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McDonald's US Iced Caramel Macchiato with layered milk and espresso over ice in a tall glass

McDonald's US Iced Caramel Macchiato (Large) nutrition

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

Your order
Who is eating
360calories18% of the day
Where the calories come from
13%66%22%
ProteinCarbsFat
!Added sugar is the one to watch: 76% of her Daily Value in one drink.
CaloriesEnergy360 cal18%
Estimated need 2,000 calories (USDA)
Added sugarOver 10g a meal38g76%
Daily Value 50g; 10g a meal (DGA)
Saturated fatHigh5g25%
Daily Value 20g
SodiumHigh480mg21%
Limit 2,300mg (CDRR)
FibreTarget0.3g1%
Target 28g (14g per 1,000 calories)
ProteinTarget12g24%
Daily Value 50g

Iced Caramel Macchiato (Large), 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 Iced Caramel Macchiato (Large) as published, seen four ways.

Adult

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

18%of 2,000 calories (360 calories)
High25%saturated fat: 5g of 20g DV
High21%sodium: 480mg of 2,300mg DV
High76%added sugar: 38g of 50g DV

Added sugar is the biggest issue: 38g is 76% 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

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 sugars51gPublished by McDonald’s USA
Added sugars38gPublished by McDonald’s USA. 9.5 teaspoons
  • 38g added sugar: sugar, corn syrup, brown sugar in the caramel syrup, corn syrup, sugar in the caramel drizzle
  • 13g 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 →

38g of added sugar against US guidance
Daily Value 50g a day76%
Age 11 and over 10g a meal380%
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 68% of the menu, but less fibre per calorie than the menu average (0.08g against 0.28g).
Protein3.3g per 100 calories
This item
3.3g
Menu average
2.7g
Best: 1% Low Fat Milk Jug
8.0g

More protein per calorie than 68% of the 247 items on the menu.

Fibre0.08g per 100 calories
This item
0.08g
Menu average
0.28g
Best: Strawberry Banana Smoothie (Medium)
1.25g

More fibre per calorie than 43% 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 230mg480mg over
209% of the limit
Saturated fat limit 2g5g over
250% of the limit
Added sugars limit 2.5g38g over
1520% 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

26 ingredients across 6 parts; 10 are additives or processed (orange).

16 basic, 10 orange
Whole milk2 ingredients, 0 orange
milkvitamin D3 added
Ice1 ingredient, 0 orange
ice
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 Iced Caramel Macchiato (Large)?+

360 calories as published. That is 18% of the 2,000-calorie Daily Value used on US food labels.

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

For a child aged 4 to 8 it is 32% of the day’s 1,500mg sodium limit in one item. It has 38g 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 Iced Caramel Macchiato (Large)?+

51g of total sugars, of which 38g is added sugar as published. That is 9.5 teaspoons and 76% 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 Iced Caramel Macchiato (Large)?+

12g, 3.3g per 100 calories. It ranks #62 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 Iced Caramel Macchiato (Large) 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 Iced Caramel Macchiato (Large) ultra-processed?+

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

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

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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