In obesity, a decreased sensitivity to leptin can occur. The consequences of this result in the person’s inability to detect satiety, even though there may be high energy stores. No surprise, any decline in the level of circulating leptin impacts brain activity in areas that involve the cognitive and/or emotional control of appetite. In 1996 a study published in the New England Journal of Medicine [334 (5): 292–5] reported that while leptin typically reduces appetite as a circulating signal, obese individuals generally exhibit a higher circulating concentration of leptin than normal weight individuals This is likely due to their higher percentage of body fat. In addition, they also ten to show leptin resistance similar to the insulin resistance seen in people with type 2 diabetes. However, the elevated levels of leptin fail to control hunger or modulate their weight.