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McDonald's US Iced Caramel Macchiato (Large): calories and sugar by portion, age and sex

Boone’s analysis puts McDonald's US Iced Caramel Macchiato (Large) at 18% of an adult’s daily calories, 32% of the daily sodium limit for a child aged 4 to 8 and 9.5 teaspoons of added sugar.

How many calories are in an McDonald's US Iced Caramel Macchiato (Large)? It contains 360 calories, 9g of fat (5g saturated), 38g of added sugar and 480mg 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 an Iced Caramel Macchiato (Large) fits into a day.

Nutrition information

Nutrition information: McDonald's US Iced Caramel Macchiato (Large)

Calories360
Total fat9g
of which saturated5g
Trans fat0g
Carbohydrate59g
Total sugars51g
Includes added sugars38g
Fibre0.3g
Protein12g
Sodium480mg

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 Iced Caramel Macchiato (Large) contains 360 calories, which is 18% of the 2,000-calorie Daily Value used on US food labels. It provides 9g of total fat, of which 5g is saturated, 51g of total sugars (38g added), 480mg of sodium, 12g of protein and 0.3g of fibre.

The saturated fat content of 5g represents 25% of the 20g Daily Value.

McDonald's US Iced Caramel Macchiato (Large) is assembled from 4 separately manufactured components, combined at the point of sale. The caramel syrup alone carries 5 different classes of additive. Across the whole item the ingredient list names corn syrups and invert sugar, flavourings, colours, preservatives, phosphates and raising agents and humectants. None of these add nutritional value. They exist to make the item survive industrial production, storage and transport.

McDonald's US Iced Caramel Macchiato (Large) is over the US per-meal added sugar limit

McDonald's US Iced Caramel Macchiato (Large) contains 38g of added sugar, 3.8 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 Iced Caramel Macchiato (Large)

38g of the 51g counts as added sugar, or about 9.5 teaspoons. The other 13g is naturally occurring.

Added sugars come from

  • sugar, corn syrup, brown sugar in the caramel syrup
  • corn syrup, sugar in the caramel drizzle

Naturally occurring sugars come from

  • lactose in the whole milk
  • lactose in the caramel syrup
  • lactose in the caramel drizzle

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 Iced Caramel Macchiato (Large)

McDonald's US Iced Caramel Macchiato (Large) is assembled from 4 separately manufactured components, combined and served at the point of sale. Reading the ingredient list closely, it contains corn syrups and invert sugar, flavourings, colours, preservatives, phosphates and raising agents and humectants. 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 caramel syrup and caramel drizzle.

Flavourings

Add or restore taste lost during processing. Found in the caramel syrup and caramel drizzle.

Colours

Restore or standardise appearance after processing. Found in the caramel drizzle.

Preservatives

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

Phosphates and raising agents

Hold moisture in meat, control acidity or make batters and doughs rise. Found in the caramel syrup and caramel drizzle.

Humectants

Keep syrups and fillings moist and stop them drying out. Found in the caramel syrup.

Boone classifies McDonald's US Iced Caramel Macchiato (Large) 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 Iced Caramel Macchiato (Large) contains at least 18 distinct ingredients: 10 raw and 8 manufactured. Ordered as a full meal with a dip and a dessert that reaches 63, of which 33 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 Iced Caramel Macchiato (Large)

What you orderRawManufacturedTotal% manufactured
McDonald's US Iced Caramel Macchiato (Large) on its own1081844%
McDonald's US Iced Caramel Macchiato (Large) + medium fries14122646%
McDonald's US Iced Caramel Macchiato (Large) + fries + a dip23194245%
McDonald's US Iced Caramel Macchiato (Large) + fries + dip + a medium Coca-Cola24214547%
McDonald's US Iced Caramel Macchiato (Large) + fries + dip + drink + an OREO McFlurry30336352%

The 8 manufactured ingredients

caramel color, corn syrup, disodium phosphate, natural flavor, pectin, potassium sorbate, propylene glycol, vitamin d3 added.

