My 98.5 D2500 truck is coming up on 200,000 miles and wondering what things should be looking at replacing or checking on the engine. Have done the Killer Dowel pin kit, replaced the idler pulley assembly, replaced the water pump and hoses. The oil filter is replaced at every oil change which is about every 5,000 to 6,000 miles and use the Fleetguard which get form Geno's. The fuel filter is replaced every year. Air filter is checked every month visually and shine a flashlight from the inside also as a check. Currently on the third set of batteries and recently getting slower start times so hope to make it through this winter by using the block heater and going to connect a trickle charger similar to what have for the motorcycle. Seem to remember reading that should check or replace the fuel injectors. Also read that should adjust the valves.