my wife just recently got a Cannondale T2000, it had stock brifters;
her hands are small and she has a limited range of motion in her left wrist.
she couldn't reach to shift the chainrings. tried the shim to adjust the reach and
also tried the smaller shimano shifters, she could not shift the full range.
she didn't want bar ends, so she ended up with an On one Mary handlebar
with grip shifters and shimano brake levers. the set up seems to work very
well for her and she is realy happy with it, plus she is real pleased with the T2000.