The 2030 Agenda for eradicating poverty and hunger, Sustainable Development Goals made progress in its blueprint and reaffirmed to eradicate poverty (SDG 1), end hunger, and improve nutrition (SDG 2) by 2030. The objective of this article is to study the changing status of consumption expenditure and nutrition intake over time in Madhya Pradesh. Further, it makes a comparative analysis of the consumption expenditure and nutrition intake in regions by mapping the districts to know the areas that lagged behind in terms of the growth rate of consumption expenditure and nutrition. Finally, it also identifies the factors that determine the consumption expenditure and nutrition intake. This study is based on the National Sample Survey unit-level household consumption expenditure data for 2011–12. The Shivpuri, Guna, and Ashok Nagar districts have high growth rates of protein intake in the northern region. However, the Sagar, Damoh, and Sehore districts have moderate growth rates, and the Vidisha, Bhopal, and Raisen districts have high growth rates in fat intake giving insights of more oil intake and consumption outside the home in the central region of Madhya Pradesh. The results of the two-stage feasible generalized least squares model support the existing literature showing that various determinants have significant effects on the dependent variables. The government should target the expenditure on social security at the young and elderly people in different districts of the state. The pulses should be brought under the Public Distribution System and government should target the region-specific policies that target the lagged regions of the states, which replicate the success stories of the advanced ones.