limit 2.5g26g over
1040% 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.

What is in it

25 ingredients across 5 parts; 10 are additives or processed (orange).

15 basic, 10 orange
Whole milk2 ingredients, 0 orange
milkvitamin D3 added
Caramel syrup10 ingredients, 5 orange
sugarsweetened condensed skim milk (milk, sugar)watercorn syrupnatural flavorsbrown sugarpropylene glycolsea saltdisodium phosphatepotassium sorbate (preservative)
Water1 ingredient, 0 orange
water
Espresso1 ingredient, 0 orange
espresso
Caramel drizzle11 ingredients, 5 orange
corn syrupsweetened condensed milk (milk, sugar)sugarwaterbutter (cream, salt)saltdisodium phosphatenatural flavor (plant source)pectincaramel colorpotassium sorbate (preservative)

Quick answers

How many calories are in a McDonald's US Caramel Macchiato (Small)?+

260 calories as published. That is 13% of the 2,000-calorie Daily Value used on US food labels.

Is a McDonald's US Caramel Macchiato (Small) suitable for children?+

For a child aged 4 to 8 it is 21% of the day’s 1,500mg sodium limit in one item. It has 26g of added sugar, and the Dietary Guidelines advise none for children aged 10 and under. A Hot Tea (Medium) has 5mg of sodium, 0% of that limit.

How much sugar is in a McDonald's US Caramel Macchiato (Small)?+

35g of total sugars, of which 26g is added sugar as published. That is 6.5 teaspoons and 52% 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 Macchiato (Small)?+

9g, 3.5g per 100 calories. It ranks #90 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 Macchiato (Small) healthy by FDA’s definition?+

No. Judged as a dairy 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 Macchiato (Small) ultra-processed?+

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

Which allergens are in a McDonald's US Caramel Macchiato (Small)?+

Of the 9 major US allergens, it contains milk.

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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