A classic Big Mac Meal (Big Mac + medium fries + medium Coke) has 136g of carbs and ~1130 calories. Most McDonald's combo meals land between 110-180g of carbs.
Combo meal carb counts (medium size)
Meal
Carbs
Big Mac + medium fries + medium Coke
136g
Quarter Pounder w/ Cheese + medium fries + medium Coke
133g
McChicken + medium fries + medium Coke
130g
10 pc McNuggets + medium fries + medium Coke
116g
Filet-O-Fish + medium fries + medium Coke
129g
2 Cheeseburgers + medium fries + medium Coke
157g
Breakfast combos
Meal
Carbs
Egg McMuffin + hash brown + medium coffee
45g
Sausage McMuffin w/ Egg + hash brown + OJ
80g
Bacon, Egg & Cheese Biscuit + hash brown + OJ
99g
Hotcakes + sausage + OJ
92g
How to cut 50g of carbs at McDonald's
**Swap soda for unsweetened iced tea or water**: saves 39g
**Skip the fries**: saves 43g (medium) or 66g (large)
**Order the burger without bun**: saves ~30g
**Choose a side salad over fries**: saves 38g (vinaigrette adds 14g back)
Lowest-carb full meals
**2 McDoubles, no bun, side salad, water**: ~12g
**Bacon Ranch Grilled Chicken Salad + black coffee**: ~9g
About the author
Carb Lens Editorial — Nutrition writers & product team. The Carb Lens editorial team writes practical, source-checked guides on carbs, blood sugar, and everyday nutrition. Every article is drafted by our writers and cross-referenced against USDA FoodData Central and peer-reviewed clinical guidelines.
This article is for general information and is not a substitute for medical advice. If you're managing diabetes or another condition, always defer to your care team.
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