Stink like rotten eggs while driving
Or get under truck and shake it. If it rattles it's bad. Only 2 ways I know to tell
Just found this
The easiest test for converter plugging is done with a vacuum gauge. Connect the gauge to a source of intake vacuum on the intake manifold, carburetor or throttle body. Note the reading at idle, then raise and hold engine speed at 2,500. The needle will drop when you first open the throttle, but should then rise and stabilize. If the vacuum reading starts to drop, pressure may be backing up in the exhaust system.