Diesel Kleen/Hot Shot/etc really won't do anything for a common rail cummins injector. They do not use oil to open the injector like a Ford, which those products can sometimes help. Once a common rail injector is worn it's worn. Good filtration is the key to keeping them alive longer. The Fass/Airdog pumps have nice filters, but you can do that on your own with a Cat or Cummins/Fleetgaurd filter on a standard filter base to get the filters down below 10 micron. Bosch recommends below 10 micron filters but the factory Dodge/Cummins filter is far from it!
Being a common rail, it's basically a fuel injected gas engine running a different fuel with ALOT higher pressures. You could have a High pressure pump just getting weak, which at your mileage isn't uncommon. However, as these engines are all electronic, a bad ground is not a good thing at all. I've not seen it on a common rail engine, but have seen a lot of the VP 24valve engines have a bad MAP sensor that will not throw a code, but limit engine power because they are not reading boost/intake pressure. The add on tuners I'm not a fan of, I have an Edge EZ I took off my truck because of similar reasons.