Say this
McDouble, no bun
Ketchup comes on it by default (~7.8g = ~1.7g sugar). That still keeps it under 4g sugar. Say 'no ketchup' to drop to ~1.6g carbs, under 1g sugar.
Instead of a McDouble (with bun) (6g sugar) · carbs added up from each ingredient
What's in it
Two 100% beef patties
0g carbs
American cheese, 1 slice (14.2g)
0.7g carbs
Pickle slices (8g)
0.2g carbs
Verified against McDonald's's nutrition info on 2026-10-03. Drinks are made by hand, so amounts vary. Not medical advice.