SCALES (Slicer Combined with Array of Lenslets for Exoplanet Spectroscopy) is a 2 - 5 micron high-contrast lenslet-based integral field spectrograph (IFS) designed to characterize exoplanets and their atmospheres. The SCALES medium-spectral-resolution mode uses a lenslet subarray with a 0.34 x 0.36 arcsecond field of view which allows for exoplanet characterization at increased spectral resolution. We explore the sensitivity limitations of this mode by simulating planet detections in the presence of realistic noise sources. We use the SCALES simulator scalessim to generate high-fidelity mock observations of planets that include speckle noise from their host stars, as well as other atmospheric and instrumental noise effects. We employ both angular and reference differential imaging as methods of disentangling speckle noise from the injected planet signals. These simulations allow us to assess the feasibility of speckle deconvolution for SCALES medium resolution data, and to test whether one approach outperforms another based on planet angular separations and contrasts.