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Fast Food Calc

McDonald's · United States · updated 2026-10-15

Low-Carb & Keto-Friendly McDonald's Options

7 McDonald's food and drinks with 10g of carbs or less, ranked by carbs, with fat and protein for keto and low-carb diets.

Hot Tea (Medium) tops this list with 0g of carbohydrate. The list covers 6 drinks and 1 food items.

Top picks

  1. 1Hot Tea

    Medium

    Carbs
    0 g
    Fat
    0 g
    Protein
    3 g
    Calories
    10 kcal
  2. 2McCafé Iced Black Coffee

    Medium

    Carbs
    1 g
    Fat
    0 g
    Protein
    1 g
    Calories
    10 kcal
  3. 3McCafé Premium Roast Coffee

    Medium

    Carbs
    1 g
    Fat
    0 g
    Protein
    1 g
    Calories
    10 kcal

The full list (7)

How we picked: Items with 10g of total carbohydrate or less in their standard size, excluding zero-calorie drinks like water.

Low-Carb & Keto-Friendly McDonald's Options
#
1Hot TeaMedium00310
2McCafé Iced Black CoffeeMedium10110
3McCafé Premium Roast CoffeeMedium10110
4McCafé AmericanoMedium1005
5McCafé Premium Roast Decaf CoffeeMedium20110
6Apple Slices40015
7Honest Kids Appley Ever After Organic Juice Drink80035

Want to build a full order from this list? Open the McDonald's calorie calculator.

How low is low-carb?

There’s no single definition, but ketogenic diets usually limit carbohydrate to about 20–50g a day, and broader low-carb diets to under 130g. A 10g item uses a meaningful slice of a keto budget, so the order you build around it matters.

4 items on this list have 1g of carbs or less. The highest-protein option is Hot Tea with 3g of protein and 0g of carbs.

Total carbs, not net carbs

We rank by total carbohydrate exactly as the restaurant publishes it. “Net carbs” (total carbs minus fibre) isn’t an official nutrition-label figure and restaurants don’t publish it, so if you count net carbs your numbers will be a little lower.

Where hidden carbs come from

Most fast-food carbs come from bread, buns, tortillas, breading, rice, sugary sauces and sweetened drinks. Most of this list is proteins, eggs, salads, sauces and unsweetened drinks for that reason. Ordering a bowl instead of a burrito, or a lettuce wrap instead of a bun, at McDonald's is usually the biggest swap you can make.

Frequently asked questions

What is the lowest-carb option at McDonald's?

Hot Tea has 0g of carbs and 10 kcal.

Are these net carbs?

No, these are total carbohydrates as published by the restaurant. Net carbs subtract fibre, so they would be the same or slightly lower.

Is everything on this list keto-friendly?

Every item has 10g of carbs or less, which can fit most keto plans, but your daily total depends on everything you eat. Some items are low in carbs because they’re small (like sauces), so check portion and protein too.

More McDonald's guides

Nutrition varies with preparation and customisation; this list is general information, not medical advice.

Source: McDonald's US Nutrition Calculator (menu definition) (retrieved 2026-10-15); McDonald's US item nutrition, ingredients & allergens (itemDetails JSON used by the calculator and product pages) (retrieved 2026-10-15); McDonald's US Full Menu (category pages incl. Sauces & Condiments, Happy Meal, Drinks) (retrieved 2026-10-15). Data checked 2026-10-15. McDonald's is a trademark of its owner; Fast Food Calc is independent and not affiliated with McDonald's.