I check my fuel pressure everytime I change the fuel filter, and have a boost gauge in the A frame. I have only needed one lift pump in 80K miles, but have had several boost pressure leaks. The first sign is noise most times, then you see boost is low, then you see EGT is heading for the red line. Plus by watching boost, you can hit max MPG if your into that, as well as keeping smoke down if you want.