In a large skillet, heat the olive oil over medium heat. Add the ground turkey and cook, breaking up the meat into a fine crumble with a spatula as it cooks, for 6 minutes, or until the turkey is cooked through and starting to brown.
Add the carrots and stir to combine with the turkey. Cook, stirring occasionally, for 5 to 7 minutes, until the carrots start to soften.
While the carrots soften, whisk together the soy sauce, coconut aminos, lime juice, honey, ground ginger, ground garlic, and sesame oil in a bowl.
Add half of the sauce and the green onions to the ground turkey mixture. Cook, stirring occasionally, for 2 to 3 minutes, until the green onions are wilted.
Divide the lettuce leaves among four plates, add the filling, and top with sesame seeds and red pepper flakes. Serve alongside rice noodles (optional) and the rest of the sauce, and enjoy!