Plug your truck in overnight. If the truck starts easier then you need to put in a new set of glowplugs.
Stay away from the Autolite and Champion brands, they're a dirty word around here. The tips are known to swell and break off, potentially destroying the engine.
Bosch BERU and AC Delco brand glowplugs are very good.
There is one possibility that you might have an air leak in your fuel system somewhere that may be causing the hard starts.
One word of warning, be very careful with starting fluid in these engines. If that ether hits a hot glowplug, it can potentially lift a cylinder head off the block.