I just got my injectors replaced (under the new 200,000, 7year warranty) and my truck was smoking at startup and when idling, also there was a ticking noise all the time, it sounded like an exhaust leak.
The only real way to tell is to have your balance rates checked with a programmer or at your local dealer. They can also do a flow return rate check, but I believe that this takes more time and will cost more.
If you have a way to check your balance rates, anything over +/- 4 in park or anything over +/- 6 in drive is bad.