For the first year we were crawling in from the back... I always loaded the common things we used during the day at the back, and when we set up for the night we ended up pulling most of the gear out to avoid constantly having to crawl into the bed. I also got some pelican storm boxes to keep everything in, so it's easy to pull stuff out and put it on the ground (plus it keeps it clean in the bed too).
About a month ago I added a bedslide to help with that, but it does give up a few inches of vertical space in the bed, it adds more weight, and it still only opens 75% of the way. Yet another tradeoff. So far it seems worth it for us and we don't have to completely unload the bed to get to things.
I love that I can stand on the diamondback without watching where I put my feet/etc, and that makes so many of the operations with the tent easier, from getting it on and off to opening/closing it. And being lower down makes it a lot more doable to carry my 60 pound dog up into the tent. I just have the rails, not the full rack, because I don't have the tent on all the time, and a solid rack blocks the diamondback from being able to open. I've been thinking about adding the side rails only so that I could use some of their rack accessories.