I have learned from around 50 client sites that 99% of the time most DNN sites aren't properly setup to begin with and that causes most of the issues. For example half my clients didn't turn on the compression settings, nor did they put heavy caching options on, nor did they cache the authentication. All of which helps performance. Then the biggest performance gain you can do for your DNN installation is cutting down the number of logs it tracks. By default there are around 10 logs DNN keeps and it trackes ever user / hit to the site, and all sorts of data which is ALL sent for storage to the database. Most of the logs can be turned off cause they really aren't needed for most sites. Now if you really wanted to track everything going on then leave them on, however for most "public" facing sites there is little need to keep track of all the details the log files keep track of. After that you can fine tune the scheduler to make sure its not over active. To me the default install settings are a bit rough. Back down some of the frequencies and poof your DNN site blazes along.
While pageblaster is a great tool, if you take the time to properly configure your site and determine what you want to log and what not to. You will quickly find that pageblaster's performance gains start to disappear. Now for a default installation needing a pick me up. Then by all means use pageblaster you will be glad you did. If you understand how to configure DNN then go that route cause you will speed it up greatly.
Just realize its not the asp.net page that is causing the slow loads, DNN could be 100% html and still would run as just as slow if that html had to check user authentication, log the results, approve/disapprove user, log those results, begin rendering page, log that, then display the page.
I still use pageblaster but find it to be more of an annoyance cause all my sites load almost instantly and I have to keep removing / adding it back with every DNN version, which is not bad on a few clients but when I am doing it for 50+ clients its a bother.
Its a good tool though, and I recommend it for most users.