The 10 raw ingredients

brown sugar, butter, cream, espresso, milk, salt, sugar, sweetened condensed milk, sweetened condensed skim milk, water.

What those ingredients are, by type

Meat, fish, dairy and eggs5
Other additives and processing aids4
Sugars and syrups3
Vitamins and fortification1
Water1
Flavourings and extracts1
Salt and minerals1
Fruit, vegetables and nuts1
Colours1

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 Iced Caramel Macchiato (Large) is assembled from 4 separately manufactured components.

Ingredients by component: McDonald's US Iced Caramel Macchiato (Large)

Whole milk

Milk, Vitamin D3 Added.

Ice

Ice.

Caramel syrup

Sugar, Sweetened Condensed Skim Milk (milk, Sugar), Water, Corn Syrup, Natural Flavors, Brown Sugar, Propylene Glycol, Sea Salt, Disodium Phosphate, Potassium Sorbate (preservative).

Water

Water.

Espresso

Espresso.

Caramel drizzle

Corn Syrup, Sweetened Condensed Milk (milk, Sugar), Sugar, Water, Butter (cream, Salt), Salt, Disodium Phosphate, Natural Flavor (plant Source), Pectin, Caramel Color, Potassium Sorbate (preservative).

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 Iced Caramel Macchiato (Large) contains milk.

Allergen information: McDonald's US Iced Caramel Macchiato (Large)

AllergenStatus
MilkContains
EggsNot declared
FishNot declared
Crustacean shellfishNot declared
Tree nutsNot declared
PeanutsNot declared
WheatNot declared
SoybeansNot declared
SesameNot declared

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 an McDonald's US Iced Caramel Macchiato (Large)?+

Boone calculates that McDonald's US Iced Caramel Macchiato (Large) contains 360 calories, which is 18% of the 2,000-calorie Daily Value and 24% of the daily needs of a moderately active child aged 4 to 8.

How much added sugar is in an McDonald's US Iced Caramel Macchiato (Large)?+

Boone calculates that McDonald's US Iced Caramel Macchiato (Large) contains 38g of added sugar, about 9.5 teaspoons, which is 76% of the 50g FDA Daily Value.

Is McDonald's US Iced Caramel Macchiato (Large) 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 38g of added sugar, McDonald's US Iced Caramel Macchiato (Large) is over both.

How much saturated fat is in an McDonald's US Iced Caramel Macchiato (Large)?+

McDonald's US Iced Caramel Macchiato (Large) contains 5g of saturated fat. Boone calculates this as 25% of the 20g Daily Value and 29% of the 17g limit for a child aged 4 to 8.

How much sodium is in an McDonald's US Iced Caramel Macchiato (Large)?+

McDonald's US Iced Caramel Macchiato (Large) contains 480mg of sodium. Boone calculates that as 32% of the daily limit for a child aged 4 to 8 and 21% of the 2,300mg adult limit.

Is McDonald's US Iced Caramel Macchiato (Large) ultra-processed?+

Boone classifies McDonald's US Iced Caramel Macchiato (Large) as NOVA group 4. Reading the published ingredient list, it is assembled from 4 separately manufactured components and contains corn syrups and invert sugar, flavourings, colours, preservatives, phosphates and raising agents and humectants. NOVA group 4 describes how far a food is from its whole-food form, not how nutritious it is.

How much fibre is in an McDonald's US Iced Caramel Macchiato (Large)?+

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

Boone’s analysis flags that its 480mg of sodium is 32% of the daily limit for a child aged 4 to 8; its 38g of added sugar is above the Dietary Guidelines advice of no added sugar for children aged 10 and under; its 5g of saturated fat is 29% of their daily limit; it contains caffeine. That does not make it off limits, but it does mean an Iced Caramel Macchiato (Large) uses up a large share of a young child’s day in one item.

How much protein is in an McDonald's US Iced Caramel Macchiato (Large)?+

McDonald's US Iced Caramel Macchiato (Large) contains 12g of protein, which Boone calculates as 24% of the 50g Daily Value.

Does McDonald's US Iced Caramel Macchiato (Large) contain caffeine?+

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