1999 GMC Sierra Trouble codes PO171 & PO174

First I belive you should change your coolant temperature sensor since it adjusts the fuel on cold starts, if it is bad it will make the vehicle run lean causing the hard poor start and the lean codes.

Might want to try this first, found a bulletin for this problem. Cold Engine Idle Misfire Or DTCs P0171 P0174 - keywords 4.8 5.3 6.0 air cold crack hesitate idle intermittent internal intake leak lean misfire miss P0171 P0174 P0300 power rough surge vacuum.99 through 05 GEN III truck engines may experience any of the following:

A cold rough idle that diminishes as the engine warms up.
Possible DTCS P0171, P0174, or P0300.
Random misfires at idle.
The intake gasket seals may be leaking around the intake ports, causing a lean condition. The intake gasket seals may leak around the bottom side of the port, making it a challenge to detect the vacuum leak. The technician may also notice lower than normal MAF readings if the intake seals are leaking.

If leaking intake gasket seals are found, replace the intake gaskets. During the repair be sure to use the current GMSPO part number for replacement intake gaskets. The current GMSPO part number for intake gaskets will have a teal green intake gasket seal. The old version of the intake gaskets were orange in color. Use only the teal green colored gaskets for a repair.
The intake plenum should also be checked for excessive warpage that may cause an uneven clamping pressure of the seal. If the plenum is found to be warped it will need to be replaced. Service Information states, "An intake manifold with warpage in excess of 3 mm (0.118 in) over a 200 mm (7.87 in) area should be replaced". Intake warpage is measured at the gasket sealing surfaces, and should be measured within a 200 mm (7.87 in) area. This measurement is across only two of the intake runner port openings. Measurements taken across the entire distance of all four intake runner ports will lead to unnecessary manifold replacements.
Maybe this will help.